NSG6020- WOMEN'S HEALTH QUESTIONS AND
ANSWERS
A twenty-year-old female complains of a milky discharge bilaterally from her breasts.
This suggests: - Answers - Pregnancy or elevated prolactin level
The vaginal mucosa lies in transverse folds called the: - Answers - rugae
In which of the following situations would it be difficult for the examiner to palpate an
ovary during the bimanual vaginal exam? - Answers - A woman who is anxious
When performing a rectal exam on a female, a hard nodular rectal "shelf" is palpable at
the tip of the examiner's finger. This finding is suggestive of: - Answers - metastatic
tissue in the rectouterine pouch
Retraction of the nipple and areola suggest: - Answers - an underlying breast mass
To assess pelvic floor muscle strength during the bimanual vaginal exam, have the
patient squeeze around the inserted fingers for long as a possible. Th consider full
strength, snug compression should last for: - Answers - 3 seconds
A female patient presents with a gray, thin, malodorous (fishy) vaginal discharge these
symptoms are most consistent with: - Answers - Bacterial vaginosis
A female patient presents with a white and curd-like thin vaginal discharge. This
discharge is most consistent with: - Answers - candidal vaginitis
When examining the cervix, a bright, red, soft, and fragile lesion is noted on the cervical
surface. This finding is consistent with: - Answers - a cervical poylp
An ulcerated vulvar lesion in an elderly woman may indicate: - Answers - Vluvar cancer
When examining the cervix, a translucent nodule is noted on the cervical surface. This
finding is consistent with: - Answers - a retention cyst
A female patient has a history of a retroverted uterus. This condition refers to: - Answers
- a tilting backward of the uterus and cervix
Examination of a female patient's right breast reveals a retraction of the nipple and
areola. This finding is consistent with: - Answers - Breast cancer
Primary dysmenorrhea results from: - Answers - increased prostaglandin production
during the luteal phase of the menstrual cycle
, In a female diagnosed with a first-degree uterine prolapse, the cervix: - Answers - Has
slipped but is well within the vagina
A female patient presents with a profuse, yellowish, green vaginal discharge that is
malodorous. This vaginal discharge is most consistent with: - Answers - Trichomonal
vaginitis
When performing a vaginal exam with a speculum, the use of the upper blade as a
retractor could expose a: - Answers - rectocele
Upon examination of the vagina, a tense, hot very tender abscess with labial swelling is
noted. This finding is most consistent with a: - Answers - Bartholin gland infection
Upon examination of the cervix, a yellow drainage is visible around the cervical os. This
finding is most likely suggestive of: - Answers - mucopurulent cervicits
When performing a breast exam, a mobile mass becomes fixed when the arm relaxes.
This suggests that the mass is: - Answers - attached to the rib or intercostal muscle
During examination of the vagina, a bulge in the upper two-thirds o the anterior vaginal
wall is noted. This symptom is most consistent with a: - Answers - cystocele
In female patients with dyspareunia, superficial pain is most likely related to all the
following except: - Answers - pressure on the normal ovary
When performing a bimanual exam of the vagina, the examiner should lubricate the
index and middle fingers of a gloved hand. From a standing position, the fingers should
be inserted into the vagina while exerting pressure primarly: - Answers - posteriorly
If urethritis or inflammation of the paraurethral glands is suspected in a female patient,
the index finger should be inserted into the vagina and: - Answers - milk the urethra
gently from the inside outward.
A 45-year-old female presents to the nurse practitioner with complaints of postcoital
bleeding (greater than spotting) unrelated to the menstrual cycle. What is the most likely
cause? - Answers - Cervical cancer
Indications for performing a rectovaginal exam include all of the following except to: -
Answers - assess an inguinal hernia
In a female diagnosed with a third-degree uterine prolapse, the cervix: - Answers - and
vagina are outside the introitus.
Upon examination of the vagina, a swollen red ring is noted around the urethral
opening. This finding is most consistent with a: - Answers - prolapse of the urethral
mucosa
ANSWERS
A twenty-year-old female complains of a milky discharge bilaterally from her breasts.
This suggests: - Answers - Pregnancy or elevated prolactin level
The vaginal mucosa lies in transverse folds called the: - Answers - rugae
In which of the following situations would it be difficult for the examiner to palpate an
ovary during the bimanual vaginal exam? - Answers - A woman who is anxious
When performing a rectal exam on a female, a hard nodular rectal "shelf" is palpable at
the tip of the examiner's finger. This finding is suggestive of: - Answers - metastatic
tissue in the rectouterine pouch
Retraction of the nipple and areola suggest: - Answers - an underlying breast mass
To assess pelvic floor muscle strength during the bimanual vaginal exam, have the
patient squeeze around the inserted fingers for long as a possible. Th consider full
strength, snug compression should last for: - Answers - 3 seconds
A female patient presents with a gray, thin, malodorous (fishy) vaginal discharge these
symptoms are most consistent with: - Answers - Bacterial vaginosis
A female patient presents with a white and curd-like thin vaginal discharge. This
discharge is most consistent with: - Answers - candidal vaginitis
When examining the cervix, a bright, red, soft, and fragile lesion is noted on the cervical
surface. This finding is consistent with: - Answers - a cervical poylp
An ulcerated vulvar lesion in an elderly woman may indicate: - Answers - Vluvar cancer
When examining the cervix, a translucent nodule is noted on the cervical surface. This
finding is consistent with: - Answers - a retention cyst
A female patient has a history of a retroverted uterus. This condition refers to: - Answers
- a tilting backward of the uterus and cervix
Examination of a female patient's right breast reveals a retraction of the nipple and
areola. This finding is consistent with: - Answers - Breast cancer
Primary dysmenorrhea results from: - Answers - increased prostaglandin production
during the luteal phase of the menstrual cycle
, In a female diagnosed with a first-degree uterine prolapse, the cervix: - Answers - Has
slipped but is well within the vagina
A female patient presents with a profuse, yellowish, green vaginal discharge that is
malodorous. This vaginal discharge is most consistent with: - Answers - Trichomonal
vaginitis
When performing a vaginal exam with a speculum, the use of the upper blade as a
retractor could expose a: - Answers - rectocele
Upon examination of the vagina, a tense, hot very tender abscess with labial swelling is
noted. This finding is most consistent with a: - Answers - Bartholin gland infection
Upon examination of the cervix, a yellow drainage is visible around the cervical os. This
finding is most likely suggestive of: - Answers - mucopurulent cervicits
When performing a breast exam, a mobile mass becomes fixed when the arm relaxes.
This suggests that the mass is: - Answers - attached to the rib or intercostal muscle
During examination of the vagina, a bulge in the upper two-thirds o the anterior vaginal
wall is noted. This symptom is most consistent with a: - Answers - cystocele
In female patients with dyspareunia, superficial pain is most likely related to all the
following except: - Answers - pressure on the normal ovary
When performing a bimanual exam of the vagina, the examiner should lubricate the
index and middle fingers of a gloved hand. From a standing position, the fingers should
be inserted into the vagina while exerting pressure primarly: - Answers - posteriorly
If urethritis or inflammation of the paraurethral glands is suspected in a female patient,
the index finger should be inserted into the vagina and: - Answers - milk the urethra
gently from the inside outward.
A 45-year-old female presents to the nurse practitioner with complaints of postcoital
bleeding (greater than spotting) unrelated to the menstrual cycle. What is the most likely
cause? - Answers - Cervical cancer
Indications for performing a rectovaginal exam include all of the following except to: -
Answers - assess an inguinal hernia
In a female diagnosed with a third-degree uterine prolapse, the cervix: - Answers - and
vagina are outside the introitus.
Upon examination of the vagina, a swollen red ring is noted around the urethral
opening. This finding is most consistent with a: - Answers - prolapse of the urethral
mucosa
