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Exam 27: Female Genitourinary System

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Question 21

Multiple Choice

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During an examination, the nurse observes a female patient's vestibule and expects to see the:

A) Urethral meatus and vaginal orifice
B) Vaginal orifice and vestibular (Bartholin's) glands
C) Urethral meatus and paraurethral (Skene's) glands
D) Paraurethral (Skene's) and vestibular (Bartholin's) glands

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Question 22

Multiple Choice

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The advance practice nurse is palpating a female patient's adnexa.The findings include a firm, smooth uterine wall; and the ovaries are palpable and feel smooth and firm.The fallopian tube is firm and pulsating.The nurse's most appropriate course of action would be to:

A) Tell the patient that her examination is normal
B) Give her an immediate referral to a gynecologist
C) Suggest that she return in a month for a recheck to verify the findings
D) Tell the patient that she may have an ovarian cyst that should be evaluated further

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Question 23

Multiple Choice

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The uterus is usually positioned tilting forward and superior to the bladder.This position is known as:

A 22-year-old woman is being seen at the clinic for problems with vulvar pain, dysuria, and fever.On physical examination, the nurse notices clusters of small, shallow vesicles with surrounding erythema on the labia.Inguinal lymphadenopathy present is also present.The most likely cause of these lesions is:

A nurse is assessing a patient's risk for contracting an STI.An appropriate question to ask would be:

An 18-year-old patient is having her first pelvic examination.Which action by the nurse is appropriate?

The advance practice nurse is palpating an ovarian mass during an internal examination of a 63-year-old woman.Which findings of the mass's characteristics would suggest the presence of an ovarian cyst? (Select all that apply.)

A patient has had three pregnancies and two live births.The nurse would record this information as grav __________, para __________, A __________.

A 25-year-old woman comes to the emergency department with a sudden fever of 38.3°C and abdominal pain.During the examination, the nurse notices that the patient has rigid, boardlike lower abdominal musculature.When the nurse tries to perform a vaginal examination, the patient experiences severe pain when the uterus and cervix are moved.The nurse knows that these signs and symptoms are suggestive of:

A woman is in the clinic for an annual gynecological examination.The nurse should plan to begin the interview with the:

During a vaginal examination of a 38-year-old woman, the nurse notices that the vulva and vagina are erythematous and edematous, with thick, white, curdlike discharge adhering to the vaginal walls.The woman reports intense pruritus and thick white discharge from her vagina.The nurse knows that these history and physical examination findings are most consistent with which condition?

The nurse is reviewing the changes that occur with menopause.Which changes are associated with menopause?

A 35-year-old transgender woman is in the office for routine gynecological care.She had a vaginoplasty 12 months ago.Which of the following does the nurse know to be true regarding this visit?

During the interview, a patient reveals that she has some vaginal discharge.She is worried that it may be a sexually transmitted infection (STI) .The nurse's most appropriate response to this would be:

A married couple has come to the clinic seeking advice on pregnancy.They have been trying to conceive for 4 months and have not been successful.What should the nurse do first?

A 54-year-old woman who has just completed menopause is in the clinic today for her yearly physical examination.Which of these statements should the nurse include in patient education? A postmenopausal woman:

A 50-year-old woman calls the clinic because she has noticed some changes in her body and breasts and wonders if these changes could be attributable to the hormone replacement therapy (HRT) she had started 3 months earlier.The nurse should tell her:

A 52-year-old patient states that when she sneezes or coughs she "wets herself a little." She is very concerned that something may be wrong with her.The nurse suspects that the problem is:

During the interview with a female patient, the data gathered by the nurse indicate that the patient is perimenopausal.Which of these statements made by this patient leads to this conclusion?

During the examination of a woman who has never had children, the nurse would expect the cervical os to appear: