Pelvic Examination - CE
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1. A 16-year-old patient presents to the emergency
department with abdominal pain and needs her frst pelvic
examination. When is the most appropriate time to answer
the patient’s questions?
A. When her mother is present
B. During the examination
C. After the examination
D. Before the examination
Rationale: The patient can relax and cooperate with the
examination much more easily when she has some
understanding about the procedure. If no time is spent
explaining the procedure or answering the patient’s questions
before the examination is performed, she may become
anxious and unable to cooperate. The patient should have
the choice of her mother’s presence, but a 16-year-old
patient may prefer privacy.
2. Before a pelvic examination, what should the patient be
instructed to do?
A. Empty her bladder.
B. Take a pain pill.
C. Wash her perineal area.
, D. Drink fuids.
Rationale: An empty bladder facilitates greater comfort for
the patient during a pelvic examination. Drinking fuids flls
the bladder and makes the examination more uncomfortable.
A clean perineal area may make the examination more
comfortable for the practitioner but does not necessarily
make it more efective. A pelvic examination may be
uncomfortable, but it usually does not require premedication
with analgesics.
3. A 70-year-old patient is struggling to assume the lithotomy
position. Which intervention is the most appropriate?
A. Hold the patient’s legs in the lithotomy position.
B. Have her lie on her side and hold the upper leg to her
chest.
C. Reschedule the examination for a time when the patient is
feeling better.
D. Tell the patient to rest for a few minutes and try to assume
the lithotomy position again.
Rationale: If an older adult patient is not able to assume the
lithotomy position, the patient should lie on her side and hold
the upper leg to her chest. Holding the patient’s legs in the
lithotomy position may cause additional pain or injury to the
patient. Asking the patient to reschedule her visit or to rest
for a few minutes is not appropriate.
4. When performing a pelvic examination, in what manner
should the speculum be inserted?
A. At an angle to the vaginal opening with gentle rotation
B. With the blades slightly open
C. Directly into the center of the vagina
D. Only after it has been cooled with tap water
Quick Sheet
Extended Text
Supplies
Videos
Illustrations
Test
Checklist
Test Results
Claim Certificates
Percentage Correct: 100%
1. A 16-year-old patient presents to the emergency
department with abdominal pain and needs her frst pelvic
examination. When is the most appropriate time to answer
the patient’s questions?
A. When her mother is present
B. During the examination
C. After the examination
D. Before the examination
Rationale: The patient can relax and cooperate with the
examination much more easily when she has some
understanding about the procedure. If no time is spent
explaining the procedure or answering the patient’s questions
before the examination is performed, she may become
anxious and unable to cooperate. The patient should have
the choice of her mother’s presence, but a 16-year-old
patient may prefer privacy.
2. Before a pelvic examination, what should the patient be
instructed to do?
A. Empty her bladder.
B. Take a pain pill.
C. Wash her perineal area.
, D. Drink fuids.
Rationale: An empty bladder facilitates greater comfort for
the patient during a pelvic examination. Drinking fuids flls
the bladder and makes the examination more uncomfortable.
A clean perineal area may make the examination more
comfortable for the practitioner but does not necessarily
make it more efective. A pelvic examination may be
uncomfortable, but it usually does not require premedication
with analgesics.
3. A 70-year-old patient is struggling to assume the lithotomy
position. Which intervention is the most appropriate?
A. Hold the patient’s legs in the lithotomy position.
B. Have her lie on her side and hold the upper leg to her
chest.
C. Reschedule the examination for a time when the patient is
feeling better.
D. Tell the patient to rest for a few minutes and try to assume
the lithotomy position again.
Rationale: If an older adult patient is not able to assume the
lithotomy position, the patient should lie on her side and hold
the upper leg to her chest. Holding the patient’s legs in the
lithotomy position may cause additional pain or injury to the
patient. Asking the patient to reschedule her visit or to rest
for a few minutes is not appropriate.
4. When performing a pelvic examination, in what manner
should the speculum be inserted?
A. At an angle to the vaginal opening with gentle rotation
B. With the blades slightly open
C. Directly into the center of the vagina
D. Only after it has been cooled with tap water
