NSG6020- Women's Health exam| 63 questions and answers

A twenty-year-old female complains of a milky discharge bilaterally from her breasts. This suggests: Pregnancy or elevated prolactin level The vaginal mucosa lies in transverse folds called the: rugae In which of the following situations would it be difficult for the examiner to palpate an ovary during the bimanual vaginal exam? A woman who is anxious When performing a rectal exam on a female, a hard nodular rectal "shelf" is palpable at the tip of the examiner's finger. This finding is suggestive of: metastatic tissue in the rectouterine pouch Retraction of the nipple and areola suggest: an underlying breast mass To assess pelvic floor muscle strength during the bimanual vaginal exam, have the patient squeeze around the inserted fingers for long as a possible. Th consider full strength, snug compression should last for: 3 seconds A female patient presents with a gray, thin, malodorous (fishy) vaginal discharge these symptoms are most consistent with: Bacterial vaginosis A female patient presents with a white and curd-like thin vaginal discharge. This discharge is most consistent with: candidal vaginitis When examining the cervix, a bright, red, soft, and fragile lesion is noted on the cervical surface. This finding is consistent with: a cervical poylp An ulcerated vulvar lesion in an elderly woman may indicate: Vluvar cancer When examining the cervix, a translucent nodule is noted on the cervical surface. This finding is consistent with: a retention cyst A female patient has a history of a retroverted uterus. This condition refers to: a tilting backward of the uterus and cervix Examination of a female patient's right breast reveals a retraction of the nipple and areola. This finding is consistent with: Breast cancer Primary dysmenorrhea results from: increased prostaglandin production during the luteal phase of the menstrual cycle In a female diagnosed with a first-degree uterine prolapse, the cervix: Has slipped but is well within the vagina A female patient presents with a profuse, yellowish, green vaginal discharge that is malodorous. This vaginal discharge is most consistent with: Trichomonal vaginitis When performing a vaginal exam with a speculum, the use of the upper blade as a retractor could expose a: rectocele Upon examination of the vagina, a tense, hot very tender abscess with labial swelling is noted. This finding is most consistent with a: Bartholin gland infection Upon examination of the cervix, a yellow drainage is visible around the cervical os. This finding is most likely suggestive of: mucopurulent cervicits When performing a breast exam, a mobile mass becomes fixed when the arm relaxes. This suggests that the mass is: attached to the rib or intercostal muscle During examination of the vagina, a bulge in the upper two-thirds o the anterior vaginal wall is noted. This symptom is most consistent with a: cystocele In female patients with dyspareunia, superficial pain is most likely related to all the following except: pressure on the normal ovary When performing a bimanual exam of the vagina, the examiner should lubricate the index and middle fingers of a gloved hand. From a standing position, the fingers should be inserted into the vagina while exerting pressure primarly: posteriorly 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. A 45-year-old female presents to the nurse practitioner with complaints of postcoital bleeding (greater than spotting) unrelated to the menstrual cycle. What is the most likely cause? Cervical cancer Indications for performing a rectovaginal exam include all of the following except to: assess an inguinal hernia In a female diagnosed with a third-degree uterine prolapse, the cervix: and vagina are outside the introitus. 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 When do the ovaries become non-palpable after menopause? Three to five years A moman complains of infrequent menses with intervals great than 35 days. This condition is termed: oligomenorrhea The findings of mucopurulent endocervical discharge and cervical motion tenderness on pelvic examination are strongly suggestive of: three to fiver years A woman complains of infrequent menses with intervals greater than 35 days. This condition is termed: oligomenorrhea The findings of mucopurulent endocervical discharge and cervical motion tenderness on pelvic examination are strongly suggestive of: pelvic inflammatory disease (PID) Upon examination of the cervix, an irregular cauliflower-like growth was noted around the cervical os. This finding is most suggestive of: carcinoma of the cervix. Upon examination of the vagina, a bulge is noted in the lower posterior wall of the vagina. This findings is most consistent with a: rectocele 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 When discussing the female anatomy, the introitus is also known as the: vaginal opening Chronic pelvic pain may be secondary to all of the above except: peptic ulcer disease To palpate an indirect inguinal hernia in a woman, have her stand and palpate in the labia majora and: palpate upward to just lateral to the public tubercles A 35-year-old female presents with complaints of swelling of her right breast. Findings reveal edema of the lower portion of her right breast.. The skin appears thickened with enlarged pores. This condition is consistent with: the peau d'orange sign 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 The first sign of puberty in females is: appearance of breast buds When preparing to perform a pelvic exam in an older female, vaginal atrophy is noted. Due to this finding, the speculum: should be a smaller size