chapter 6-health assessment

Question 1

what are two primary functions of the ovary?
a. normal female development and sex hormone release
b. ovulation and interal pelvic support
c. sexual response and ovulation
d. ovulation and hormone production

Answer 1

D

Question 2

the uterus is a muscular, pear shaped organ that is responsible for which event?
a. cyclic menstration
b. sex hormone production
c. fertilization
d. sexual arousal

Answer 2

A

Question 3

uterine longitudinal muscle fibres make up the uterine myometrium ideally suited for which event?
a. menstration
b. birth process
c. ovulation
d. fertilization

Answer 3

B

Question 4

which hormone is responsible for maturation of mammary gland tissue?
a. estrogen
b. testosterone
c. prolactin
d. progesterone

Answer 4

D

Question 5

what is the best time for breast self-examination?
a. 5-7 days after menses
b. day 1 of the endometrial cycle
c. 7 days before the onset of menses
d. any time during a shower or bath

Answer 5

A

Question 6

which myometrial muscle fibres prevent menstraul blood from flowing back into the uterine tubes during menstruation?
a. oblique
b. circular
c. transverse
d. longitudinal

Answer 6

B

Question 7

mrs. jones is unable to lie in the lithotomy position for a pap smear test. which is an alternative position for a gynecological examination?
a. sims
b. prone
c. lateral
d. high fowlers

Answer 7

C

Question 8

in which is it more likely that intimate partner violence will increase?
a. marriage
b. pregnancy
c. birth of baby
d. children becoming school-age

Answer 8

B

Question 9

which best reflects who should be screened for risk of abuse during pregnancy?
a. adolescents
b. single mothers
c. women of low socioeconomic status
d. all pregnant women when they enter prenatal care

Answer 9

D

Question 10

when performing a gynecological exam, the nurse would expect to find Bartholin glands in which position on the labia majora?
a. 10 and 2 o’clock
b. 12 and 6 o’clock
c. 8 and 4 o’clock
d. 9 and 3 o’clock

Answer 10

C

Question 11

the nurse guides a women to the examination room and asks her to remove her clothes and put on an examination gown with the front open. the women states. “i have special undergarments that do not remove, for religious reasons” which information informs the nurses response?
a. all clothes must be removed for the examination
b. ask the health care provider to consider altering the examination
c. explore options to complete examination with undergarments on
d. defer the examination until the undergarments are removed.

Answer 11

C

Question 12

a 62-year-old woman has not been to the clinic for an annual examination for 5 years. the recent death of her husband reminded her that should come for a visit. her family doctor has retired and she is going to see the women’s health nurse practitioner for her visit. what should the nurse do to facilitate a positive healthcare experience?
a. remind the woman that she is long overdue for her examination and that she should come annually
b. listen carefully and allow extra time for her health history interview
c. reassure the woman that a nurse practitioner is just as good as her old doctor
d. encourage the woman to talk about the death of her husband and her fears about her own death

Answer 12

B

Question 13

during a health history interview a women states that she thinks that she has bumps on her labia. she also states that she is not sure how to check herself. which is the correct response?
a. reassure the women that the examination will not reveal any problems
b. teach her what normal and abnormal findings are during the examination
c. inform the woman that bumps can be treated
d. tell her that most women have bumps on their labia.

Answer 13

B

Question 14

a woman arrives at the clinic for her annual examination. she tells the nurse that she thinks she has a vaginal infection and she has been using OTC cream for the past 2 days to treat it. what should the nurses inital response be?
a. inform the woman that vaginal creams may interfere with the PAP test which she is scheduled for
b. reassure the women that using the vaginal cream is not a problem for the test
c. ask the woman to describes the symptoms that indicate to her she has a vaginal infection
d. ask the woman to reschedule the appointment for the examination

Answer 14

C

Question 15

upon vaginal examination the nurse see’s a buldge from the anterior vaginal wall. what should the nurse suspect?
a. rectocele
b. cystocele
c. uterine lesion
d. scar tissue from previous episiotomy

Answer 15

B

Question 16

which comment would indicate that the patient requires additional instruction about breast self exams?
a. yellow nipple discharge during menses
b. check breasts at the same time each month
c. feel the armpit area when performing a breast self exam
d. check each breast in a set way such as a circular motion

Answer 16

A

Question 17

the nurse’s best response to a 20 year old patient who calls the clinic to report that has found a lump in her breast is based on which information?
a. reassurance that it is probably nothing
b. suggest wearing a tight bra and checking again in 1 week
c. request that the patient make an appointment with the clinic
d. reassess it in 1 month and if still present make an appointment at the clinic

Answer 17

C

Question 18

diethylstilbestrol (DES) no longer available, was used for pregnant women to increase their chances of having a successful pregnancy. which has an increased risk of cockscomb?
a. DES sons
b. DES daughters
c. DES graddaughters
d. women who took DES while pregnant

Answer 18

B

Question 19

which both protects the pelvic structures and accommodates the growing fetus during pregnancy.
a. perineum
b. bony pelvis
c. vaginal vestibule
d. fourchette

Answer 19

B

Question 20

at which age may woman discontinue pap screening?
a. never
b. after child-bearring years
c. after menopause
d. after the age of 70

Answer 20

D

Question 21

before pap screening it is recommended that the woman obstain from sexual intercourse for least?
a. 12 hours
b. 24 hours
c. 48 hours
d. 7 days

Answer 21

B

Question 22

which should the nurse do as part of his or her participation in the gynecological portion of the physical exam?
a. take a firm approach then encourages the patient to facilitate the exam by following the physicians instructions exactly
b. explain the procedure as it unfolds and continue to question the patient to get information in a timely manner
c. take the opportunity to explain that the trendy vulvar self exam is only for women at risk for cancer
d. help the woman relax through the proper placement of her hands and proper breathing during the examination

Answer 22

D

Question 23

whihc assessment is completed when microscopic examination of scrapings from the cervix, enocervix or other muscous membranes to detect premalignant or malignant cells occurs?
a. biannual palpation
b. rectovaginal palpation
c. PAP test
d. A four A’s procedure

Answer 23

C

Question 24

as a girl progresses through development she may be at risk for a number of age-related conditions. while preparing a 21-year-old patient’s for her first adult physical examination and Pap test, the nurse is aware of excessive shyness. the young woman states that she will not remove her bra because “there is something wrong with my breasts; one is way bigger” what is the basis for the nurses response in this situation?
a. requesting that the patient reschedule the appointment for when she is more prepared
b. deferring the break exam until another appointment
c. providing information about normal growth and development
d. expressing sympathy for the patient and acknowledge how stressful that must be

Answer 24

C