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NR 509 APEA Womens health

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NR 509 APEA Womens health NR 509 APEA Womens health NR 509 APEA Womens health

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,Question:

When palpating the cervix during the bimanual exam, cervical motion tenderness (chandelier sign) is
noted. This tenderness could be suggestive of:



retroversion of the uterus.pelvic inflammatory disease. Correctvulvar lesions. IncorrectBartholin 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:

In a female diagnosed with a first-degree uterine prolapse, the cervix:



is located in its normal position. has slipped but is well within the vagina. Correctis located in the
introitus.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.

Question:

Daughters of women who took Diethylstilbestrol (DES) during pregnancy are at a high risk for developing
all of the following abnormalities except:



columnar epithelium covering most or all of the cervix.a slit- like cervical os. Correctvaginal adenosis.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:

A female patient presents with a profuse, yellowish, green vaginal discharge that is malodorous. This
vaginal discharge is most consistent with:



candidal vaginitis.bacterial vaginosis.Trichomonal vaginitis. Correctgonorrhea.



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.

Question:

The most common causes of sexual problems in females are related to:



lack of sexual desire.inadequate vaginal lubrication. Incorrectpsychosocial factors. Correctpelvic
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:

Chronic pelvic pain refers to pain that does not respond to therapy and:

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