A 65-year-old woman is in the office for routine gynecologic care.She had a complete hysterectomy 3 months ago after cervical cancer was detected.The nurse knows that which of these statements is true with regard to this visit?

Question

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In the aging adult woman,natural lubrication is decreased;to avoid a painful examination,the nurse should take care to lubricate instruments and the examining hand adequately.Menopause,with the resulting decrease in estrogen production,shows numerous physical changes.The cervix shrinks and looks pale and glistening.With the bimanual examination,the uterus feels smaller and firmer and the ovaries are not palpable normally.Women should continue cervical cancer screening up to age 70 years if they have an intact cervix and are in good health.Women who have had a total hysterectomy for benign gynecologic disease do not need cervical cancer screening,but if the hysterectomy was done for cervical cancer,then Pap tests should continue until the patient has a 10-year history of no abnormal results.

A 65-Year-Old Woman Is in the Office for Routine Gynecologic