CHAMBERLAIN COLLEGE OF NURSING NR 509 APEA EXAM –
WOMEN’S HEALTH QUESTION AND ANSWERS
Question 1
When palpating the cervix during the bimanual exam, cervical motion tenderness
(chandelier sign) is noted. This tenderness could be suggestive of:
A. retroversion of the
uterus. B. pelvic
inflammatory disease.
C. vulvar lesions.
D. Bartholin 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 2
In a female diagnosed with a first-degree uterine prolapse, the cervix:
A. is located in its normal position.
B. has slipped but is well within the vagina.
C. is located in the introitus.
D. 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 3
Daughters of women who took Diethylstilbestrol (DES) during pregnancy are at a
high risk for developing all of the following abnormalities except:
A. columnar epithelium covering most or all of the
cervix. B. a slit- like cervical os.
C. vaginal adenosis.
D. 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 4
A female patient presents with a profuse, yellowish, green vaginal discharge that is
malodorous. This vaginal discharge is most consistent with:
A. candidal vaginitis.
B. bacterial vaginosis.
C. Trichomonal vaginitis.
D. gonorrhea.
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 5
The most common causes of sexual problems in females are related to:
A. lack of sexual desire.
B. inadequate vaginal
lubrication. C. psychosocial
factors.
D. pelvic 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 6
Chronic pelvic pain refers to pain that does not respond to therapy and:
A. lasts more than 3
months. B. lasts more than
6 months.
C. lasts more than 9 months.
D. lasts more than 12 months.
Explanation:
According to the International Pelvic Pain Society, chronic pelvic pain refers to
, pain that lasts more than 6 months without response to treatment.
WOMEN’S HEALTH QUESTION AND ANSWERS
Question 1
When palpating the cervix during the bimanual exam, cervical motion tenderness
(chandelier sign) is noted. This tenderness could be suggestive of:
A. retroversion of the
uterus. B. pelvic
inflammatory disease.
C. vulvar lesions.
D. Bartholin 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 2
In a female diagnosed with a first-degree uterine prolapse, the cervix:
A. is located in its normal position.
B. has slipped but is well within the vagina.
C. is located in the introitus.
D. 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 3
Daughters of women who took Diethylstilbestrol (DES) during pregnancy are at a
high risk for developing all of the following abnormalities except:
A. columnar epithelium covering most or all of the
cervix. B. a slit- like cervical os.
C. vaginal adenosis.
D. 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 4
A female patient presents with a profuse, yellowish, green vaginal discharge that is
malodorous. This vaginal discharge is most consistent with:
A. candidal vaginitis.
B. bacterial vaginosis.
C. Trichomonal vaginitis.
D. gonorrhea.
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 5
The most common causes of sexual problems in females are related to:
A. lack of sexual desire.
B. inadequate vaginal
lubrication. C. psychosocial
factors.
D. pelvic 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 6
Chronic pelvic pain refers to pain that does not respond to therapy and:
A. lasts more than 3
months. B. lasts more than
6 months.
C. lasts more than 9 months.
D. lasts more than 12 months.
Explanation:
According to the International Pelvic Pain Society, chronic pelvic pain refers to
, pain that lasts more than 6 months without response to treatment.
