NR 509 APEA Womens
health
NR 509 Advanced physical assessment
,NR 509 APEA Womens
health
Question:
When palpating the cervix during the bimanual exam, cervical motion
tenderness (chandelier sign) is noted. This tenderness could be
suggestive of:
retroversion of the uterus.pelvic inflammatory disease. Correctvulvar
lesions. IncorrectBartholin gland infection.
Explanation:
Cervical motion tenderness, also known as Chandelier's sign, and/or
adnexal tenderness, suggest pelvic inflammatory disease, ectopic
pregnancy, or appendicitis.
Question:
In a female diagnosed with a first-degree uterine prolapse, the cervix:
is located in its normal position. has slipped but is well within the
vagina. Correctis located in the introitus.and vagina are outside the
introitus.
,Explanation:
Uterine prolapse occurs in progressive stages. The uterus becomes
retroverted and descends down the vaginal canal to the exterior. In first-
degree prolapse, the cervix is still well within the vagina. In second-
degree prolapse, it is at the introitus. In third-degree prolapse
(procidentia), the cervix and vagina are outside the introitus.
Question:
Daughters of women who took Diethylstilbestrol (DES) during
pregnancy are at a high risk for developing all of the following
abnormalities except:
columnar epithelium covering most or all of the cervix.a slit- like
cervical os. Correctvaginaladenosis.a circular collar or ridge of tissue
between the cervix and the vagina.
Explanation:
Daughters of women who took Diethylstilbestrol (DES) during
pregnancy are at greatly increased risk for several abnormalities:
columnar epithelium that covers most or all of the cervix vaginal
adenosis, and a circular collar or ridge of tissue, of varying shapes,
between the cervix and vagina. The slit-like cervical os is a normal
variation.
Question:
, A female patient presents with a profuse, yellowish, green vaginal
discharge that is malodorous. This vaginal discharge is most consistent
with:
candidalvaginitis.bacterialvaginosis.Trichomonal
vaginitis. Correctgonorrhea.
Explanation:
Trichomonas vaginalis causes trichomonal vaginitis. Presenting
symptoms include a profuse, yellowish, green vaginal discharge that is
malodorous. Candidal vaginitis produces a white and curd-like thin
discharge that is rarely malodorous. With bacterial vaginosis, the
discharge can be gray or white, thin, malodorous (fishy), and not usually
profuse. The discharge associated with gonorrhea is usually thick and
bloody.
Question:
The most common causes of sexual problems in females are related to:
lack of sexual desire.inadequate vaginal
lubrication. Incorrectpsychosocial factors. Correctpelvic disorders.
Explanation:
The most common problems that occur during sexual activity are related
to situational or psychosocial factors. Although lack of desire,
inadequate vaginal lubrication, and pelvic disorders may all contribute to
health
NR 509 Advanced physical assessment
,NR 509 APEA Womens
health
Question:
When palpating the cervix during the bimanual exam, cervical motion
tenderness (chandelier sign) is noted. This tenderness could be
suggestive of:
retroversion of the uterus.pelvic inflammatory disease. Correctvulvar
lesions. IncorrectBartholin gland infection.
Explanation:
Cervical motion tenderness, also known as Chandelier's sign, and/or
adnexal tenderness, suggest pelvic inflammatory disease, ectopic
pregnancy, or appendicitis.
Question:
In a female diagnosed with a first-degree uterine prolapse, the cervix:
is located in its normal position. has slipped but is well within the
vagina. Correctis located in the introitus.and vagina are outside the
introitus.
,Explanation:
Uterine prolapse occurs in progressive stages. The uterus becomes
retroverted and descends down the vaginal canal to the exterior. In first-
degree prolapse, the cervix is still well within the vagina. In second-
degree prolapse, it is at the introitus. In third-degree prolapse
(procidentia), the cervix and vagina are outside the introitus.
Question:
Daughters of women who took Diethylstilbestrol (DES) during
pregnancy are at a high risk for developing all of the following
abnormalities except:
columnar epithelium covering most or all of the cervix.a slit- like
cervical os. Correctvaginaladenosis.a circular collar or ridge of tissue
between the cervix and the vagina.
Explanation:
Daughters of women who took Diethylstilbestrol (DES) during
pregnancy are at greatly increased risk for several abnormalities:
columnar epithelium that covers most or all of the cervix vaginal
adenosis, and a circular collar or ridge of tissue, of varying shapes,
between the cervix and vagina. The slit-like cervical os is a normal
variation.
Question:
, A female patient presents with a profuse, yellowish, green vaginal
discharge that is malodorous. This vaginal discharge is most consistent
with:
candidalvaginitis.bacterialvaginosis.Trichomonal
vaginitis. Correctgonorrhea.
Explanation:
Trichomonas vaginalis causes trichomonal vaginitis. Presenting
symptoms include a profuse, yellowish, green vaginal discharge that is
malodorous. Candidal vaginitis produces a white and curd-like thin
discharge that is rarely malodorous. With bacterial vaginosis, the
discharge can be gray or white, thin, malodorous (fishy), and not usually
profuse. The discharge associated with gonorrhea is usually thick and
bloody.
Question:
The most common causes of sexual problems in females are related to:
lack of sexual desire.inadequate vaginal
lubrication. Incorrectpsychosocial factors. Correctpelvic disorders.
Explanation:
The most common problems that occur during sexual activity are related
to situational or psychosocial factors. Although lack of desire,
inadequate vaginal lubrication, and pelvic disorders may all contribute to
