Female genitals and inguinal area chapt 30 (658-660)

Question 1

What are the methods of examination of the female genitalia used by generalist nurses:

Answer 1

inspection of the external genitals and palpation of the inguinal lymph nodes

Question 2

What test is used to detect cancer of the cervix for sexually active females:

Answer 2

the papanicolaou test (pap smear)

Question 3

What position is generally used for an examination of the genitals:

Answer 3

lithotomy (supine with feet elevated in stirrups)

Question 4

What are the types of questions asked during female genital examination:

Answer 4

Last menstrual period (LMP), vaginal discharge, # of pregnancies, labor and delivery complications, urinary frequency, STD’s

Question 5

You’re assessing the genital area of your female pt and you notice scant hair of the pubis region. This finding is:

Answer 5

abnormal and indicative of hormonal problems

Question 6

Where is the most common site for syphilitic chancres in young females:

Answer 6

clitoris

Question 7

Where on older females are the potential sites of cancerous lesions found on the gentilia:

Answer 7

clitoris

Question 8

A difficult or painful intercourse for women is defined as:

Answer 8

dyspareunia

Question 9

The reason why older females are more predispose to vaginitis or an alteration of flora is:

Answer 9

the vaginal environment becomes more alkaline and drier

Question 10

You’re assessing the vaginal area of your older pt and she tells you that she’s been experiencing vaginal bleeding and that she’s not on any estrogen therapy. This finding is:

Answer 10

abnormal. Vaginal bleeding is normal for an older female if they are taking estrogen.

Question 11

What is involve in the examination of the female internal genitals:

Answer 11

palpating Skene’s and Bartholin’s glands, assessing the pelvic musculature, inserting vaginal speculum for cervix inspection, obtaining Pap smear

Question 12

How many stages are there of the female pubic hair development:

Answer 12

1: preadolescence=no pubic hair, 2: Ages 11-12=hair develops on labia, 3: Ages 12-13=hair becomes darker/curlier and develops over pubis symphysis, 4: Ages 13-14=hair assumes the texture/curl of an adult but does not appear on the thighs, 5: Sexual maturity=hair appears on the inner aspect of thighs

Question 13

What is the method of palpation of the superior/horizontal and the inferior/vertical lymph nodes of the inguinal area in women:

Answer 13

Use the pads of fingers in a rotary motion to note for any enlargement or tenderness

Question 14

You’re assessing the vaginal area of an infant and you notice that the labia and clitoris is edematous or enlarged. This finding is:

Answer 14

normal due to maternal estrogen

Question 15

You’re inspecting the vaginal area of an elderly pt and you notice that the cervix and uterus has decreased in size. This finding is:

Answer 15

normal due to aging

Question 16

The doctor had finished examining the vaginal area of an elderly pt. The doctor informs you that the pt’s Fallopian tubes and ovaries atrophied. This finding is:

Answer 16

normal due to aging