Ch 27 Female GU Flashcards
During a health history, a 22-year old woman asks, Can I get that vaccine for human papilloma virus (HPV)? I have genital warts and Id like them to go away! What is the nurses best response?
a. The HPV vaccine is for girls and women ages 9 to 26 years, so we can start that today.
b. This vaccine is only for girls who have not yet started to become sexually active.
c. Lets check with the physician to see if you are a candidate for this vaccine.
d. The vaccine cannot protect you if you already have an HPV infection.
d. The vaccine cannot protect you if you already have an HPV infection.
During an examination, the nurse observes a female patients vestibule and expects to see the:
Urethral meatus and vaginal orifice.
Vaginal orifice and vestibular (Bartholin) glands.
Urethral meatus and paraurethral (Skene) glands.
Paraurethral (Skene) and vestibular (Bartholin) glands.
Urethral meatus and vaginal orifice.
During a speculum inspection of the vagina, the nurse would expect to see what at the end of the vaginal canal?
a. Cervix
b. Uterus
c. Ovaries
d. Fallopian tubes
a. Cervix
The uterus is usually positioned tilting forward and superior to the bladder. This position is known as:
a. Anteverted and anteflexed.
b. Retroverted and anteflexed.
c. Retroverted and retroflexed.
d. Superiorverted and anteflexed
a. Anteverted and anteflexed.
An 11-year-old girl is in the clinic for a sports physical examination. The nurse notices that she has begun to develop breasts, and during the conversation the girl reveals that she is worried about her development. The nurse should use which of these techniques to best assist the young girl in understanding the expected sequence for development? The nurse should:
a. Use the Tanner scale on the five stages of sexual development.
b. Describe her development and compare it with that of other girls her age.
c. Use the Jacobsen table on expected development on the basis of height and weight data.
d. Reassure her that her development is within normal limits and tell her not to worry about the next step.
a. Use the Tanner scale on the five stages of sexual development.
A woman who is 8 weeks pregnant is in the clinic for a checkup. The nurse reads on her chart that her cervix is softened and looks cyanotic. The nurse knows that the woman is exhibiting __________ sign and __________ sign.
a. Tanner; Hegar
b. Hegar; Goodell
c. Chadwick; Hegar
d. Goodell; Chadwick
d. Goodell; Chadwick
Generally, the changes normally associated with menopause occur because the cells in the reproductive tract are:
a. Aging.
b. Becoming fibrous.
c. Estrogen dependent.
d. Able to respond to estrogen.
c. Estrogen dependent.
The nurse is reviewing the changes that occur with menopause. Which changes are associated with menopause?
a. Uterine and ovarian atrophy, along with a thinning of the vaginal epithelium
b. Ovarian atrophy, increased vaginal secretions, and increasing clitoral size
c. Cervical hypertrophy, ovarian atrophy, and increased acidity of vaginal secretions
d. Vaginal mucosa fragility, increased acidity of vaginal secretions, and uterine hypertrophy
a. Uterine and ovarian atrophy, along with a thinning of the vaginal epithelium
A 54-year-old woman who has just completed menopause is in the clinic today for a yearly physical examination. Which of these statements should the nurse include in patient education? A postmenopausal woman:
a. Is not at any greater risk for heart disease than a younger woman.
b. Should be aware that she is at increased risk for dyspareunia because of decreased vaginal secretions.
c. Has only stopped menstruating; there really are no other significant changes with which she should be concerned.
d. Is likely to have difficulty with sexual pleasure as a result of drastic changes in the female sexual response cycle.
b. Should be aware that she is at increased risk for dyspareunia because of decreased vaginal secretions.
A woman is in the clinic for an annual gynecologic examination. The nurse should plan to begin the interview with the:
a. Menstrual history, because it is generally nonthreatening.
b. Obstetric history, because it includes the most important information.
c. Urinary system history, because problems may develop in this area as well.
d. Sexual history, because discussing it first will build rapport.
a. Menstrual history, because it is generally nonthreatening.
A woman is in the clinic for an annual gynecologic examination. The nurse should plan to begin the interview with the:
a. Menstrual history, because it is generally nonthreatening.
b. Obstetric history, because it includes the most important information.
c. Urinary system history, because problems may develop in this area as well.
d. Sexual history, because discussing it first will build rapport.
a. Menstrual history, because it is generally nonthreatening.
A patient has had three pregnancies and two live births. The nurse would record this information as grav _____, para _____, AB _____.
a. 2;2;1
b. 3;2;0
c. 3;2;1
d. 3;3;1
c. 3;2;1
Gravida (grav) is the number of pregnancies. Para is the number of births. Abortions are interrupted pregnancies, including elective abortions and spontaneous miscarriages.
During the interview with a female patient, the nurse gathers data that indicate the patient is perimenopausal. Which of these statements made by this patient leads to this conclusion?
a. I have noticed that my muscles ache at night when I go to bed.
b. I will be very happy when I can stop worrying about having a period.
c. I have been noticing that I sweat a lot more than I used to, especially at night.
d. I have only been pregnant twice, but both times I had breast tenderness as my first symptom.
c. I have been noticing that I sweat a lot more than I used to, especially at night.
