Chapter 27: Assessing Female Genitalia and Rectum

Question 1

The skin folds of the labia majora are composed of adipose tissue, sebaceous glands, and

a. Skene ducts.
b. vestibular glands.
c. sweat glands.
d. Bartholin glands.

Answer 1

c. sweat glands.

Question 2

The visible portion of the clitoris is termed the

a. corpus.
b. crura.
c. vestibule.
d. glans.

Answer 2

d. glans.

Question 3

The skin folds of the labia majora and the labia minora form a boat-shaped area termed the

a. vestibule.
b. corpus.
c. Skene glands.
d. urethral meatus.

Answer 3

a. vestibule.

Question 4

The outermost layer of the vaginal wall is composed of

a. pink squamous epithelium and connective tissue.
b. the vascular supply, nerves, and lymphatic channels.
c. smooth muscle and connective tissue.
d. connective tissue and the vascular network.

Answer 4

a. pink squamous epithelium and connective tissue.

Question 5

The outer layer of the vaginal wall is under the direct influence of

a. androgen.
b. progesterone.
c. aldosterone.
d. estrogen.

Answer 5

d. estrogen.

Question 6

Painful menstruation

a. Skene glands
b. Bartholin glands
c. Os
d. Libido
e. Pediculosis pubis
f. Chadwick sign
g. Mons pubis
h. Menopause
i. Amenorrhea
j. Menorrhagia
k. Dysmenorrhea
l. Dysuria
m. Valves of Houston
n. Valsalva maneuver
o. Proctosigmoidoscopy

Answer 6

k. Dysmenorrhea

Question 7

Cessation of menstruation

a. Skene glands
b. Bartholin glands
c. Os
d. Libido
e. Pediculosis pubis
f. Chadwick sign
g. Mons pubis
h. Menopause
i. Amenorrhea
j. Menorrhagia
k. Dysmenorrhea
l. Dysuria
m. Valves of Houston
n. Valsalva maneuver
o. Proctosigmoidoscopy

Answer 7

h. Menopause

Question 8

“Crabs”

a. Skene glands
b. Bartholin glands
c. Os
d. Libido
e. Pediculosis pubis
f. Chadwick sign
g. Mons pubis
h. Menopause
i. Amenorrhea
j. Menorrhagia
k. Dysmenorrhea
l. Dysuria
m. Valves of Houston
n. Valsalva maneuver
o. Proctosigmoidoscopy

Answer 8

e. Pediculosis pubis

Question 9

Heavy menstruation

a. Skene glands
b. Bartholin glands
c. Os
d. Libido
e. Pediculosis pubis
f. Chadwick sign
g. Mons pubis
h. Menopause
i. Amenorrhea
j. Menorrhagia
k. Dysmenorrhea
l. Dysuria
m. Valves of Houston
n. Valsalva maneuver
o. Proctosigmoidoscopy

Answer 9

j. Menorrhagia

Question 10

Secrete mucus to aid in lubrication during intercourse

a. Skene glands
b. Bartholin glands
c. Os
d. Libido
e. Pediculosis pubis
f. Chadwick sign
g. Mons pubis
h. Menopause
i. Amenorrhea
j. Menorrhagia
k. Dysmenorrhea
l. Dysuria
m. Valves of Houston
n. Valsalva maneuver
o. Proctosigmoidoscopy

Answer 10

a. Skene gland

Question 11

Desire for sexual activity

a. Skene glands
b. Bartholin glands
c. Os
d. Libido
e. Pediculosis pubis
f. Chadwick sign
g. Mons pubis
h. Menopause
i. Amenorrhea
j. Menorrhagia
k. Dysmenorrhea
l. Dysuria
m. Valves of Houston
n. Valsalva maneuver
o. Proctosigmoidoscopy

Answer 11

d. Libido

Question 12

Secrete mucus to lubricate and maintain moist vaginal environment

a. Skene glands
b. Bartholin glands
c. Os
d. Libido
e. Pediculosis pubis
f. Chadwick sign
g. Mons pubis
h. Menopause
i. Amenorrhea
j. Menorrhagia
k. Dysmenorrhea
l. Dysuria
m. Valves of Houston
n. Valsalva maneuver
o. Proctosigmoidoscopy

Answer 12

b. Bartholin glands

Question 13

Cervix appears blue rather than pink

a. Skene glands
b. Bartholin glands
c. Os
d. Libido
e. Pediculosis pubis
f. Chadwick sign
g. Mons pubis
h. Menopause
i. Amenorrhea
j. Menorrhagia
k. Dysmenorrhea
l. Dysuria
m. Valves of Houston
n. Valsalva maneuver
o. Proctosigmoidoscopy

Answer 13

f. Chadwick sign

Question 14

Painful urination

a. Skene glands
b. Bartholin glands
c. Os
d. Libido
e. Pediculosis pubis
f. Chadwick sign
g. Mons pubis
h. Menopause
i. Amenorrhea
j. Menorrhagia
k. Dysmenorrhea
l. Dysuria
m. Valves of Houston
n. Valsalva maneuver
o. Proctosigmoidoscopy

Answer 14

l. Dysuria

Question 15

Absence of menstruation

a. Skene glands
b. Bartholin glands
c. Os
d. Libido
e. Pediculosis pubis
f. Chadwick sign
g. Mons pubis
h. Menopause
i. Amenorrhea
j. Menorrhagia
k. Dysmenorrhea
l. Dysuria
m. Valves of Houston
n. Valsalva maneuver
o. Proctosigmoidoscopy

Answer 15

i. Amenorrhea

Question 16

Opening in center of cervix

a. Skene glands
b. Bartholin glands
c. Os
d. Libido
e. Pediculosis pubis
f. Chadwick sign
g. Mons pubis
h. Menopause
i. Amenorrhea
j. Menorrhagia
k. Dysmenorrhea
l. Dysuria
m. Valves of Houston
n. Valsalva maneuver
o. Proctosigmoidoscopy

Answer 16

c. Os

Question 17

Round firm pad of adipose tissue that covers the symphysis pubis

a. Skene glands
b. Bartholin glands
c. Os
d. Libido
e. Pediculosis pubis
f. Chadwick sign
g. Mons pubis
h. Menopause
i. Amenorrhea
j. Menorrhagia
k. Dysmenorrhea
l. Dysuria
m. Valves of Houston
n. Valsalva maneuver
o. Proctosigmoidoscopy

Answer 17

g. Mons pubis

Question 18

Client holds breath and bears down

a. Skene glands
b. Bartholin glands
c. Os
d. Libido
e. Pediculosis pubis
f. Chadwick sign
g. Mons pubis
h. Menopause
i. Amenorrhea
j. Menorrhagia
k. Dysmenorrhea
l. Dysuria
m. Valves of Houston
n. Valsalva maneuver
o. Proctosigmoidoscopy

Answer 18

n. Valsalva maneuver

Question 19

Examination of the rectum and sigmoid colon using a sigmoidoscopy

a. Skene glands
b. Bartholin glands
c. Os
d. Libido
e. Pediculosis pubis
f. Chadwick sign
g. Mons pubis
h. Menopause
i. Amenorrhea
j. Menorrhagia
k. Dysmenorrhea
l. Dysuria
m. Valves of Houston
n. Valsalva maneuver
o. Proctosigmoidoscopy

Answer 19

o. Proctosigmoidoscopy

Question 20

Three semilunar transverse folds within the rectal interior

a. Skene glands
b. Bartholin glands
c. Os
d. Libido
e. Pediculosis pubis
f. Chadwick sign
g. Mons pubis
h. Menopause
i. Amenorrhea
j. Menorrhagia
k. Dysmenorrhea
l. Dysuria
m. Valves of Houston
n. Valsalva maneuver
o. Proctosigmoidoscopy

Answer 20

m. Valves of Houston

Question 21

A female client tells the nurse that she may be experiencing premenstrual syndrome. An appropriate question for the nurse to ask the client is

a. “How often are your menstrual periods?”
b. “Do you experience mood swings or bloating?”
c. “Are you experiencing regular menstrual cycles?”
d. “How old were you when you began to menstruate?”

Answer 21

b. “Do you experience mood swings or bloating?”

Question 22

A 53-year-old client tells the nurse that she thinks she is starting the menopausal phase of her life. The nurse should instruct the client that she may experience

a. hot flashes.
b. increased appetite.
c. vaginal discharge.
d. urinary frequency.

Answer 22

a. hot flashes.

Question 23

During assessment of the vaginal area of an adult client, the client tells the nurse that she has had pain in her vaginal area. The nurse should further assess the client for

a. trauma.
b. cancer.
c. pregnancy.
d. infection

Answer 23

d. infection

Question 24

A female client tells the nurse that she has pain while urinating. Besides obtaining a urinalysis, the nurse should assess the client for

a. kidney trauma.
b. sexually transmitted disease.
c. tumors.
d. infestation.

Answer 24

b. sexually transmitted disease.

Question 25

An older adult client visits the clinic complaining of urinary incontinence. The nurse should explain to the client that this is often due to

a. decreased urethral elasticity.
b. atrophy of the vaginal mucosa.
c. change in the vaginal pH.
d. decreased estrogen production.

Answer 25

a. decreased urethral elasticity.

Question 26

A female client has scheduled a physical examination, including a Pap smear. The nurse should instruct the client to

a. refrain from douching 48 hours before the examination.
b. bring in a urine sample for testing.
c. drink a large volume of fluid before the examination.
d. refrain from using talcum powder after her shower.

Answer 26

a. refrain from douching 48 hours before the examination.

Question 27

The nurse is preparing to perform a speculum examination on an adult woman. To lubricate the speculum before insertion, the nurse should use

a. sterile water.
b. K-Y jelly.
c. warm tap water.
d. petroleum jelly

Answer 27

c. warm tap water.

Question 28

The nurse is performing a speculum examination on an adult woman. The nurse is having difficulty inserting the speculum because the client is unable to relax. The nurse should ask the client to

a. bear down.
b. hold her breath.
c. use imagery to relax.
d. take a deep breath.

Answer 28

a. bear down.

Question 29

The nurse is assessing the genitalia of a female client and detects a bulging anterior wall in the vagina. The nurse should plan to refer the client to a physician for

a. stress incontinence.
b. rectocele.
c. tumor of the vagina.
d. cystocele.

Answer 29

d. cystocele.

Question 30

An older adult client visits the clinic for a gynecologic examination. The client tells the nurse
that she has been told that she has uterine prolapse. The nurse should further assess the client for

a. stress incontinence.
b. cystocele.
c. a retroverted uterus.
d. diastasis recti.

Answer 30

a. stress incontinence.

Question 31

While assessing the cervix of an adult client, the nurse observes a yellowish discharge from the cervix. The nurse should further assess the client for a/an

a. infection.
b. abnormal lesion.
c. positive pregnancy test result.
d. polyp.

Answer 31

a. infection.

Question 32

While performing a gynecologic examination, the nurse observes small, painful, ulcer-like lesions with red bases on the client’s labia. The nurse should refer the client to a physician for possible

a. herpes simplex virus infection.
b. syphilis.
c. lice.
d. herpes zoster virus infection.

Answer 32

a. herpes simplex virus infection.

Question 33

While assessing the genitalia of a female client, the nurse observes moist fleshy lesions on the client’s labia. The nurse should refer the client to a physician for possible

a. gonorrhea.
b. herpes simplex virus infection.
c. nabothian cysts.
d. genital warts.

Answer 33

d. genital warts.

Question 34

During a gynecologic examination, the nurse observes that the client has a yellow-green frothy vaginal discharge. The nurse should plan to test the client for possible

a. Trichomonas vaginalis infection.
b. bacterial vaginosis.
c. atrophic vaginitis.
d. Chlamydia trachomatis infection.

Answer 34

a. Trichomonas vaginalis infection.

Question 35

A client visits the clinic because she has missed one period and suspects she is pregnant. While assessing the client, the nurse detects a solid, mobile, tender, unilateral adnexal mass. The client’s cervix is soft. The nurse suspects that the client may be experiencing

a. normal pregnancy.
b. endometriosis.
c. pelvic inflammatory disease.
d. ectopic pregnancy.

Answer 35

d. ectopic pregnancy.

Question 36

A client visits the clinic and tells the nurse that her stools have been black for the past 3 days. The nurse should assess the client for

a. gallbladder disease.
b. colitis.
c. polyps.
d. gastrointestinal bleeding.

Answer 36

d. gastrointestinal bleeding.

Question 37

A client visits the clinic and tells the nurse that her stools have been pale for the past 2 days and her skin has been itching. The nurse should refer the client to a physician for

a. biliary disease.
b. cancer.
c. gastrointestinal infection.
d. hemorrhoids.

Answer 37

a. biliary disease.

Question 38

The nurse is planning to inspect the anal area for an adult female client. To assess for any bulges or lesions, the nurse should ask the client to

a. hold her breath.
b. breathe deeply through her mouth.
c. breathe normally.
d. bear down

Answer 38

d. bear down

Question 39

While assessing the anus of an adult client, the nurse detects redness and excoriation. The nurse determines that this sign is most likely due to

a. intestinal hemorrhoids.
b. an anorectal fistula.
c. a fungal infection.
d. previous surgery.

Answer 39

c. a fungal infection.

Question 40

While assessing the anus of an adult client, the nurse detects thee presence of small nodules. The nurse should refer the client to a physician for possible

a. polyps.
b. anorectal fistula.
c. hemorrhoids.
d. rectocele.

Answer 40

a. polyps.