Jarvis: Physical Examination & Health Assessment, 6th EditionTest Bank(Chapter 26: Female Genitourinary System)

Jarvis: Physical Examination & Health Assessment, 6th Edition Chapter 26: Female Genitourinary System Test Bank MULTIPLE CHOICE 1. During a health history, a 22-year old woman asks, “Can I get that vaccine for HPV? I have genital warts and I’d like them to go away!” What is the nurse’s best response? A) “The HPV vaccine is for girls and women ages 9 to 26, so we can start that today.” B) “This vaccine is only for girls who have not started to have intercourse yet.” C) “Let’s check with the physician to see if you are a candidate for this vaccine.” D) “The vaccine cannot protect you if you already have an HPV infection.” ANS: D The HPV (human papillomavirus) vaccine is appropriate for girls and women age 9 to 26 and is given to prevent cervical cancer by preventing HPV infections before girls become sexually active. However, it cannot protect the woman if an HPV infection is already present. PTS: 1 DIF: Cognitive Level: Analyzing (Analysis) REF: Page: 732 MSC: Client Needs: General 2. During an examination the nurse observes a female patient’s vestibule and expects to see the: A) urethral meatus and vaginal orifice. B) vaginal orifice and vestibular (Bartholin) glands. C) urethral meatus and paraurethral (Skene) glands. D) paraurethral (Skene) and vestibular (Bartholin) glands. ANS: A The labial structures encircle a boat-shaped space, or cleft, termed the vestibule. Within it are numerous openings. The urethral meatus and vaginal orifice are visible. The ducts of the paraurethral (Skene) glands and the vestibular (Bartholin) glands are present but not visible. PTS: 1 DIF: Cognitive Level: Understanding (Comprehension) REF: Pages: 725-726 MSC: Client Needs: Physiological Integrity: Physiological Adaptation 3. During a speculum inspection of the vagina, the nurse would expect to see what at the end of the vaginal canal? A) Cervix B) Uterus C) Ovaries D) Fallopian tubes ANS: A At the end of the canal, the uterine cervix projects into the vagina. PTS: 1 DIF: Cognitive Level: Remembering (Knowledge) REF: Page: 726 MSC: Client Needs: Physiological Integrity: Physiological Adaptation 4. The uterus is usually positioned tilting forward and superior to the bladder. This position is known as: A) anteverted and anteflexed. B) retroverted and anteflexed. C) retroverted and retroflexed. D) superiorverted and anteflexed. ANS: A The uterus is freely movable, not fixed, and usually tilts forward and superior to the bladder (a position labeled as anteverted and anteflexed). PTS: 1 DIF: Cognitive Level: Remembering (Knowledge) REF: Page: 726 MSC: Client Needs: General 5. An 11-year-old girl is in the clinic for a sports physical. The nurse notices that she has begun to develop breasts, and during the conversation the girl reveals that she is worried about her development. The nurse should use which of these techniques to best assist the young girl in understanding the expected sequence for development? The nurse should: A) use the Tanner’s table on the five stages of sexual development. B) describe her development and compare it with that of other girls her age. C) use Jacobsen’s table on expected development on the basis of height and weight data. D) reassure her that her development is within normal limits and should tell her not to worry about the next step. ANS: A Tanner’s table on the five stages of pubic hair development is helpful in teaching girls the expected sequence of sexual development (see Table 26-1). The other responses are not appropriate. PTS: 1 DIF: Cognitive Level: Applying (Application) REF: Pages: 727-728 MSC: Client Needs: Health Promotion and Maintenance