Womens health test 1 Exam Questions
With Complete Solutions!!
The pelvic girdle consists of -ANSWER - Sacrum, innominate (hip) bones, and the
coccyx
Which sequence represents the standard progression of pubertal changes in the
adolescent female? -ANSWER - Thelarche, Adrenarche, Menarche
Postmenopausal women frequently have decreased vaginal lubrication due to a
decrease in serum levels of which hormone? -ANSWER - Estradiol
The least variation in menses occurs during the ages of: -ANSWER - 20-30
Squamous metaplasia of the cervix refers to: -ANSWER - non-neoplastic transformation
of columnar cells to squamous cells
A 16-year-old Caucasian female with a BMI of 25 presents to her primary care provider
concerned that she has never menstruated. The provider's physical exam reveals
breast development consistent with Tanner Stage 1 and pubic hair pattern/distribution
consistent with Tanner Stage 4. These findings would be considered:
a. consistent with the normal sequence of pubertal changes in females.
b. inconsistent with the normal sequence of pubertal changes in females.
c. presumptive signs of possible pregnancy.
d. predictive of the client's chronologic age. -ANSWER - inconsistent with the normal
sequence of pubertal changes in females.
Which menstrual-related hormone is responsible for symptoms such as thickened
cervical mucous, bloating, irritability, & mood swings? -ANSWER - progesterone
The menstrual phase of the endometrial cycle is initiated by: -ANSWER - a sharp
decline in serum estrogen and progesterone levels
In a woman with a history of regular 31-day menstrual cycles, on which day of the cycle
should ovulation be anticipated? -ANSWER - Day 17
When collecting a Pap Test sample using a cytobrush, how many rotations are
recommended to collect cells from the endocervical canal? -ANSWER - ¼ to ½ turn
pelvis floor muscles -ANSWER - Levator ani and coccygeus muscles
Skene's Glands -ANSWER - open directly into the vulva
release mucus
,around urinary meatus
bartholin's or greater vestibular glands -ANSWER - secrete clear or whitish mucus
stimulated during sexual arousal
actually located just inside vaginal opening at 4 and 7 o clock
if blocked, can form uncomfortable cyst
rugae -ANSWER - folds of epithelial tissue; allow for expansion during intercourse and
childbirth
parts of the uterus: -ANSWER - fundus, body, and cervix
uterine wall layers: -ANSWER - endometrium (the layer that is shed), myometrium, and
serosa (perimetrium)
what characteristic of the endometrium blood supply is important in cyclic shedding -
ANSWER - double blood supply (straight arteries to basal and coil arteries to
functionalis layer), and there is a separate blood to myometrium and serosa
the fallopian tubes -ANSWER - Paired narrow muscular tubes that extend from body of
uterus, outward to openings near ovaries.
Covered by fine hairlike structures (cilia) that help to move ova from ovaries
Ovarian and uterine arteries supply blood
what hormones do the ovaries produce -ANSWER - estrogen and progesterone
squamocolumnar junction -ANSWER - also called the transformation zone
where (endo) columnar cells transition to (ecto) squamous cells
types of mucus -ANSWER - fertile mucus (collumnar cells and cilia)
nonfertile mucus
most common location of conception -ANSWER - ampulla of fallopian tubes
how long before menarche does thelarche occur -ANSWER - 2 yrs
precocious puberty -ANSWER - rapid growth and sexual development before the age of
8 (usually breast budding)
delayed puberty -ANSWER - no breast enlargement >13 (but not if they have fam hx)
eval for:
GnRH deficiency
pituitary tumor
ED
discordant phenotypic sex
, estrogen symptoms -ANSWER - breast tenderness, moodiness, fatigue
progesterone -ANSWER - bloating, wt gain, inc appetite, GI upset
premenstrual withdrawal symptoms -ANSWER - HA, mood swings
2 most important factors that influence the location of the SCJ on the cervix -ANSWER -
age and hormonal status
at birth / premenarche -- where is the SCJ -ANSWER - SCJ at or close to external os
during reproductive years where is the SCJ -ANSWER - scj variable
postmenopausal SCJ -ANSWER - SCJ recedes into endocervix
Transformation zone defined: -ANSWER - area between the original SCJ and the new
SCJ where the columnar epithelium (ectropion) has been replaced and / or is being
replaced by new metaplastic squamous epithelium
metaplasia: -ANSWER - metaplasia: a non-neoplastic transformation of one mature cell
type to another mature cell type not normally present at that location (how SCJ moves
— columnar → squamous cells)
ectropion: -ANSWER - eversion onto the ectocervix of the SCJ along with large portions
of columnar epithelium
when to perform pelvic exam -ANSWER - 1. cervical cancer screening
2. screening for STIs
3. client questions about anatomy
4. pregnancy assessment
5. abnormal vaginal / uterine bleeding
6. abdominal or pelvic pain
7. abdominal mass
8. unusual vaginal discharge
9. FU from prior eval
how to collect a rectal or vaginal sample -ANSWER - Insert swab 2 inches past
introitus / rectum
Gently rotate for 10-30 seconds
Withdraw the swab and place into transport medium
Self Collection Acceptable!!
this is for STI testing: gonorrhea, chlamydia, and trichomonas
how to collect a endocervical sample -ANSWER - Insert a speculum
Visualize cervix
With Complete Solutions!!
The pelvic girdle consists of -ANSWER - Sacrum, innominate (hip) bones, and the
coccyx
Which sequence represents the standard progression of pubertal changes in the
adolescent female? -ANSWER - Thelarche, Adrenarche, Menarche
Postmenopausal women frequently have decreased vaginal lubrication due to a
decrease in serum levels of which hormone? -ANSWER - Estradiol
The least variation in menses occurs during the ages of: -ANSWER - 20-30
Squamous metaplasia of the cervix refers to: -ANSWER - non-neoplastic transformation
of columnar cells to squamous cells
A 16-year-old Caucasian female with a BMI of 25 presents to her primary care provider
concerned that she has never menstruated. The provider's physical exam reveals
breast development consistent with Tanner Stage 1 and pubic hair pattern/distribution
consistent with Tanner Stage 4. These findings would be considered:
a. consistent with the normal sequence of pubertal changes in females.
b. inconsistent with the normal sequence of pubertal changes in females.
c. presumptive signs of possible pregnancy.
d. predictive of the client's chronologic age. -ANSWER - inconsistent with the normal
sequence of pubertal changes in females.
Which menstrual-related hormone is responsible for symptoms such as thickened
cervical mucous, bloating, irritability, & mood swings? -ANSWER - progesterone
The menstrual phase of the endometrial cycle is initiated by: -ANSWER - a sharp
decline in serum estrogen and progesterone levels
In a woman with a history of regular 31-day menstrual cycles, on which day of the cycle
should ovulation be anticipated? -ANSWER - Day 17
When collecting a Pap Test sample using a cytobrush, how many rotations are
recommended to collect cells from the endocervical canal? -ANSWER - ¼ to ½ turn
pelvis floor muscles -ANSWER - Levator ani and coccygeus muscles
Skene's Glands -ANSWER - open directly into the vulva
release mucus
,around urinary meatus
bartholin's or greater vestibular glands -ANSWER - secrete clear or whitish mucus
stimulated during sexual arousal
actually located just inside vaginal opening at 4 and 7 o clock
if blocked, can form uncomfortable cyst
rugae -ANSWER - folds of epithelial tissue; allow for expansion during intercourse and
childbirth
parts of the uterus: -ANSWER - fundus, body, and cervix
uterine wall layers: -ANSWER - endometrium (the layer that is shed), myometrium, and
serosa (perimetrium)
what characteristic of the endometrium blood supply is important in cyclic shedding -
ANSWER - double blood supply (straight arteries to basal and coil arteries to
functionalis layer), and there is a separate blood to myometrium and serosa
the fallopian tubes -ANSWER - Paired narrow muscular tubes that extend from body of
uterus, outward to openings near ovaries.
Covered by fine hairlike structures (cilia) that help to move ova from ovaries
Ovarian and uterine arteries supply blood
what hormones do the ovaries produce -ANSWER - estrogen and progesterone
squamocolumnar junction -ANSWER - also called the transformation zone
where (endo) columnar cells transition to (ecto) squamous cells
types of mucus -ANSWER - fertile mucus (collumnar cells and cilia)
nonfertile mucus
most common location of conception -ANSWER - ampulla of fallopian tubes
how long before menarche does thelarche occur -ANSWER - 2 yrs
precocious puberty -ANSWER - rapid growth and sexual development before the age of
8 (usually breast budding)
delayed puberty -ANSWER - no breast enlargement >13 (but not if they have fam hx)
eval for:
GnRH deficiency
pituitary tumor
ED
discordant phenotypic sex
, estrogen symptoms -ANSWER - breast tenderness, moodiness, fatigue
progesterone -ANSWER - bloating, wt gain, inc appetite, GI upset
premenstrual withdrawal symptoms -ANSWER - HA, mood swings
2 most important factors that influence the location of the SCJ on the cervix -ANSWER -
age and hormonal status
at birth / premenarche -- where is the SCJ -ANSWER - SCJ at or close to external os
during reproductive years where is the SCJ -ANSWER - scj variable
postmenopausal SCJ -ANSWER - SCJ recedes into endocervix
Transformation zone defined: -ANSWER - area between the original SCJ and the new
SCJ where the columnar epithelium (ectropion) has been replaced and / or is being
replaced by new metaplastic squamous epithelium
metaplasia: -ANSWER - metaplasia: a non-neoplastic transformation of one mature cell
type to another mature cell type not normally present at that location (how SCJ moves
— columnar → squamous cells)
ectropion: -ANSWER - eversion onto the ectocervix of the SCJ along with large portions
of columnar epithelium
when to perform pelvic exam -ANSWER - 1. cervical cancer screening
2. screening for STIs
3. client questions about anatomy
4. pregnancy assessment
5. abnormal vaginal / uterine bleeding
6. abdominal or pelvic pain
7. abdominal mass
8. unusual vaginal discharge
9. FU from prior eval
how to collect a rectal or vaginal sample -ANSWER - Insert swab 2 inches past
introitus / rectum
Gently rotate for 10-30 seconds
Withdraw the swab and place into transport medium
Self Collection Acceptable!!
this is for STI testing: gonorrhea, chlamydia, and trichomonas
how to collect a endocervical sample -ANSWER - Insert a speculum
Visualize cervix
