Deck 5: Health Assessment

Question 1

Which myometrial muscle fibres prevent menstrual blood from flowing back into the uterine tubes during menstruation?

A) Oblique
B) Circular
C) Transverse
D) Longitudinal

Answer 1

Circular

Question 2

What are the two primary functions of the ovary?

A) Normal female development and sex hormone release
B) Ovulation and internal pelvic support
C) Sexual response and ovulation
D) Ovulation and hormone production

Answer 2

Ovulation and hormone production

Question 3

Which of the following both protects the pelvic structures and accommodates the growing fetus during pregnancy?

A) Perineum
B) Bony pelvis
C) Vaginal vestibule
D) Fourchette

Answer 3

Bony pelvis

Question 4

What is the nurse's best response to a 20-year-old patient who calls the clinic to report that she has found a lump in her breast?

A) "Don't worry about it. I'm sure it's nothing."
B) "Wear a tight bra, and it should shrink; if not, make an appointment with your doctor."
C) "Many women have benign lumps and bumps in their breasts, but you should come in for an examination."
D) "Check it again in 1 month and call the clinic back if it's still there."

Question 5

What is the best time for breast self-examination (BSE)?

A) 5 to 7 days after menses ceases
B) Day 1 of the endometrial cycle
C) 7 days before the onset of menses
D) Any time during a shower or bath

Question 6

In which of the following situations is it more likely that intimate partner violence will increase?

A) Marriage
B) Pregnancy
C) Birth of a baby
D) Children becoming school-age

Question 7

The uterus is a muscular,pear-shaped organ that is responsible for which of the following?

A) Cyclic menstruation
B) Sex hormone production
C) Fertilization
D) Sexual arousal

Question 8

Which of the following best reflects who should be screened for risk of abuse during pregnancy?

A) Adolescents
B) Single mothers
C) Women of low socioeconomic status
D) All pregnant women when they enter prenatal care

Question 9

Mrs.Jones is unable to lie in the lithotomy position for a Pap smear test.Which is an alternative position for a gynecological examination?

A) Sims
B) Prone
C) Lateral
D) High-Fowler's

Question 10

When performing a gynecological exam,the nurse would expect to find Bartholin glands in which position on the labia majora?

A) 10 and 2 o'clock
B) 12 and 6 o'clock
C) 8 and 4 o'clock
D) 9 and 3 o'clock

Question 11

The nurse guides a woman to the examination room and asks her to remove her clothes and put on an examination gown with the front open.The woman states,"I have special undergarments that I do not remove,for religious reasons." What is the most appropriate response from the nurse?

A) "You can't have an examination without removing all your clothes, as they may get soiled."
B) "I'll ask the doctor if he is able to modify the examination."
C) "Tell me about your undergarments. Then we can discuss how you can have your examination done comfortably."
D) "What? I've never heard of such a thing! That sounds different."

Question 12

Which hormone is responsible for maturation of mammary gland tissue?

A) Estrogen
B) Testosterone
C) Prolactin
D) Progesterone

Question 13

A 62-year-old woman has not been to the clinic for an annual examination for 5 years.The recent death of her husband reminded her that she should come for a visit.Her family doctor has retired,and she is going to see the women's health nurse practitioner for her visit.What should the nurse do to facilitate a positive health care experience?

A) Remind the woman that she is long overdue for her examination and that she should come in annually.
B) Listen carefully and allow extra time for this woman's health history interview.
C) Reassure the woman that a nurse practitioner is just as good as her old doctor.
D) Encourage the woman to talk about the death of her husband and her fears about her own death.

Question 14

Upon vaginal examination,the nurse sees a bulge from the anterior vaginal wall.What should the nurse suspect?

A) Rectocele
B) Cystocele
C) Uterine lesion
D) Scar tissue from previous episiotomy

Question 15

Unique longitudinal muscle fibres make the uterine myometrium ideally suited for which event?

A) Menstruation
B) Birth process
C) Ovulation
D) Fertilization

Question 16

A woman arrives at the clinic for her annual examination.She tells the nurse that she thinks she has a vaginal infection and she has been using an over-the-counter cream for the past 2 days to treat it.What should be the nurse's initial response?

A) Inform the woman that vaginal creams may interfere with the Papanicolaou (Pap) test for which she is scheduled.
B) Reassure the woman that using vaginal cream is not a problem for the examination.
C) Ask the woman to describe the symptoms that indicate to her that she has a vaginal infection.
D) Ask the woman to reschedule the appointment for the examination.

Question 17

During a health history interview,a woman states that she thinks that she has "bumps" on her labia.She also states that she is not sure how to check herself.Which is the correct response?

A) Reassure the woman that the examination will not reveal any problems.
B) Teach her what normal and abnormal findings are during the examination.
C) Inform the woman that "bumps" can be treated.
D) Tell her that most women have "bumps" on their labia.

Question 18

Which statement would indicate that the patient requires additional instruction about breast self-examination?

A) "Yellow discharge from my nipple is normal if I'm having my period."
B) "I should check my breasts at the same time each month, right after my period."
C) "I should also feel in my armpit area while performing my breast examination."
D) "I should check each breast in a set way, such as in a circular motion."

Question 19

At which age may a woman discontinue Pap screening?

A) Never
B) After childbearing years
C) After menopause
D) After the age of 70

Question 20

Diethylstilbestrol (DES)was used between 1938 and 1971 for pregnant women in order to increase their chances of having a successful pregnancy.Which of the following groups has an increased risk of noncancerous epididymal cysts?

A) DES sons
B) DES daughters
C) DES granddaughters
D) Women who took DES while pregnant

Question 21

Which of the following should the nurse do as part of his or her participation in the gynecological portion of the physical examination?

A) Take a firm approach that encourages the patient to facilitate the examination by following the physician's instructions exactly.
B) Explain the procedure as it unfolds and continue to question the patient to get information in a timely manner.
C) Take the opportunity to explain that the trendy vulvar self-examination is only for women at risk for cancer.
D) Help the woman relax through proper placement of her hands and proper breathing during the examination.

Question 22

Before Pap screening it is recommended that the woman abstain from sexual intercourse for at least what period of time before the test?

A) 12 hours
B) 24 hours
C) 48 hours
D) 7 days

Question 23

As a girl progresses through development,she may be at risk for a number of age-related conditions.While preparing a 21-year-old patient for her first adult physical examination and Papanicolaou (Pap)test,the nurse is aware of excessive shyness.The young woman states that she will not remove her bra because "there is something wrong with my breasts; one is way bigger." What is the best response by the nurse in this situation?

A) "Please reschedule your appointment until you are more prepared."
B) "It is okay; the provider will not do a breast examination."
C) "I will explain normal growth and breast development to you."
D) "That is unfortunate; this must be very stressful for you."

Question 24

Which assessment is completed when microscopic examination of scrapings from the cervix,endocervix,or other mucous membranes to detect premalignant or malignant cells occurs?

A) Bimanual palpation
B) Rectovaginal palpation
C) A Papanicolaou (Pap) test
D) A five A's procedure