Question 1

During a physical assessment the nurse notes vesicles. Which disease process is associated with this clinical manifestation?

Accepted Answer

Vesicles are small, fluid-filled blisters that can appear on the skin. They are a common clinical manifestation of infections caused by the herpes simplex virus (HSV). HSV can cause both oral herpes (HSV-1) and genital herpes (HSV-2), both of which are characterized by the appearance of vesicles in the affected areas.

Question 2

The nurse is conducting a health history assessment for a patient who presents with dysmenorrhea. Which assessment question is appropriate?

Accepted Answer

Asking "When did the pain start?" is directly related to assessing the onset and nature of dysmenorrhea, which is characterized by painful menstruation.

Question 3

The nurse is conducting a health maintenance visit for an older adult patient. Which is an expected finding for this patient based on age?

Accepted Answer

As women age, especially after menopause, they experience a decrease in estrogen levels. This reduction in estrogen can lead to thinning and drying of the vaginal walls, making older adult women more susceptible to vaginal infections.

Question 4

Which are the primary functions of the female reproductive system? Select all that apply.

Accepted Answer

The answer of Which are the primary functions of the...

Question 5

The nurse is collecting a health history for a patient during a routine health maintenance visit. The patient states, "I am in menopause." Which conclusion by the nurse is most appropriate based on this data?

Accepted Answer

Menopause is clinically defined as the absence of menstrual periods for 12 months. It is a natural biological process, not directly indicative of sexual activity, childbearing history, or the presence of sexually transmitted infections.

Question 6

The nurse is assessing the patient for clinical manifestations associated with premenstrual syndrome. Which question is appropriate?

Accepted Answer

Premenstrual syndrome (PMS) symptoms include physical and emotional changes, such as bloating, which is a common physical symptom. Questions about sexual activity or partners are not directly related to assessing for PMS.

Question 7

The nurse is conducting a health history interview for a patient who presents with urinary symptoms. Which questions are appropriate? Select all that apply.

Accepted Answer

Questions D and E are appropriate because they are related to urinary symptoms.

Question 8

The nurse is preparing a patient for a pelvic examination. Which patient position is most appropriate?

Accepted Answer

The lithotomy position is most appropriate for a pelvic examination as it provides the best access for the examination of the pelvic organs. This position involves the patient lying on their back with their hips and knees flexed, and their feet supported in stirrups.

Question 9

The nurse is assessing a patient who is diagnosed with pelvic inflammatory disease (PID). Which form of contraception in the patient's health history could have contributed to this diagnosis?

Accepted Answer

The use of an intrauterine device (IUD) can increase the risk of pelvic inflammatory disease (PID), especially within the first few weeks after insertion, due to the potential introduction of bacteria into the uterus during the insertion process.

Question 10

The nurse is conducting a reproductive assessment for a pregnant patient. Which findings does the nurse anticipate? Select all that apply.

Accepted Answer

During pregnancy, the uterus undergoes hypertrophy to accommodate the growing fetus, which is why uterine hypertrophy is expected. Cervix softening, also known as Goodell's sign, is a common early sign of pregnancy. The presence of a mucus plug in the cervical canal is also a normal finding in pregnancy, as it serves to protect the uterus and fetus from infections. Black discoloration of the cervix (C) is not a typical finding in pregnancy; instead, a bluish discoloration known as Chadwick's sign may occur. Hardening of the vaginal walls (E) is not a typical change during pregnancy; the vaginal walls actually tend to soften due to increased blood flow and hormonal changes.

Question 11

The nurse is conducting a health history interview for a patient who presents with amenorrhea. Which questions are appropriate? Select all that apply.

Accepted Answer

Amenorrhea, or the absence of menstruation, can be related to various factors including pregnancy, hormonal imbalances, and sexual health issues. Asking about menstrual, pregnancy, and sexual history can help identify the cause of amenorrhea.

Question 12

The nurse is assessing a patient who is prescribed tamoxifen. Which adverse reaction will the nurse assess this client for based on this data?

Accepted Answer

Tamoxifen, a selective estrogen receptor modulator (SERM), can cause several side effects, one of which is vaginal discharge. This is due to its estrogen-like effects on certain tissues, such as the endometrium.

Question 13

The nurse is conducting an assessment for a patient who is diagnosed with osteoporosis. Which clinical manifestation is associated with this disease process?

Accepted Answer

Height loss is a clinical manifestation associated with osteoporosis due to the compression and collapse of the vertebrae as the bone density decreases.

Question 14

The nurse is assessing a pregnant patient and notes a Chadwick sign. Which did the nurse inspect during the examination?

Accepted Answer

Chadwick sign is characterized by a bluish discoloration of the cervix, vagina, and labia resulting from increased blood flow, commonly seen in early pregnancy.

Question 15

The nurse is assessing a patient for clinical manifestations associated with perimenopause. Which question is most appropriate?

Accepted Answer

Hot flashes are a common symptom associated with perimenopause, making this question most appropriate for assessing clinical manifestations of perimenopause.

Question 16

During a pelvic examination the nurse notes the vaginal walls are pale. Which is the possible cause for this clinical manifestation?

Accepted Answer

Pale vaginal walls can be a sign of anemia, which is a condition characterized by a deficiency of red blood cells or hemoglobin in the blood, leading to a paler appearance of mucous membranes.

Question 17

The nurse documents that the female patient is in stage 2 of sexual maturation. Which clinical manifestation supports the nurse's documentation for this patient? Select all that apply.

Accepted Answer

In stage 2 of sexual maturation, pubic hair begins to appear as straight or slightly curled hair, primarily on the labia.

Quiz 10: Assessing the Female Genitourinary System