Seidel’s Guide to Physical Examination, 9th Edition (Chapter 19)

Chapter 19: Female Genitalia
Ball: Seidel’s Guide to Physical Examination, 9th Edition


MULTIPLE CHOICE

1. Posteriorly, the labia minora meet as two ridges that fuse to form the:
a. fourchette.
b. vulva.
c. clitoris.
d. perineum.
ANS: A
The labia minora join posteriorly to form the fourchette.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation

2. A cervical polyp usually appears as a:
a. grainy area at the ectocervical junction.
b. bright red, soft protrusion from the endocervical canal.
c. transverse or stellate scar.
d. hard granular surface at or near the os.
ANS: B
Cervical polyps are bright red, soft, and fragile. They usually protrude from the endocervical
canal.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation

3. Which structure is located posteriorly on each side of the vaginal orifice?
a. Skene glands
b. Clitoris
c. Perineum
d. Bartholin glands
ANS: D
Bartholin glands are found posteriorly on each side of the vaginal orifice.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation

4. During sexual excitement, how is the vaginal introitus lubricated?
a. The Bartholin glands secrete mucus.
b. The clitoris produces moisture.
c. The Skene glands drain fluid.
d. The urethral surfaces secrete water.
ANS: A
The Bartholin glands secrete mucus into the introitus for lubrication during sexual stimulation.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation

, 5. The vaginal mucosa of a woman of childbearing years should appear:
a. smooth and pink.
b. moist and excoriated.
c. dry and papular.
d. transversely rugated.
ANS: D
Between puberty and menopause, the vagina is transversely rugated; after menopause, it loses its
rugation.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation

6. The adnexa of the uterus are composed of the:
a. corpus and cervix.
b. fallopian tubes and ovaries.
c. uterosacral and broad ligaments.
d. vagina and fundus.
ANS: B
The fallopian tubes and ovaries are collectively referred to as the adnexa of the uterus.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation

7. A bluish color to the cervix during pregnancy is called (the):
a. McDonald sign.
b. Spinnbarkeit.
c. Goodell sign.
d. Chadwick sign.
ANS: D
The Chadwick sign is a bluish color to the cervix during pregnancy. The Goodell sign is an
increase in vascularity and softening of
the cervix. Spinnbarkeit refers to the quality of elastic mucus during mittelschmerz, and the
McDonald sign is fundal flexing on the
cervix.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation

8. The pelvic joint that separates most appreciably during late pregnancy is the:
a. sacroiliac.
b. symphysis.
c. sacrococcygeal.
d. iliofemoral.
ANS: B
Of the four pelvic joints, the one that moves appreciably later in pregnancy is the symphysis
pubis.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation

9. Pregnancy-related cervical changes include:
a. flattening and lengthening.