Deck 22: Female Reproductive System

Question 1

The nurse notes a forward-tilted uterus with a downward-tilted cervix when examining a female client.The nurse would correctly document which of the following findings in this situation?
1)Anteflexion
2)Retroflexion
3)Anteversion
4)Midposition

Answer 1

3

Question 2

The nurse is preparing to examine the female reproductive system of a client.The nurse would anticipate using which of the following assessment techniques?
1)Inspection
2)Palpation
3)Percussion
4)Auscultation
5)Aspiration

Answer 2

1,2

Question 3

The nurse is performing a gynecological examination and is ready to insert the speculum.The nurse would correctly insert the speculum at which of the following angles with the client in the lithotomy position?
1)90 degrees
2)45 degrees
3)Straight down
4)Straight up

Answer 3

2

Question 4

The nurse notes that the uterus is folded backward with the cervix tilted upward when examining a female client.The nurse would correctly document which of the following findings in this situation.
1)Retroversion
2)Retroflexion
3)Midposition
4)Anteflexion

Question 5

The nurse is reviewing the technique utilized to obtain an endocervical specimen on a client.Mark with an "X" the location from which the specimen will be obtained.

Question 6

The nurse is interviewing a female client that reports a grayish discharge with a fishy odor.The nurse would suspect which of the following conditions in this situation?
1)Bacterial vaginosis
2)Chlamydia
3)Genital warts
4)Gonorrhea

Question 7

The nurse assisting the healthcare provider who is performing a bimanual examination on an extremely obese client.The healthcare provider is unable to palpate the uterus.Which of the following actions would most likely be selected in this situation?
1)Defer the examination.
2)Schedule an X-ray.
3)Schedule an ultrasound.
4)Ask the client if she has had recent problems.

Question 8

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.The nurse would suspect which of the following conditions in this situation.
1)Contact dermatitis
2)Yeast infection
3)Herpes infection
4)Venereal warts

Question 9

A teenaged client has been brought to the clinic with complaints of pain.After an examination it was determined that the client has an inflamed Bartholin's cyst.After the examination the client and her mother ask the nurse to show them the location of the gland involved.Mark an "X" on the location of the Bartholin's gland.

Question 10

The nurse is caring for a pregnant client.The nurse notes the healthcare provider has documented the client has a positive Goodell's sign.Mark an "X" on the area to which this refers.

Question 11

The nurse is examining a 65 year old and palpates a mobile,smooth,round-shaped mass in the left lower abdominal quadrant.The nurse would correctly choose which of the following actions next?
1)Ask the client if she is menstruating.
2)Report the findings to the healthcare provider.
3)Re-examine the area using a vaginal speculum.
4)Ask the client if she could be pregnant.

Question 12

The nurse is examining a pregnant client and notes the cervix is soft in texture and nontender.The nurse would correctly document which of the following conditions in this situation?
1)Nabothian cyst
2)Chadwick's sign
3)Hegar's sign
4)Goodell's sign

Question 13

The nurse is preparing to perform an endocervical swab and needs to choose the most effective equipment to collect this specimen.The nurse would have which of the following ready for this procedure?
1)Microscopic slides
2)Saline
3)Cytobrush
4)Cotton applicator
5)Fixative

Question 14

The nurse is examining the external genitalia of a female client and notes raised,cauliflower-shaped papules.The nurse would suspect which of the following conditions in this situation?
1)Genital warts
2)Herpes infection
3)Bartholin's abscess
4)Contact dermatitis

Question 15

The nurse is reading the history and physical and notes documentation of a protrusion into the posterior vaginal wall.The nurse would suspect which of the following conditions in this situation?
1)Ovarian cyst
2)Bartholin's gland infection
3)Cystocele
4)Rectocele

Question 16

The nurse notes documentation in the client's history and physical of a nontender protrusion into the anterior vaginal wall.The nurse would suspect which of the following conditions in this situation?
1)Inflammation of the Skene's gland
2)Prolapsed uterus
3)Rectocele
4)Cystocele

Question 17

The nurse is performing a vaginal examination on a client who has had a hysterectomy.Which of the following would the nurse choose to do in this situation?
1)Defer the cervical scrape.
2)Use the vaginal wall for the cervical scrape.
3)Tell the client an examination is not needed.
4)Use the surgical stump for the cervical scrape.

Question 18

The nurse is examining a pregnant client and notes the cervix has a bluish-purple change in coloration.The nurse would correctly document which of the following conditions in this situation?
1)Nabothian cyst
2)Goodell's sign
3)Chadwick's sign
4)Bloody show

Question 19

The nurse is examining a female client and notes a greenish discharge with a foul odor.The client also exhibits guarding of the abdomen.The nurse would suspect which of the following conditions in this situation?
1)Trichomoniasis
2)Herpes infection
3)Gonorrhea
4)Bacterial vaginosis

Question 20

The nurse is preparing to assess a female client's external genitalia.The structures included in this assessment would be:
1)Vagina
2)Cervix
3)Clitoris
4)Labia majora
5)Labia minora

Question 21

The nurse is examining an adolescent female and notes no pubic hair on the pubis area.The nurse would correctly choose which of the following actions?
1)Ask the client if she is menstruating.
2)Examine the client for breast buds.
3)Report the findings to the healthcare provider.
4)Document the findings as normal.
5)Assess the client's dietary intake.

Question 22

The nurse is examining an adult female and notes thick,coarse pubic hair covering the pubis and extending to the thighs.The nurse would correctly choose which of the following actions?
1)Ask the client if she has started menstruation.
2)Report the findings to the healthcare provider.
3)Document the findings as normal.
4)Ask the client if she is sexually active.

Question 23

The nurse is interviewing an elderly female client.Which of the following statements made by the client would cause intervention by the nurse?
1)"I use a lubricant for sex to help with dryness."
2)"I take hormone pills to help with my hot flashes."
3)"My periods stopped for 5 years,but recently restarted."
4)"I don't have a desire for sex very often,but neither does my husband."

Question 24

The community health nurse is preparing a presentation concerning the sexual health of teenaged girls.The objectives of Healthy People 2020 are being used as guidelines.When planning the offering which of the following should be included?
1)Increase the number of teens who are using oral contraceptives.
2)Increase the number of teens who utilize relationship counseling services.
3)Increase the number of teens who are tested for HIV.
4)Increase the number of teens who understand their reproductive functions.

Question 25

The nurse is interviewing a female client who reports a frothy,yellow-green discharge.The nurse would suspect which of the following conditions in this situation?
1)Vaginitis
2)Trichomoniasis
3)Gonorrhea
4)Chlamydia

Question 26

The nurse is examining the external genitalia of a female client and notes small vesicular lesions that are painful.The nurse would suspect which of the following conditions in this situation?
1)Genital warts
2)Herpes infection
3)Bartholin's abscess
4)Contact dermatitis

Question 27

The nurse is caring for an adolescent female client who has come to the clinic for an annual physical examination.Which of the following questions would be best included in the data collection?
1)"Do you have a boyfriend?"
2)"Do you need birth control?"
3)"Are you attracted to boys?"
4)"Are you sexually active at this time?"

Question 28

The nurse is providing education on menopause to a group of female clients.Which of the following statements made by one of the clients would indicate the need for further instruction by the nurse?
1)"My periods may be irregular and less frequent."
2)"Night sweats and hot flashes are commonly experienced."
3)"My mood changes are a normal part of menopause."
4)"Vaginal dryness may occur during menopause."

Question 29

The nurse suspects a gonorrheal infection in a client during an examination.Which of the following would be a priority action for the nurse?
1)Counsel regarding safe sex practices.
2)Obtain history of sexual contacts.
3)Obtain a culture.
4)Document the findings.

Question 30

The nurse is examining the external genitalia of a female client and notes draining papules.The nurse would suspect which of the following conditions in this situation?
1)Genital warts
2)Herpes infection
3)Syphilitic lesion
4)Contact dermatitis