Reproductive System And The Perineum

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Question 1

Free

Multiple Choice

During the initial inspection of the female genitalia, the nurse recognizes which finding as normal?

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The labia minora are hair-covered and lying within the labia majora.

The cervical os in the multiparous woman has the shape of a small circle.

The vaginal vestibule lies between the labia minora and contains the urinary meatus.

The openings of Skene and Bartholin glands are visible posteriorly.

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Question 2

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Multiple Choice

The pregnant patient tells the nurse that she has had three pregnancies and two live births to date. How does the nurse record this in the patient's history?

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Gravida 3, para 3

Gravida 3, para 2

Gravida 2, para 3

Gravida 2, para 2

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Question 3

Free

Multiple Choice

A mother asks a nurse when her daughter should get immunized again for human papilloma virus (HPV). What is the nurse's most appropriate response to this question?

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"Your daughter does not need this immunization until she becomes sexually active."

"The recommended age for this immunization is between 25 and 30 years of age."

"Between the ages of 11 and 26 years is the recommended time for this immunization."

"When she begins having menstrual periods is the best time for this immunization."

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Question 4

Free

Multiple Choice

A patient asks when she should make an appointment for her first Pap (Papanicolaou) test to screen for cervical cancer. What is the nurse's most appropriate response?

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"There is no need for Pap tests until after you have become pregnant."

"All women should have the first Pap test after reaching menarche."

"All women should have the first Pap test after they are 19 years of age."

"All women should have the first Pap test when they become sexually active or at age 21."

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Question 5

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Multiple Choice

A patient asks when she can stop having Pap (Papanicolaou) tests. What is the nurse's most appropriate response?

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"Until you are no longer sexually active."

"Through age 65."

"Until you begin menopause."

"Through the end of menopause."

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Question 6

Multiple Choice

When performing a well woman examination, the nurse expects what findings?

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The inner surface of the vestibule is deep pink and moist with a smooth texture.

The inguinal skin appears wrinkled and moist with sparse hair distribution.

The labia minora is deeply pigmented, and the tissue is ragged and asymmetrical.

Pubic hair is distributed evenly over the mons and shaped as a triangle with the apex over the mons.

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Question 7

Multiple Choice

The nurse documents which finding as expected on inspection of the anus?

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Skin tone darker and coarser than that of the surrounding skin

Sphincter lightly closed when the patient is relaxed

Large amount of stiff, curling hair surrounding the anus

Slight protrusion under the skin when the patient strains or bears down

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Question 8

Multiple Choice

On inspection of the internal structure of the vagina, the nurse notes a rounded protrusion on the posterior wall of the vagina. How does the nurse document this finding?

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Rectocele

Cystocele

Bartholin cyst

Nabothian cyst

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Question 9

Multiple Choice

After a rectal examination of a patient with obstructive jaundice, the nurse expects the stool to be what color?

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Tan

Pale yellow

Black

Bright red

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Question 10

Multiple Choice

On inspection of the external male genitalia, the nurse notes which finding as abnormal?

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The scrotum is covered with dark rugous skin.

The skin covering the penis is hairless and loose.

The urinary meatus is located on the upper surface of the penis.

The left side of the scrotum hangs slightly lower than the right.

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Question 11

Multiple Choice

The nurse observes that the urinary meatus is located on the undersurface of the penis. How does the nurse document this finding?

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Balanitis

Phimosis

Epispadias

Hypospadias

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Question 12

Multiple Choice

In inspecting the scrotum, the nurse documents which finding as normal?

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The epididymides are round, solid nodular masses.

The scrotum is deeply pigmented with a rugous surface.

The scrotal skin is a lighter color than the body skin.

The vas deferens is palpable bilaterally.

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Question 13

Multiple Choice

Which assessment technique does a nurse use to assess the inguinal region and femoral area of a male patient as he is standing and straining?

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Palpates the femoral artery

Palpates the inguinal lymph nodes

Observes for a bulge through the inguinal region

Observes for discoloration of the inguinal ring

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Question 14

Multiple Choice

When palpating the epididymis, the nurse considers which finding to be abnormal?

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The epididymis is located on the posterolateral surface of each testis.

The epididymis feels like a tubular, comma-shaped structure.

The epididymis collapses on palpation.

The epididymis has an irregular, nodular surface.

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Question 15

Multiple Choice

When does a nurse use transillumination of the scrotum?

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When the patient has tortuosity of the veins along the spermatic cord

When the patient has an indirect hernia

When there is a mass or fluid in the epididymis

When there is twisting of the testicle and spermatic cord

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Question 16

Multiple Choice

What procedure does a nurse use to assess the inguinal ring of a male patient for a hernia?

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Asks the patient to lie supine, lifts the scrotum, asks the patient to take a deep breath, and observes for a bulge

Asks the patient to lean over the examination table, inserts a gloved finger into the lower part of the scrotum into the inguinal canal, asks the patient to cough, and palpates for a bulge

Asks the patient to lie on the side not being assessed, inserts a gloved finger into the lower part of the scrotum into the inguinal canal, asks the patient to exhale completely, and palpates for a bulge

Asks the patient to stand, inserts a gloved finger into the lower part of the scrotum into the inguinal canal, asks the patient to cough, and palpates for a bulge

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Question 17

Multiple Choice

The nurse places a male patient in which position for rectal examination?

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Lithotomy position

Prone with the knees fully extended

Bending over the table, with feet everted

Left lateral position with knees and hips flexed

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Question 18

Multiple Choice

During an internal examination of a patient's anus, the nurse notes that the patient has a hypertonic sphincter. What is the most relevant action for the nurse to take at this time?

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Ask the patient about anxiety or pain related to the examination.

Inquire if the patient has had any neurologic injury that causes a hypertonic sphincter.

Refer the patient to the physician for evaluation.

Question the patient about a history of anal trauma.

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Question 19

Multiple Choice

A 50-year-old patient asks the nurse about her risk of developing a cancer of the reproductive system. What is the appropriate response by the nurse?

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"Human papilloma virus infection and cigarette smoking are major risk factors for cervical cancer."

"Some of the risk factors for endometrial cancer include being age 40 or older and having a history of infertility."

"Ovarian cancer is not often seen in women under age 50 or those who have a family history of breast cancer."

"Women who have had menstrual irregularities for many years are at lower risk of developing any of the reproductive system cancers."

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Question 20

Multiple Choice

The nurse recognizes which patient has the highest risk of endometrial cancer?

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A 24-year-old woman with menarche at age 9

A 30-year-old woman who started menstruating at age 19

A 42-year-old woman who reached menopause at age 40

A 64-year-old woman who had irregular, heavy menstrual cycles

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