Jarvis: Physical Examination & Health Assessment, 6 th Edition
Chapter 26: Female Genitourinary System
Test Bank
MULTIPLE CHOICE
1.During a health history, a 22-year old woman asks, “Can I get that vaccine for HPV? I have genital warts and I’d like them to go away!” What is the nurse’s best response?
A) “The HPV vaccine is for girls and women ages 9 to 26, so we can start that today.”
B) “This vaccine is only for girls who have not started to have intercourse yet.”
C) “Let’s 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.”
ANS:D
The HPV (human papillomavirus) vaccine is appropriate for girls and women age 9 to 26 and is given to prevent cervical cancer by preventing HPV infections before girls become sexually
active. However, it cannot protect the woman if an HPV infection is already present.
PTS:1DIF:Cognitive Level: Analyzing (Analysis)
REF:Page: 732MSC:Client Needs: General
2.During an examination the nurse observes a female patient’s 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.
ANS:A
The labial structures encircle a boat-shaped space, or cleft, termed the vestibule. Within it are numerous openings. The urethral meatus and vaginal orifice are visible. The ducts of the pa -
raurethral (Skene) glands and the vestibular (Bartholin) glands are present but not visible.
PTS:1DIF:Cognitive Level: Understanding (Comprehension)
REF:Pages: 725-726
MSC:Client Needs: Physiological Integrity: Physiological Adaptation
3.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
ANS:A
At the end of the canal, the uterine cervix projects into the vagina.
PTS:1DIF:Cognitive Level: Remembering (Knowledge)
REF:Page: 726MSC:Client Needs: Physiological Integrity: Physiological Adaptation
4.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.
ANS:A
The uterus is freely movable, not fixed, and usually tilts forward and superior to the bladder (a
position labeled as anteverted and anteflexed).
PTS:1DIF:Cognitive Level: Remembering (Knowledge)
REF:Page: 726MSC:Client Needs: General
5.An 11-year-old girl is in the clinic for a sports physical. The nurse notices that she has begun to develop breasts, and during the conversation the girl reveals that she is worried about her development. The nurse should use which of these techniques to best assist the young girl in understanding the expected sequence for development? The nurse should:
A) use the Tanner’s table on the five stages of
sexual development.
B) describe her development and compare it with that of other girls her age.
C) use Jacobsen’s table on expected develop -
ment on the basis of height and weight data.
D) reassure her that her development is within normal limits and should tell her not to worry about the next step.
ANS:A
Tanner’s table on the five stages of pubic hair development is helpful in teaching girls the ex -
pected sequence of sexual development (see Table 26-1). The other responses are not appro -
priate.
PTS:1DIF:Cognitive Level: Applying (Application)
REF:Pages: 727-728 MSC:Client Needs: Health Promotion and Maintenance
6.A woman who is 8 weeks pregnant is in the clinic for a checkup. The nurse reads on her chart that her cervix is softened and looks cyanotic. The nurse knows that the woman is exhibiting _____ sign and _____ sign.
A) Tanner’s; Hegar’s B) Hegar’s; Goodell’s C) Chadwick’s; Hegar’s D) Goodell’s; Chadwick’s ANS:D
Shortly after the first missed menstrual period, the female genitalia show signs of the growing fetus. The cervix softens (Goodell’s sign) at 4 to 6 weeks, and the vaginal mucosa and cervix look cyanotic (Chadwick’s sign) at 8 to 12 weeks. These changes occur because of increased vascularity and edema of the cervix and hypertrophy and hyperplasia of the cervical glands. Hegar’s sign occurs when the isthmus of the uterus softens at 6 to 8 weeks. Tanner’s sign is not a correct response.
PTS:1DIF:Cognitive Level: Understanding (Comprehension)
REF:Pages: 727-728 MSC:Client Needs: Health Promotion and Maintenance
7.A woman who is 22 weeks pregnant has a vaginal infection. She tells the nurse that she is afraid that this infection will hurt the fetus. The nurse knows that which of these statements is true?
A) If intercourse is avoided, then the risk for infection is minimal.
B) A thick mucus plug forms that protects the
fetus from infection.
C) The acidic pH of vaginal secretions pro -
motes the growth of pathogenic bacteria.
D) The mucus plug that forms in the cervical canal is a good medium for bacterial growth.
ANS:B
A clot of thick, tenacious mucus forms in the spaces of the cervical canal (the mucus plug), which protects the fetus from infection. Cervical and vaginal secretions increase during preg -
nancy and are thick, white, and more acidic. The acidic pH keeps pathogenic bacteria from multiplying in the vagina, but the increase in glycogen increases the risk of candidiasis (com -
monly called a yeast infection) during pregnancy.
PTS:1DIF:Cognitive Level: Understanding (Comprehension)
REF:Page: 728MSC:Client Needs: Health Promotion and Maintenance
8.The changes normally associated with menopause occur generally because the cells in the re -
productive tract are:
A) aging.
B) becoming fibrous.
C) estrogen dependent.
D) able to respond to estrogen.
ANS:C
Because cells in the reproductive tract are estrogen dependent, decreased estrogen levels dur -
ing menopause bring dramatic physical changes. The other options are not correct.
PTS:1DIF:Cognitive Level: Remembering (Knowledge)
REF:Page: 728MSC:Client Needs: Health Promotion and Maintenance
Chapter 26: Female Genitourinary System
Test Bank
MULTIPLE CHOICE
1.During a health history, a 22-year old woman asks, “Can I get that vaccine for HPV? I have genital warts and I’d like them to go away!” What is the nurse’s best response?
A) “The HPV vaccine is for girls and women ages 9 to 26, so we can start that today.”
B) “This vaccine is only for girls who have not started to have intercourse yet.”
C) “Let’s 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.”
ANS:D
The HPV (human papillomavirus) vaccine is appropriate for girls and women age 9 to 26 and is given to prevent cervical cancer by preventing HPV infections before girls become sexually
active. However, it cannot protect the woman if an HPV infection is already present.
PTS:1DIF:Cognitive Level: Analyzing (Analysis)
REF:Page: 732MSC:Client Needs: General
2.During an examination the nurse observes a female patient’s 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.
ANS:A
The labial structures encircle a boat-shaped space, or cleft, termed the vestibule. Within it are numerous openings. The urethral meatus and vaginal orifice are visible. The ducts of the pa -
raurethral (Skene) glands and the vestibular (Bartholin) glands are present but not visible.
PTS:1DIF:Cognitive Level: Understanding (Comprehension)
REF:Pages: 725-726
MSC:Client Needs: Physiological Integrity: Physiological Adaptation
3.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
ANS:A
At the end of the canal, the uterine cervix projects into the vagina.
PTS:1DIF:Cognitive Level: Remembering (Knowledge)
REF:Page: 726MSC:Client Needs: Physiological Integrity: Physiological Adaptation
4.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.
ANS:A
The uterus is freely movable, not fixed, and usually tilts forward and superior to the bladder (a
position labeled as anteverted and anteflexed).
PTS:1DIF:Cognitive Level: Remembering (Knowledge)
REF:Page: 726MSC:Client Needs: General
5.An 11-year-old girl is in the clinic for a sports physical. The nurse notices that she has begun to develop breasts, and during the conversation the girl reveals that she is worried about her development. The nurse should use which of these techniques to best assist the young girl in understanding the expected sequence for development? The nurse should:
A) use the Tanner’s table on the five stages of
sexual development.
B) describe her development and compare it with that of other girls her age.
C) use Jacobsen’s table on expected develop -
ment on the basis of height and weight data.
D) reassure her that her development is within normal limits and should tell her not to worry about the next step.
ANS:A
Tanner’s table on the five stages of pubic hair development is helpful in teaching girls the ex -
pected sequence of sexual development (see Table 26-1). The other responses are not appro -
priate.
PTS:1DIF:Cognitive Level: Applying (Application)
REF:Pages: 727-728 MSC:Client Needs: Health Promotion and Maintenance
6.A woman who is 8 weeks pregnant is in the clinic for a checkup. The nurse reads on her chart that her cervix is softened and looks cyanotic. The nurse knows that the woman is exhibiting _____ sign and _____ sign.
A) Tanner’s; Hegar’s B) Hegar’s; Goodell’s C) Chadwick’s; Hegar’s D) Goodell’s; Chadwick’s ANS:D
Shortly after the first missed menstrual period, the female genitalia show signs of the growing fetus. The cervix softens (Goodell’s sign) at 4 to 6 weeks, and the vaginal mucosa and cervix look cyanotic (Chadwick’s sign) at 8 to 12 weeks. These changes occur because of increased vascularity and edema of the cervix and hypertrophy and hyperplasia of the cervical glands. Hegar’s sign occurs when the isthmus of the uterus softens at 6 to 8 weeks. Tanner’s sign is not a correct response.
PTS:1DIF:Cognitive Level: Understanding (Comprehension)
REF:Pages: 727-728 MSC:Client Needs: Health Promotion and Maintenance
7.A woman who is 22 weeks pregnant has a vaginal infection. She tells the nurse that she is afraid that this infection will hurt the fetus. The nurse knows that which of these statements is true?
A) If intercourse is avoided, then the risk for infection is minimal.
B) A thick mucus plug forms that protects the
fetus from infection.
C) The acidic pH of vaginal secretions pro -
motes the growth of pathogenic bacteria.
D) The mucus plug that forms in the cervical canal is a good medium for bacterial growth.
ANS:B
A clot of thick, tenacious mucus forms in the spaces of the cervical canal (the mucus plug), which protects the fetus from infection. Cervical and vaginal secretions increase during preg -
nancy and are thick, white, and more acidic. The acidic pH keeps pathogenic bacteria from multiplying in the vagina, but the increase in glycogen increases the risk of candidiasis (com -
monly called a yeast infection) during pregnancy.
PTS:1DIF:Cognitive Level: Understanding (Comprehension)
REF:Page: 728MSC:Client Needs: Health Promotion and Maintenance
8.The changes normally associated with menopause occur generally because the cells in the re -
productive tract are:
A) aging.
B) becoming fibrous.
C) estrogen dependent.
D) able to respond to estrogen.
ANS:C
Because cells in the reproductive tract are estrogen dependent, decreased estrogen levels dur -
ing menopause bring dramatic physical changes. The other options are not correct.
PTS:1DIF:Cognitive Level: Remembering (Knowledge)
REF:Page: 728MSC:Client Needs: Health Promotion and Maintenance
