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Chapter 26: Female Genitourinary System
Chapter 26: Female Genitourinary System
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. 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 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 years, so we can
start that today.”
b. “This vaccine is only for girls who have not yet started to become sexually
active.”
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 vaccine is appropriate for girls and women age 9 to 26 years and is
administered 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.
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 740
MSC: 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 the vestibule are numerous openings. The urethral meatus and vaginal
orifice are visible. The ducts of the paraurethral (Skene) glands and the
vestibular (Bartholin) glands are present but not visible.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 737
MSC: Client Needs: Physiologic Integrity: Physiologic 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.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 738
, MSC: Client Needs: Physiologic Integrity: Physiologic 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).
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 738
MSC: Client Needs: General
5. An 11-year-old girl is in the clinic for a sports physical examination. 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
One Account Get all Test Banks
Chapter 26: Female Genitourinary System
Chapter 26: Female Genitourinary System
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. 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 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 years, so we can
start that today.”
b. “This vaccine is only for girls who have not yet started to become sexually
active.”
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 vaccine is appropriate for girls and women age 9 to 26 years and is
administered 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.
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 740
MSC: 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 the vestibule are numerous openings. The urethral meatus and vaginal
orifice are visible. The ducts of the paraurethral (Skene) glands and the
vestibular (Bartholin) glands are present but not visible.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 737
MSC: Client Needs: Physiologic Integrity: Physiologic 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.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 738
, MSC: Client Needs: Physiologic Integrity: Physiologic 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).
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 738
MSC: Client Needs: General
5. An 11-year-old girl is in the clinic for a sports physical examination. 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
