NURS 261 Chapter 17; the respiratory system and the perineum from Wilson health assessment for Nursing practice,6th edition.
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Health Assessment for Nursing Practice 6th Edition Wilson Test Bank
Chapter 17: Reproductive System and the Perineum
Wilson: Health Assessment for Nursing Practice, 6th Edition
MULTIPLE CHOICE
1. During the initial inspection of the female genitalia, the nurse recognizes which finding as
normal?
a. The labia minora are hair-covered and lying within the labia majora.
b. The cervical os in the multiparous woman has the shape of a small circle.
c. The vaginal vestibule lies between the labia minora and contains the urinary
meatus.
d. The openings of Skene and Bartholin glands are visible posteriorly.
ANS: C
Option C is of normal female anatomy. The labia majora, rather than the labia minora, are
covered with hair. The os of parous women is the shape of a slit. The opening of these glands
is on either side of the vaginal vestibule.
DIF: Cognitive Level: Understand REF: p. 353
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Physiologic Integrity: Reduction of Risk Potential: System Specific
Assessments
2. The pregnant patient tells the nurse that she has had three pregnancies and two live births to
date. How does the nurse record this in the patient’s history?
a. Gravida 3, para 3
b. Gravida 3, para 2
c. Gravida 2, para 3
d. Gravida 2, para 2
ANS: B
Gravida 3, para 2 represents three pregnancies and two that reached 20 weeks or longer,
which is consistent with what the patient reported. Gravida 3, para 3 represents three
pregnancies and three that reached 20 weeks or longer. Gravida 2, para 3 represents two
pregnancies and three that reached 20 weeks or longer, which is not possible. Gravida 2, para
2 represents two pregnancies and two that reached 20 weeks or longer.
DIF: Cognitive Level: Apply REF: p. 361
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Physiologic Integrity: Reduction of Risk Potential: System Specific
Assessments
3. A mother asks a nurse when her daughter should get immunized again for human papilloma
virus (HPV). What is the nurse’s most appropriate response to this question?
a. “Your daughter does not need this immunization until she becomes sexually
active.”
b. “The recommended age for this immunization is between 25 and 30 years of age.”
c. “Between the ages of 11 and 26 years is the recommended time for this
immunization.”
d. “When she begins having menstrual periods is the best time for this
NURSINGTB.COM
, Health Assessment for Nursing Practice 6th Edition Wilson Test Bank
immunization.”
ANS: C
Option C is the recommendation from the Centers for Disease Control and Prevention (CDC).
Options A, B, and D are not the recommendations of the CDC.
DIF: Cognitive Level: Apply REF: p. 360
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Promotion Programs
4. A patient asks when she should make an appointment for her first Pap (Papanicolaou) test to
screen for cervical cancer. What is the nurse’s most appropriate response?
a. “There is no need for Pap tests until after you have become pregnant.”
b. “All women should have the first Pap test after reaching menarche.”
c. “All women should have the first Pap test after they are 19 years of age.”
d. “All women should have the first Pap test when they become sexually active or at
age 21.”
ANS: D
Option D is the recommendation from the U.S. Preventive Services Task Force. All females
should be screened when they become sexually active or age 21, whichever happens first.
Recommendations A and B are when females become sexually active or 21 years old. All
females should be screened when they become sexually active or 21 years old, whichever
happens first.
DIF: Cognitive Level: Apply REF: p. 364
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Promotion Programs
5. A patient asks when she can stop having Pap (Papanicolaou) tests. What is the nurse’s most
appropriate response?
a. “Until you are no longer sexually active.”
b. “Through age 65.”
c. “Until you begin menopause.”
d. “Through the end of menopause.”
ANS: B
Option B is the recommendation from the U.S. Preventive Services Task Force. All females
should be screened after the onset of sexual activity through age 65. The recommendation
from the U.S. Preventive Services Task Force is through age 65.
DIF: Cognitive Level: Apply REF: p. 364
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Promotion Programs
6. When performing a well woman examination, the nurse expects what findings?
a. The inner surface of the vestibule is deep pink and moist with a smooth texture.
b. The inguinal skin appears wrinkled and moist with sparse hair distribution.
c. The labia minora is deeply pigmented, and the tissue is ragged and asymmetrical.
d. Pubic hair is distributed evenly over the mons and shaped as a triangle with the
apex over the mons.
NURSINGTB.COM
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