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FQ2: Assessment of the Female Genitalia

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

The skin folds of the labia majora are composed of adipose tissue, sebaceous glands, and:

a)

Skene's glands

b)

Bartholin's glands

c)

sweat glands

d)

vestibular glands

2.

The visible portion of the clitoris is termed the:

a)

vestibule

b)

glans

c)

crura

d)

corpus

3.

The skin folds of the labia majora and the labia minora form a boat-shaped area termed the:

a)

vestibule

b)

corpus

c)

Skene’s glands

d)

urethral meatus

4.

The outermost layer of the vaginal wall is composed of:

a)

connective tissue and the vascular network

b)

pink squamous epithelium and connective tissue

c)

the vascular supply, nerves, and lymphatic channels

d)

smooth muscle and connective tissue

5.

The outer layer of the vaginal wall is under the direct influence of:

a)

progesterone

b)

aldosterone

c)

estrogen

d)

androgen

6.

A female client tells the nurse that she may be experiencing premenstrual syndrome. An appropriate question for the nurse to ask the client is:

a)

“How often are your menstrual periods?”

b)

“How old were you when you began to menstruate?”

c)

“Do you experience mood swings or bloating?”

d)

“Are you experiencing regular menstrual cycles?”

7.

A 53-year-old client tells the nurse that she thinks she is starting the menopausal phase of her life. The nurse should instruct the client that she may experience:

a)

hot flashes

b)

increased appetite

c)

vaginal discharge

d)

urinary frequency

8.

During assessment of the vaginal area of an adult client, the client tells the nurse that she has had pain in her vaginal area. The nurse should further assess the client for:

a)

trauma

b)

infection

c)

pregnancy

d)

cancer

9.

A female client tells the nurse that she has pain while urinating. Besides obtaining a urinalysis, the nurse should assess the client:

a)

tumors

b)

infestation

c)

sexually transmitted disease

d)

kidney trauma

10.

An older adult client visits the clinic complaining of urinary incontinence. The nurse should explain to the client that this is often due to:

a)

decreased estrogen production

b)

decreased urethral elasticity

c)

atrophy of the vaginal mucosa

d)

change in the vaginal pH

11.

A female client has scheduled a physical examination, including a Pap smear. The nurse should instruct the client to:

a)

refrain from using talcum powder after her shower

b)

drink a large volume of fluid before the examination

c)

refrain from douching 48 hours before the examination

d)

bring in a urine sample for testing

12.

The nurse is preparing to perform a speculum examination on an adult woman. To lubricate the speculum before insertion, the nurse should use:

a)

K-Y jelly

b)

warm tap water

c)

sterile water

d)

petroleum jelly

13.

The nurse is performing a speculum examination on an adult woman. The nurse is having difficulty inserting the speculum because the client is unable to relax. The nurse should ask the client to:

a)

bear down

b)

hold her breath

c)

use imagery to relax

d)

take a deep breath

14.

The nurse is assessing the genitalia of a female client and detects a bulging anterior wall in the vagina. The nurse should plan to refer the client to a physician for:

a)

stress incontinence

b)

rectocele

c)

cystocele

d)

tumor of the vagina

15.

An older adult client visits the clinic for a gynecologic examination. The client tells the nurse that she has been told that she has uterine prolapse. The nurse should further assess the client for:

a)

stress incontinence

b)

cystocele

c)

a retroverted uterus

d)

diastasis recti

16.

While assessing the cervix of an adult client, the nurse observes a yellowish discharge from the cervix. The nurse should further assess the client for a/an:

a)

polyp

b)

infection

c)

abnormal lesion

d)

positive pregnancy test result

17.

While performing a gynecologic examination, the nurse observes small, painful, ulcer-like lesions with red bases on the client’s labia. The nurse should refer the client to a physician for possible:

a)

lice

b)

herpes simplex virus infection

c)

syphilis

d)

herpes zoster virus infection

18.

While assessing the genitalia of a female client, the nurse observes moist fleshy lesions on the client’s labia. The nurse should refer the client to a physician for possible:

a)

gonorrhea

b)

herpes simplex virus infection

c)

genital warts

d)

nabothian cysts

19.

During a gynecologic examination, the nurse observes that the client has a yellow-green frothy vaginal discharge. The nurse should plan to test the client for possible:

a)

bacterial vaginosis

b)

Trichomonas vaginalis infection

c)

atrophic vaginitis

d)

Chlamydia trachomatis infection

20.

A client visits the clinic because she has missed one period and suspects she is pregnant. While assessing the client, the nurse detects a solid, mobile, tender, unilateral adnexal mass. The client’s cervix is soft. The nurse suspects that the client may be experiencing:

a)

normal pregnancy

b)

endometriosis

c)

ectopic pregnancy

d)

pelvic inflammatory disease