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Exam (elaborations)

NR 203 Practice Exam with Accurate Answers. Latest Edition

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NR 203 Practice Exam with Accurate Answers.
Latest Edition
located at 11 & 1 o'clock; milk this gland by moving the finger outward, do this on both sides of
the urethra and then directly on the urethra. - ✔✔Skene Glands



what do you look for when milking the skene glands? - ✔✔discharge and note any tenderness



what does discharge from the skene glands usually indicate? - ✔✔an infection- most
commonly, but not necessarily, gonococcal



located on the posterolateral portion of the labia majora, at 5 & 7 o'clock - ✔✔Bartholin glands



what do you look for when palpating the bartholin glands? - ✔✔discharge, swelling,
tenderness, masses, heart or fluctuation



swelling that is painful, hot to the touch, and fluctuant is indicative of what? - ✔✔infection-
usually gonococcal or staphylococcal in origin and filled with pus



a nontender mass on the Bartholin gland is indicative of what? - ✔✔a bartholin cyst, which is
the result of chronic inflammation of the gland


top two skin folds of the vagina. may be gaping or closed, dry or moist. may be shriveled or full -
✔✔Labia Majora



the tissue of the labia majora should have what characteristics? - ✔✔soft and homogeneous


labial swelling, redness, or tenderness, particularly if unilateral, may be indicative of what? -
✔✔a Bartholin gland infection

,excoriation, rashes, or lesions of the labia majora are indicative of what? - ✔✔infectious or
inflammatory process



two smaller skin folds of the vagina. inner surface should be moist and dark pink - ✔✔Labia
Minora



the tissue of the labia minora should have what characteristics? - ✔✔soft, homogeneous, and
without tenderness


inflammation, irritation, excoriation, or caking of discharge in tissue folds of the labia minora is
indicative of what? - ✔✔vaginal infection or poor hygiene



Discoloration or tenderness of the labia minora may be indicative of what? - ✔✔result of
traumatic bruising



ulcers or vesicles on the labia minora may be a sign of what? - ✔✔an STI



located between the vaginal introitus and the anus. - ✔✔the perineum



what is a characteristic of the perineal surface? - ✔✔smooth



what is the definition of a woman who is nulliparous? - ✔✔she has never given birth to a child



what are the characteristics of the tissue of the perineum in a nulliparous woman? - ✔✔thick
and smooth


what are the characteristics of the tissue of the perineum in a multiparous woman? -
✔✔thinner and rigid

, what is the definition of a woman who is multiparous? - ✔✔she has given birth to multiple
children


descent or herniation of the uterus into or beyond the vagina
result of weakening of the supporting structures of the pelvic floor, often occurring
concurrently with a cystocele and rectocele

uterus becomes progressively retroverted and descends in to the vaginal canal - ✔✔uterine
prolapse



the cervix remains within the vagina - ✔✔first degree prolapse of the uterus



the cervix is at the introitus - ✔✔second degree prolapse of the uterus



the cervix and vagina drop outside the introitus - ✔✔third degree prolapse of the uterus



what are some subjective signs of an uterine prolapse? - ✔✔-sensation of pelvic heaviness
and/or uterus falling out
- tissue protruding from vagina
- may report urinary leakage or urge incontinence, difficulty having a bowel movement, or low
back pain



what color should the cervix be? - ✔✔pink, with the color evenly distributed



a bluish colored cervix is indicative of what? - ✔✔increased vascularity, which may be a sign of
pregnancy



a cervix that is pointing anteriorly indicates what? - ✔✔a retroverted uterus

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