NURS 5220: FEMALE GENITALIA
ASSESSMENT STUDY GUIDE:
UPDATED A+ SCORE SOLUTION
CORE DOMAINS
• External Genitalia Anatomy and Inspection
• Internal Genitalia Anatomy and Speculum Examination
• Bimanual Examination Technique
• Rectovaginal Examination
• Patient Positioning and Equipment
• Normal and Abnormal Findings
• Specimen Collection
• Clinical Correlations and High-Yield Diagnoses
• Professional Communication and Trauma-Informed Care
INTRODUCTION
The NURS 5220 Female Genitalia Assessment Study Guide provides a
comprehensive framework for conducting gynecological examinations in
advanced nursing practice. This guide covers the four components of the
female genitalia examination: external inspection, speculum examination,
bimanual palpation, and rectovaginal examination. It emphasizes patient
positioning, equipment preparation, trauma-informed communication, and
accurate identification of normal versus abnormal findings. Clinical
correlations for common gynecological conditions including infections,
,sexually transmitted infections, and pelvic pathology are presented with key
diagnostic clues. Competency in this assessment supports evidence-based
practice and comprehensive women's health evaluation.
FOUR COMPONENTS OF THE FEMALE GENITALIA EXAM
The examination follows a systematic sequence: External Exam → Speculum
(Internal) → Bimanual → Rectovaginal .
SECTION ONE: EXTERNAL GENITALIA ASSESSMENT
1. What is the collective term for the female external genitalia?
A. Perineum
B. Vestibule
C. Vulva
D. Introitus
RATIONALE: The female genitalia are collectively called the vulva and
include the mons pubis, labia majora, labia minora, vulvar vestibule, prepuce,
clitoris, urethral meatus, vaginal opening, and perineum .
2. The mons pubis is best described as:
A. The internal vaginal canal
B. The glandular tissue surrounding the urethra
C. An inverted triangular fatty pad with hair
D. The muscular ring at the vaginal opening
RATIONALE: The mons pubis is an inverted triangular fatty pad with hair.
Normal hair distribution is an inverse triangle. Inspection includes checking
for infestations such as pubic lice (Phthirus pubis) .
, 3. Approximately what percentage of vulvar lesions are folliculitis?
A. 80%
B. 50%
C. 30%
D. 10%
RATIONALE: Approximately 80% of vulvar lesions are folliculitis,
resulting from hair follicle irritation, shaving, or hygiene products .
4. What is the normal hair distribution pattern for the mons pubis?
A. Square pattern
B. Inverse triangle
C. Diamond pattern
D. Circular pattern
RATIONALE: Normal pubic hair distribution is an inverse triangle.
Deviation from this pattern may warrant further investigation .
5. When inspecting the labia majora, which finding is considered
normal?
A. Equal size bilaterally with no lesions
B. Asymmetric with swelling
C. Presence of excoriation
D. Vesicular lesions
RATIONALE: The labia majora should be equal in size and free of lesions,
swelling, and excoriation. Asymmetry may indicate abscess; lesions may
suggest infectious disease such as herpes or syphilis .
ASSESSMENT STUDY GUIDE:
UPDATED A+ SCORE SOLUTION
CORE DOMAINS
• External Genitalia Anatomy and Inspection
• Internal Genitalia Anatomy and Speculum Examination
• Bimanual Examination Technique
• Rectovaginal Examination
• Patient Positioning and Equipment
• Normal and Abnormal Findings
• Specimen Collection
• Clinical Correlations and High-Yield Diagnoses
• Professional Communication and Trauma-Informed Care
INTRODUCTION
The NURS 5220 Female Genitalia Assessment Study Guide provides a
comprehensive framework for conducting gynecological examinations in
advanced nursing practice. This guide covers the four components of the
female genitalia examination: external inspection, speculum examination,
bimanual palpation, and rectovaginal examination. It emphasizes patient
positioning, equipment preparation, trauma-informed communication, and
accurate identification of normal versus abnormal findings. Clinical
correlations for common gynecological conditions including infections,
,sexually transmitted infections, and pelvic pathology are presented with key
diagnostic clues. Competency in this assessment supports evidence-based
practice and comprehensive women's health evaluation.
FOUR COMPONENTS OF THE FEMALE GENITALIA EXAM
The examination follows a systematic sequence: External Exam → Speculum
(Internal) → Bimanual → Rectovaginal .
SECTION ONE: EXTERNAL GENITALIA ASSESSMENT
1. What is the collective term for the female external genitalia?
A. Perineum
B. Vestibule
C. Vulva
D. Introitus
RATIONALE: The female genitalia are collectively called the vulva and
include the mons pubis, labia majora, labia minora, vulvar vestibule, prepuce,
clitoris, urethral meatus, vaginal opening, and perineum .
2. The mons pubis is best described as:
A. The internal vaginal canal
B. The glandular tissue surrounding the urethra
C. An inverted triangular fatty pad with hair
D. The muscular ring at the vaginal opening
RATIONALE: The mons pubis is an inverted triangular fatty pad with hair.
Normal hair distribution is an inverse triangle. Inspection includes checking
for infestations such as pubic lice (Phthirus pubis) .
, 3. Approximately what percentage of vulvar lesions are folliculitis?
A. 80%
B. 50%
C. 30%
D. 10%
RATIONALE: Approximately 80% of vulvar lesions are folliculitis,
resulting from hair follicle irritation, shaving, or hygiene products .
4. What is the normal hair distribution pattern for the mons pubis?
A. Square pattern
B. Inverse triangle
C. Diamond pattern
D. Circular pattern
RATIONALE: Normal pubic hair distribution is an inverse triangle.
Deviation from this pattern may warrant further investigation .
5. When inspecting the labia majora, which finding is considered
normal?
A. Equal size bilaterally with no lesions
B. Asymmetric with swelling
C. Presence of excoriation
D. Vesicular lesions
RATIONALE: The labia majora should be equal in size and free of lesions,
swelling, and excoriation. Asymmetry may indicate abscess; lesions may
suggest infectious disease such as herpes or syphilis .
