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Nursing NR 509 APEA EXAM 2024 latest update Women S Health comolete exam with rationale
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lOMoAR cPSD| 27753314Nursing NR 509 APEA EXAM 2024 latest update
Women S Health comolete exam with rationale
, lOMoAR cPSD| 27753314
Question 1
When palpating the cervix during the bimanual exam, cervical motion tenderness (chandelier
sign) is noted. This tenderness could be suggestive of:
A. retroversion of the uterus. B.
pelvic inflammatory disease.
C. vulvar lesions.
D. Bartholin gland infection.
Explanation:
Cervical motion tenderness, also known as Chandelier's sign, and/or adnexal tenderness,
suggest pelvic inflammatory disease, ectopic pregnancy, or appendicitis.
Question 2
In a female diagnosed with a first-degree uterine prolapse, the cervix:
A. is located in its normal position.
B. has slipped but is well within the vagina.
C. is located in the introitus.
D. and vagina are outside the introitus.
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.
)
, lOMoAR cPSD| 27753314
Question 3
Daughters of women who took Diethylstilbestrol (DES) during pregnancy are at a high risk for
developing all of the following abnormalities except:
A. columnar epithelium covering most or all of the cervix. B.
a slit- like cervical os.
C. vaginal adenosis.
D. a circular collar or ridge of tissue between the cervix and the vagina.
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.
Question 4
A female patient presents with a profuse, yellowish, green vaginal discharge that is
malodorous. This vaginal discharge is most consistent with:
A. candidal vaginitis.
B. bacterial vaginosis.
C. Trichomonal vaginitis.
D. gonorrhea.
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.
, lOMoAR cPSD| 27753314
Question 5
The most common causes of sexual problems in females are related to:
A. lack of sexual desire.
B. inadequate vaginal lubrication.
C. psychosocial factors.
D. pelvic disorders.
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.
Question 6
Chronic pelvic pain refers to pain that does not respond to therapy and:
A. lasts more than 3 months. B.
lasts more than 6 months.
C. lasts more than 9 months.
D. lasts more than 12 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. Question 7
)
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