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MN551 final week 10 Exam Questions and Answers
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MN551 Final week 10During 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 paraurethral (Skene) glands and the vestibular
(Bartholin) glands are present but not visible.
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
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).
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 development 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
expected sequence of sexual development (see Table 26-1). The other responses are not appropriate.
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.
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 promotes 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 pregnancy 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 (commonly called a yeast infection) during
pregnancy.
The changes normally associated with menopause occur generally
because the cells in the reproductive 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 during
menopause bring dramatic physical changes. The other options are not correct.
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