27 - Female Genitourinary System Exam With
Complete Solution
During a health history, the 22-year-old female asks, "Can I get that vaccine for human
papilloma virus (HPV)? I have genital warts and I'd like them to go away!" What is the
nurse's best response? - Answer "The vaccine cannot protect you if you already have an
HPV infection."
The nurse is examining a female patient's vestibule. What would the nurse expect to
see? Answer Urethral meatus and vaginal orifice
During a speculum examination of the vagina, what would the nurse expect to see at the
terminus of the vaginal canal? Answer Cervix
The uterus normally assumes a position leaning forward and superior to the bladder.
What term describes this position? Answer Anteverted and anteflexed
A 11-year-old girl presents to the clinic for a sports physical examination. The nurse
identifies that she has begun to develop breasts. The client states she is worried about
her development. The nurse would apply which of the following techniques to best assist
this young woman to understand what is an expected sequence in development? Use
the Tanner scale on the five stages of sexual development
A pregnant woman comes into the clinic at 8 weeks and the nurse reads on her chart
that her cervix is softened and cyanotic in appearance. Based on the above findings,
what two signs is this patient exhibiting? - Answer Goodell and Chadwick
What happens to the cells of the reproductive tract to cause the atrophy commonly
associated with menopause? - Answer Estrogen dependent
The nurse is reviewing the changes that occur with menopause. What changes does the
, nurse expect? ANSWER Uterine and ovarian atrophy, along with thinning of vaginal
epithelium
A 54-year-old female patient is in the clinic today for an annual physical examination.
She has just completed menopause. For this patient, select the appropriate statement
the nurse should include in patient teaching. Response "You should be aware that you
are at increased risk for dyspareunia due to decreased vaginal secretions."
A woman visits the clinic for a routine annual gynecologic examination. The nurse would
begin an interview with this client by asking which of the following questions? Menstrual
history is usually non-threatening
A patient has had three pregnancies and two live births. The nurse would record this on
the patient's chart as G_______; P_______; AB_______ G3; P2; AB1
Data collection during an interview with a female client reveals that the patient is
perimenopausal. Which of the following statements by this patient would provide the
nurse with this information? Response "I seem to perspire much more than in the past,
especially at night."
A 50-year-old female calls the clinic stating she has noticed some changes in her body
and breasts and wonders if these changes could be attributable to the hormone
replacement therapy (HRT) she started 3 months earlier. How should the nurse
respond? -Answer "HRT has a variety of side effects including fluid retention, breast
tenderness, and vaginal bleeding."
A 52-year-old female patient relates that with each sneeze or cough, she "wets herself a
little." She is quite concerned that something may be wrong with her. What would this
finding suggest? - Answer Stress incontinence
During an interview, a patient says she has a discharge in her vagina. She fears it may
be a sexually transmitted infection of some kind. What is the best response by the
nurse? AnSwEr "Tell me more about this discharge. What does the color of it appear to
be?"
Complete Solution
During a health history, the 22-year-old female asks, "Can I get that vaccine for human
papilloma virus (HPV)? I have genital warts and I'd like them to go away!" What is the
nurse's best response? - Answer "The vaccine cannot protect you if you already have an
HPV infection."
The nurse is examining a female patient's vestibule. What would the nurse expect to
see? Answer Urethral meatus and vaginal orifice
During a speculum examination of the vagina, what would the nurse expect to see at the
terminus of the vaginal canal? Answer Cervix
The uterus normally assumes a position leaning forward and superior to the bladder.
What term describes this position? Answer Anteverted and anteflexed
A 11-year-old girl presents to the clinic for a sports physical examination. The nurse
identifies that she has begun to develop breasts. The client states she is worried about
her development. The nurse would apply which of the following techniques to best assist
this young woman to understand what is an expected sequence in development? Use
the Tanner scale on the five stages of sexual development
A pregnant woman comes into the clinic at 8 weeks and the nurse reads on her chart
that her cervix is softened and cyanotic in appearance. Based on the above findings,
what two signs is this patient exhibiting? - Answer Goodell and Chadwick
What happens to the cells of the reproductive tract to cause the atrophy commonly
associated with menopause? - Answer Estrogen dependent
The nurse is reviewing the changes that occur with menopause. What changes does the
, nurse expect? ANSWER Uterine and ovarian atrophy, along with thinning of vaginal
epithelium
A 54-year-old female patient is in the clinic today for an annual physical examination.
She has just completed menopause. For this patient, select the appropriate statement
the nurse should include in patient teaching. Response "You should be aware that you
are at increased risk for dyspareunia due to decreased vaginal secretions."
A woman visits the clinic for a routine annual gynecologic examination. The nurse would
begin an interview with this client by asking which of the following questions? Menstrual
history is usually non-threatening
A patient has had three pregnancies and two live births. The nurse would record this on
the patient's chart as G_______; P_______; AB_______ G3; P2; AB1
Data collection during an interview with a female client reveals that the patient is
perimenopausal. Which of the following statements by this patient would provide the
nurse with this information? Response "I seem to perspire much more than in the past,
especially at night."
A 50-year-old female calls the clinic stating she has noticed some changes in her body
and breasts and wonders if these changes could be attributable to the hormone
replacement therapy (HRT) she started 3 months earlier. How should the nurse
respond? -Answer "HRT has a variety of side effects including fluid retention, breast
tenderness, and vaginal bleeding."
A 52-year-old female patient relates that with each sneeze or cough, she "wets herself a
little." She is quite concerned that something may be wrong with her. What would this
finding suggest? - Answer Stress incontinence
During an interview, a patient says she has a discharge in her vagina. She fears it may
be a sexually transmitted infection of some kind. What is the best response by the
nurse? AnSwEr "Tell me more about this discharge. What does the color of it appear to
be?"
