Deck 27: Vulvar and Vaginal Health

Question 1

Which of the following allows an improved understanding of anatomic variations such as the paramesonephric defects found in the fallopian tubes, the uterus, and the vagina?

A) Embryology
B) Oncology
C) Histology
D) Cytology

Answer 1

A

Question 2

Obstetric injuries to which area are frequently associated with loss of support and prolapse of the uterus, bladder, and rectum?

A) Prepuce
B) Mons pubis
C) Perineum
D) Vestibule

Answer 2

C

Question 3

Which of the following is known as the opening to the vagina?

A) Labia majora
B) Prepuce
C) Mons pubis
D) Introitus

Answer 3

D

Question 4

Which four bones form the pelvic outlet? (Select all that apply.)

A) Femur
B) Pubis
C) Ilium
D) Ischium
E) Sacrum

Question 5

Which of the following are the deep muscles of the pelvic floor (levator ani)? (Select all that apply.)

A) Pubococcygeus
B) Puborectalis
C) Bulbospongiosus
D) Iliococcygeus
E) Coccygeus

Question 6

Brooke is 12-year-old client who underwent menarche 6 months ago. She arrives at the office today complaining of low abdominal pain and cramping. She says that she thought she was having her period, but there is no vaginal bleeding. Which of the following conditions should the nurse suspect most in Brooke?

A) Vaginal septa
B) Bartholin's duct cyst
C) Skene's duct cyst
D) Vaginal intraepithelial neoplasia

Question 7

Gina, a 37-year-old client, discovered a "bump" in her vaginal introitus a few days ago. She says that it is small and painless, but she was concerned and decided to have it checked out. After conducting a vaginal examination, the nurse determines that the condition is a Bartholin's duct cyst. What interventions should the nurse take in response to this finding? (Select all that apply.)

A) Advise Gina to frequently apply warm compresses to the cyst
B) Schedule an excisional biopsy of the cyst and surrounding margin
C) Massage the area, express any accumulated fluid, and test it for infection
D) Schedule a stab incision and drainage procedure
E) Recommend that Gina to soak in a warm tub bath

Question 8

Which sexually transmitted infection (STI) is known for leading to both neoplastic and nonneoplastic dysplasia of the cervix, vagina, and vulva?

A) Human immunodeficiency virus
B) Herpes simplex virus
C) Human papillomavirus (HPV)
D) Hepatitis B virus

Question 9

Vaginal intraepithelial neoplasia is most frequently detected initially via which of the following?

A) Palpation of the lesion by the client
B) Report of symptoms such as vaginal irritation, discharge, and bleeding by the client
C) An abnormal Pap smear
D) Colposcopic examination

Question 10

Which of the following is the most common form of vaginal cancer?

A) Adenocarcinoma
B) Melanoma
C) Squamous carcinoma
D) Sarcoma

Question 11

Which form of vaginal cancer has a 5-year survival rate of less than 15%?

A) Adenocarcinoma
B) Melanoma
C) Squamous carcinoma
D) Sarcoma

Question 12

Miriam, a 55-year-old postmenopausal client, complains to the nurse that she has been experiencing pruritus, irritation, and burning in her vulvar region, along with dyspareunia. On vaginal examination, the nurse observes that the vulvar epithelium is pallorous, shiny, and crinkly, with symmetric distribution across the vulva, labia, and perineum. Based on these findings, which condition should the nurse suspect most?

A) Lichen sclerosus
B) Lichen planus
C) Lichen simplex chronicus
D) Vulvar squamous intraepithelial lesion

Question 13

Lucretia, a 30-year-old client, reports chronic pain in her vulvar region. She describes the pain as stinging and says that she cannot bear to have sexual intercourse or insert a tampon. On vaginal examination, the nurse can find no lesion. Which condition should the nurse suspect most?

A) Vulvar squamous intraepithelial lesion
B) Lichen sclerosus
C) Vulvodynia
D) Skene's duct cyst

Question 14

What percentage of vulvar carcinomas are of the squamous type?

A) 65%
B) 75%
C) 85%
D) 95%