Chapter 24

An adolescent client has been brought to the clinic with complaints of pain. After an examination it is determined that the client has an inflamed Bartholin’s cyst. The client and her mother ask the nurse to show them the location of the gland involved. Which location does the nurse show the client and her mother?. A. B. C. D.

The nurse is caring for a pregnant client. The nurse notes the healthcare provider has documented the client has a positive Goodell’s sign. Where is Goodell sign located?. A. B. C. D.

The nurse is preparing to assess a female client’s external genitalia. Which structures will the nurse include in this assessment?. Vagina. Cervix. Clitoris. Labia majora. Labia minora.

The nurse notes a forward-tilted uterus with a downward-tilted cervix when examining a female client. Which term will the nurse use to document this finding in the medical record?. Anteflexion. Retroversion. Anteversion. Midposition.

The nurse notes that the uterus is folded backward at a 90-degree angle with the cervix tilted upward when examining a female client. Which term will the nurse use to document this finding in the medical record?. Retroversion. Retroflexion. Midposition. Anteversion.

The nurse is reviewing the technique used to obtain an endocervical specimen on a client. Which location will the nurse use to obtain this specimen?. A. B. C. D.

The nurse is preparing to examine the female reproductive system of a client. Which assessment techniques will the nurse use during this examination? Standard Text: Select all that apply. Inspection. Palpation. Percussion. Auscultation. Aspiration.

The nurse is examining a postmenopausal female client and palpates a mobile, smooth, roundshaped mass in the left lower abdominal quadrant. Which action by the nurse is the most appropriate based on this data?. Ask the client the date of her last menstrual period. Report the findings to the healthcare provider. Re-examine the area using a vaginal speculum. Ask the client if she could be pregnant.

The nurse is performing a gynecological examination and is ready to insert the speculum. Which angle of insertion is correct for the client in the lithotomy position?. 90 degrees. 45 degrees. Straight down. Straight up.

The nurse is preparing to perform an endocervical swab. Which equipment will the nurse require to collect this specimen? Standard Text: Select all that apply. Microscopic slides. Saline. Cytobrush. Cotton applicator. Fixative.

The nurse is performing a vaginal examination on a client post-hysterectomy. Which action by the nurse is appropriate in this situation?. Defer the cervical scrape. Use the vaginal wall for the cervical scrape. Use the surgical stump for the cervical scrape. Tell the client an examination is not needed.

The nurse is assisting the healthcare provider perform a bimanual examination on an extremely obese client. The healthcare provider is unable to palpate the uterus. Which action is appropriate in this situation?. Defer the examination. Schedule an X-ray. Schedule an ultrasound. Ask the client if she has had recent problems.

The nurse is examining a pregnant client and notes the cervix is soft in texture and nontender. Which term will the nurse use when documenting this finding in the medical record?. Nabothian cyst. Chadwick sign. Hegar sign. Goodell sign.

The nurse is examining a pregnant client and notes the cervix has a bluish-purple change in coloration. Which term will the nurse use to document this finding in the medical record?. Nabothian cyst. Goodell sign. Chadwick sign. Bloody show.

The nurse notes reddened areas on the labia and a discharge that is white and curd-like in the vaginal canal when examining a female client. Which condition does the nurse suspect based on this data?. Contact dermatitis. Yeast infection. Herpes infection. Venereal warts.

The nurse is examining a female client and notes a greenish discharge with a foul odor. The client also exhibits guarding of the abdomen. Based on this data, which diagnosis does the nurse anticipate?. Trichomoniasis. Herpes infection. Gonorrhea. Bacterial vaginosis.

The nurse is examining the external genitalia of a female client and notes raised, cauliflowershaped papules. Based on this data, which condition does the nurse suspect?. Genital warts. Herpes infection. Bartholin abscess. Contact dermatitis.

The nurse reviews a client’s medical record and notes documentation of a nontender protrusion into the anterior vaginal wall. Which condition does the nurse suspect based on this data?. Inflammation of the Skene gland. Prolapsed uterus. Rectocele. Cystocele.

The nurse is reviewing a client’s history and physical information. The medical record notes a protrusion into the posterior vaginal wall. Based on this data, which condition does the nurse suspect?. Ovarian cyst. Bartholin gland infection. Cystocele. Rectocele.

The nurse is interviewing a female client who reports a grayish discharge with a fishy odor. Based on this data, which condition does the nurse suspect?. Bacterial vaginosis. Chlamydia. Genital warts. Gonorrhea.

The nurse is interviewing a female client who reports a frothy, yellow-green discharge. Based on this data, which condition does the nurse suspect?. Vaginitis. Trichomoniasis. Gonorrhea. Chlamydia.

The nurse is examining the external genitalia of a female client and notes small vesicular lesions that are painful. Based on this data, which condition does the nurse suspect?. Genital warts. Herpes infection. Bartholin abscess. Contact dermatitis.

The nurse is examining the external genitalia of a female client and notes draining papules. Based on this data, which condition does the nurse suspect?. Genital warts. Herpes infection. Syphilitic lesion. Contact dermatitis.

The nurse is providing education on menopause to a group of female clients. Which statement from a client after the presentation indicates understanding of the information presented? Standard Text: Select all that apply. “My periods may be irregular and less frequent.”. “Night sweats and hot flashes are commonly experienced.”. “My mood changes are a normal part of menopause.”. “Vaginal dryness may occur during menopause.”. “My clitoris will become enlarged.”.

The nurse is interviewing an older adult female client. Which statement made by the client would warrant intervention by the nurse?. “I use a lubricant for sex to help with dryness.”. “I take hormone pills to help with my hot flashes.”. “My periods stopped for 5 years, but recently restarted.”. “I don’t have a desire for sex very often, but neither does my husband.”.

The nurse is examining an adolescent female and notes no pubic hair on the pubis area. Based on this data, which action by the nurse is appropriate?. Ask the client if she is menstruating. Examine the client for breast buds. Report the findings to the healthcare provider. Document the findings as abnormal.

The nurse is examining an adult female and notes thick, coarse pubic hair covering the pubis and extending to the thighs. Which action by the nurse is the most appropriate based on this data?. Ask the client if she has started menstruation. Report the findings to the healthcare provider. Document the findings as normal. Ask the client if she is sexually active.

The community health nurse is preparing a presentation concerning the sexual health of adolescent females. The objectives of Healthy People 2020 are being used as guidelines. When planning this presentation, which information will the nurse plan to include?. Increase the number of teens who are using oral contraceptives. Increase the number of teens who utilize relationship-counseling services. Increase the number of teens who are tested for HIV. Increase the number of teens who understand their reproductive functions.

After a vaginal examination, the nurse suspects the client has a gonorrheal infection. Based on this suspicion, which is the priority action by the nurse?. Counsel regarding safe sex practices. Obtain history of sexual contacts. Obtain a culture. Document the findings.

The nurse is caring for an adolescent female client who has come to the clinic for an annual physical examination. Which question does the nurse plan to include in the data collection process?. “Do you have a boyfriend?”. “Do you need birth control?”. “Are you attracted to boys?”. “Are you sexually active at this time?”.