Female Genitourinary Flashcards
(38 cards)
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:
a. Urethral meatus and vaginal orifice.
b. Vaginal orifice and vestibular (Bartholin) glands.
c. Urethral meatus and paraurethral (Skene) glands.
d. Paraurethral (Skene) and vestibular (Bartholin) glands.
a. 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
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 dif
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 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
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.
A 50-year-old woman calls the clinic because 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. The nurse should tell her:
a. HRT is at such a low dose that side effects are very unusual.
b. HRT has several side effects, including fluid retention, breast tenderness, and vaginal bleeding.
c. Vaginal bleeding with HRT is very unusual; I suggest you come into the clinic immediately to have
this evaluated.
d. It sounds as if your dose of estrogen is to
b. HRT has several side effects, including fluid retention, breast tenderness, and vaginal bleeding.
A 52-year-old patient states that when she sneezes or coughs she wets herself a little. She is very concerned
that something may be wrong with her. The nurse suspects that the problem is:
a. Dysuria.
b. Stress incontinence.
c. Hematuria.
d. Urge incontinence.
b. Stress incontinence
During the interview, a patient reveals that she has some vaginal discharge. She is worried that it may be a
sexually transmitted infection. The nurses most appropriate response to this would be:
a. Oh, dont worry. Some cyclic vaginal discharge is normal.
b. Have you been engaging in unprotected sexual intercourse?
c. Id like some information about the discharge. What color is it?
d. Have you had any urinary incontinence associated with the discharge?
c. Id like some information about the discharge. What color is it?
A woman states that 2 weeks ago she had a urinary tract infection that was treated with an antibiotic. As a
part of the interview, the nurse should ask, Have you noticed any:
a. Changes in your urination patterns?
b. Excessive vaginal bleeding?
c. Unusual vaginal discharge or itching?
d. Changes in your desire for intercourse?
c. Unusual vaginal discharge or itching?
Which statement would be most appropriate when the nurse is introducing the topic of sexual relationships
during an interview?
a. Now, it is time to talk about your sexual history. When did you first have intercourse?
b. Women often feel dissatisfied with their sexual relationships. Would it be okay to discuss this
now?
c. Women often have questions about their sexual relationship and how it affects their health. Do you
have any questions?
d. Most women your age have had more than one sexual partner. How many would you say you have
had?
c. Women often have questions about their sexual relationship and how it affects their health. Do you
have any questions?
A 22-year-old woman has been considering using oral contraceptives. As a part of her health history, the
nurse should ask:
a. Do you have a history of heart murmurs?
b. Will you be in a monogamous relationship?
c. Have you carefully thought this choice through?
d. If you smoke, how many cigarettes do you smoke per day?
d. If you smoke, how many cigarettes do you smoke per day?
A married couple has come to the clinic seeking advice on pregnancy. They have been trying to conceive
for 4 months and have not been successful. What should the nurse do first?
a. Ascertain whether either of them has been using broad-spectrum antibiotics.
b. Explain that couples are considered infertile after 1 year of unprotected intercourse.
c. Immediately refer the woman to an expert in pelvic inflammatory diseasethe most common cause
of infertility.
d. Explain that couples are considered infertile after 3 months of engaging in unprotected intercourse
and that they will need a referral to a fertility expert.
b. Explain that couples are considered infertile after 1 year of unprotected intercourse.
A nurse is assessing a patients risk of contracting a sexually transmitted infection (STI). An appropriate
question to ask would be:
a. You know that its important to use condoms for protection, right?
b. Do you use a condom with each episode of sexual intercourse?
c. Do you have a sexually transmitted infection?
d. You are aware of the dangers of unprotected sex, arent you?
b. Do you use a condom with each episode of sexual intercourse?
When the nurse is interviewing a preadolescent girl, which opening question would be least threatening?
a. Do you have any questions about growing up?
b. What has your mother told you about growing up?
c. When did you notice that your body was changing?
d. I remember being very scared when I got my period. How do you think youll feel?
c. When did you notice that your body was changing?
When the nurse is discussing sexuality and sexual issues with an adolescent, a permission statement helps
convey that it is normal to think or feel a certain way. Which statement is the best example of a permission
statement?
a. It is okay that you have become sexually active.
b. Girls your age often have questions about sexual activity. Do you have any questions?
c. If it is okay with you, Id like to ask you some questions about your sexual history.
d. Girls your age often engage in sexual activities. It is okay to tell me if you have had intercourse.
b. Girls your age often have questions about sexual activity. Do you have any questions?
The nurse is preparing to interview a postmenopausal woman. Which of these statements is true as it
applies to obtaining the health history of a postmenopausal woman?
a. The nurse should ask a postmenopausal woman if she has ever had vaginal bleeding.
b. Once a woman reaches menopause, the nurse does not need to ask any history questions.
c. The nurse should screen for monthly breast tenderness.
d. Postmenopausal women are not at risk for contracting STIs; therefore, these questions can be
omitted.
a. The nurse should ask a postmenopausal woman if she has ever had vaginal bleeding.
During the examination portion of a patients visit, she will be in lithotomy position. Which statement
reflects some things that the nurse can do to make this position more comfortable for her?
a. Ask her to place her hands and arms over her head.
b. Elevate her head and shoulders to maintain eye contact.
c. Allow her to choose to have her feet in the stirrups or have them resting side by side on the edge of
the table.
d. Allow her to keep her buttocks approximately 6 inches from the edge of the table to prevent her
from feeling as if she will fall off.
b. Elevate her head and shoulders to maintain eye contact.
An 18-year-old patient is having her first pelvic examination. Which action by the nurse is appropriate?
a. Inviting her mother to be present during the examination
b. Avoiding the lithotomy position for this first time because it can be uncomfortable and embarrassing
c. Raising the head of the examination table and giving her a mirror so that she can view the examination
d. Fully draping her, leaving the drape between her legs elevated to avoid embarrassing her with eye
contact
c. Raising the head of the examination table and giving her a mirror so that she can view the examination
The nurse has just completed an inspection of a nulliparous womans external genitalia. Which of these
would be a description of a finding within normal limits?
a. Redness of the labia majora
b. Multiple nontender sebaceous cysts
c. Discharge that is foul smelling and irritating
d. Gaping and slightly shriveled labia majora
b. Multiple nontender sebaceous cysts
