To examine the Bartholin's glands of a female client, the nurse would palpate at which anatomic location?
B) Between the vaginal opening and labia minora
During the health history, a postmenopausal client mentions that she is experiencing vaginal dryness. When explaining the most likely reason to the client, the nurse should explain the role of which hormone?
D) Estrogen
A client's health history reveals that she had a total hysterectomy at age 33 to treat severe endometriosis. She says that the surgeon also removed both ovaries and fallopian tubes. The nurse would interpret this as which of the following?
B) Artificial menopause
An older adult client states, ìSometimes when I sneeze, I notice that I wet my pants.îThe nurse interprets this as which of the following?
D) Stress incontinence
A postmenopausal woman tells the nurse that she experiences discomfort during sexual intercourse. Which of the following should the nurse suggest?
C) Use of a lubricant
A young female client refuses treatment for a sexually transmitted infection. The nurse explains that lack of treatment may put her at risk for which condition?
C) Pelvic inflammatory disease
A client has been to the clinic multiple times in the past year with vaginal infections, the most frequent of which was candidiasis. The nurse would assess the client for symptoms
most likely related to which condition?
A) Diabetes mellitus
During the health history, the nurse teaches a client about toxic shock syndrome and ways to reduce her risks. The nurse determines that the teaching was successful when
the client states which of the following?
A) ìI should change tampons at least every 4 to 6 hours.î
When assessing the vaginal orifice of a young female client who has never been sexually active, the nurse notes a fold of fibrous tissue at the introitus. The nurse recognizes this as which structure?
B) Hymen
When palpating the Bartholin's glands, the nurse expresses a purulent discharge. Which of the following would be most appropriate for the nurse to do next?
C) Obtain a culture.
The nurse notes a malodorous, yellow discharge upon inserting the speculum into the client's vagina. Which of the following should the nurse do next?
B) Obtain a wet mount slide.
The nurse is presenting a class to a group of high school students about sexually transmitted infections. Which of the following should the nurse include as a major risk factor for cervical cancer?
C) Human papilloma virus
When obtaining a cervical specimen for a Neisseria gonorrhoeae culture, which of the following would be most appropriate?
A) Spread the specimen in a ìZî pattern on a special culture plate.
The nurse is inspecting the client's vaginal musculature and asks the client to bear down.Which finding would lead the nurse to suspect that the client has a cystocele?
A) Bulging of the anterior vaginal wall
The nurse is preparing to perform a speculum examination on a client. The nurse lubricates the speculum with which of the following?
C) Client's vaginal secretions
The nurse is inspecting the cervix of a client who has two children. The nurse would expect the cervical os to appear as which of the following?
A) Slit-like
When assessing the cervix of an older postmenopausal woman, which of the following would the nurse document as a normal finding?
D) Pale pink
The nurse is assessing a female client's genitourinary system. Which of the following findings would lead the nurse to suspect a problem with the ovaries during palpation?
A) Immobile ovaries
The nurse is preparing to perform a rectovaginal examination on a client. Which statement by the nurse would be most appropriate?
C) ìYou might feel uncomfortable, almost like you have to move your bowels.î
While inspecting the vagina, the nurse observes a thin, grayish-white vaginal discharge with a fishy odor. Which of the following would the nurse suspect?
B) Bacterial vaginosis
A 49-year-old woman has sought care because of severe perimenopausal symptoms.The client has asked the nurse if she should talk to her doctor about beginning hormone
replacement therapy (HRT). How should the nurse best respond?
A) ìThe most recent research suggests that the benefits of HRT have been greatly overstated.î
B) ìHRT often relieves many of the symptoms of menopause, but it's not without
some risks.î
C) ìHRT is a good option for many women, mostly because it's a naturally occurring substance.î
D) ìYour doctor will likely recommend HRT because you're beginning menopause quite young.
B) ìHRT often relieves many of the symptoms of menopause, but it's not without some risks.
A 52-year-old woman's current medication regimen includes estrogen-progestin therapy(EPT). In addition to reduced symptoms of menopause, the nurse should be aware that
this therapy confers what secondary benefit?
A) Reduced risk of colorectal cancer
A female client has presented for a Pap smear test, and the nurse is discussing risk factors for cervical cancer. What risk factor should the nurse describe?
D) Having multiple sexual partners
The nurse is completing a client's genitourinary assessment and is preparing to assess the client's cervix. What finding would most clearly warrant referral?
A) The cervix is immobile on palpation.
Scar tissue is visible on the perineum of an adult female client. The nurse should consequently question the client about which of the following?
A) Tearing during vaginal delivery
In which of the following clients would the nurse consider a bluish tint to the cervix an expected assessment finding?
A) A client who is 10 weeks' pregnant.
The nurse is assessing the genitalia and rectum of a 71-year-old client. When assessing the client's vagina, the nurse should know that age-related changes increase the client's
risk of what abnormal finding?
C) Atrophic vaginitis
A nurse is preparing a female client for a genitourinary examination that has been scheduled for later in the week. What anticipatory guidance should the nurse provide to
the client?
D) ìMake sure not to douche for 48 hours before the examination.î
The nurse is preparing a client for an assessment of her genitalia and rectum. What action should the nurse perform when preparing the client?
A) Explain the rationale for using foot stirrups.
An adult client has sought care at the clinic, stating that she believes she has ìa raging yeast infection.î The nurse would expect to assess what type of vaginal discharge?
