Exam (elaborations)
NURSING MISCAPEA Womens Health Qbank.
- Course
- Institution
NURSING MISCAPEA Womens Health Qbank.
[Show more]
Seller
Follow
maggieobita
Reviews received
Content preview
NURSING MISC Womens Health Qbank. Latest 2022-2023Apea Women’s Health Qbank
1. Question:
When palpating the cervix during the bimanual exam, cervical motion tenderness (chandelier sign) is
noted. This tenderness could be suggestive of:
pelvic inflammatory disease
Explanation:
Cervical motion tenderness, also known as Chandelier's sign, and/or adnexal tenderness, suggest pelvic
inflammatory disease, ectopic pregnancy, or appendicitis.
2. Question:
In a female diagnosed with a first-degree uterine prolapse, the cervix:
has slipped but is well within the
vagina Explanation:
Uterine prolapse occurs in progressive stages. The uterus becomes retroverted and descends down the
vaginal canal to the exterior. In first-degree prolapse, the cervix is still well within the vagina. In second-
degree prolapse, it is at the introitus. In third-degree prolapse (procidentia), the cervix and vagina are
outside the introitus.
3. Question:
Daughters of women who took Diethylstilbestrol (DES) during pregnancy are at a high risk for
developing all of the following abnormalities except:
a slit- like cervical os.
Correct Explanation:
Daughters of women who took Diethylstilbestrol (DES) during pregnancy are at greatly increased risk for
several abnormalities: columnar epithelium that covers most or all of the cervix vaginal adenosis, and a
circular collar or ridge of tissue, of varying shapes, between the cervix and vagina. The slit-like cervical
os is a normal variation.
4. Question:
A female patient presents with a profuse, yellowish, green vaginal discharge that is malodorous. This
vaginal discharge is most consistent with:
,NURSING MISC Womens Health Qbank. Latest 2022-2023
Trichomonal vaginitis
Explanation:
Trichomonas vaginalis causes trichomonal vaginitis. Presenting symptoms include a profuse, yellowish,
green vaginal discharge that is malodorous. Candidal vaginitis produces a white and curd-like thin
discharge that is rarely malodorous. With bacterial vaginosis, the discharge can be gray or white, thin,
malodorous (fishy), and not usually profuse. The discharge associated with gonorrhea is usually thick and
bloody.
5. Question:
The most common causes of sexual problems in females are related to:
psychosocial factors
Explanation:
The most common problems that occur during sexual activity are related to situational or psychosocial
factors. Although lack of desire, inadequate vaginal lubrication, and pelvic disorders may all contribute
to sexual problems, the most common causes are situational and psychosocial in origin. Therefore,
obtaining a comprehensive sexual history is of utmost importance.
6. Question:
Chronic pelvic pain refers to pain that does not respond to therapy and:
lasts more than 6 months
Explanation:
According to the International Pelvic Pain Society, chronic pelvic pain refers to pain that lasts more than 6
months without response to treatment.
7. Question:
In female patients with dyspareunia, superficial pain is most likely related to all of the following except:
pressure on a normal ovary
Explanation:
In females, dyspareunia, or painful intercourse, can occur at the vaginal opening, occurring at the start
of intercourse, or when the partner is pushing deeper. It is important to differentiate the pain to
determine the etiology. Superficial pain suggests local inflammation, atrophic vaginitis, or inadequate
lubrication.
Deeper pain may be from pelvic disorders or pressure on a normal ovary.
8. Question:
, NURSING MISC Womens Health Qbank. Latest 2022-2023
If urethritis or inflammation of the paraurethral glands is suspected in a female patient, the index finger
should be inserted into the vagina and:
milk the urethra gently from the inside
outward Explanation:
If urethritis or inflammation of the paraurethral glands is suspected, the examiner should insert the
index finger into the vagina and milk the urethra gently from inside outward. Note any discharge from
or about the urethral meatus. If present, it should be cultured.
9. Question:
Upon examination of the vagina, a swollen red ring is noted around the urethral opening. This finding is
most consistent with a:
prolapse of the urethral
mucosa Explanation:
A prolapsed urethral mucosa forms a swollen red ring around the urethral meatus. A urethral caruncle
is a small, red, benign tumor visible at the posterior part of the urethral meatus. It usually occurs in
postmenopausal women. A cystocele is a bulge of the upper two-thirds of the anterior vaginal wall and
the bladder above it. It results from weakened supporting tissues. When the entire anterior vaginal
wall, together with the bladder and urethra, is involved in the bulge, a cystourethrocele is present.
10. Question:
When performing a bimanual vaginal exam, a solid, nodular-like lesion is palpated over the right ovary.
This finding is most consistent with:
an ovarian tumor
Explanation:
Ovarian tumors appear solid and often nodular upon palpation. Ovarian cancer is relatively rare and
usually presents at an advanced stage with symptoms of pelvic pain, increased abdominal size, and
urinary tract symptoms. An ovarian cyst tends to be smooth and compressible and if uncomplicated,
nontender. A right tubal pregnancy does not typically present with an ovarian lesion. A tubo-ovarian
abscess is difficult to palpate and typically presents with severe pain and purulent vaginal discharge.
11. Question:
Indications for performing a rectovaginal exam include all of the following except to:
assess an inguinal hernia
Explanation:
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller maggieobita. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79978 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now