NURS203 EXAM #3 QUESTIONS AND VERIFIED
DETAILED ANSWERS 2024-2025
Located @11 & 1 o'clock; milk this gland by moving the finger outward, do this on both
sides of the urethra and then directly on the urethra. -Answer Skene Glands
what do you look for when milking the skene glands? -Answer discharge and note any
tenderness
what does discharge from the skene glands usually indicate? -Answer an infection- most
commonly, but not necessarily, gonococcal
posterolateral portion of the labia majora, at 5 & 7 o'clock - Answer Bartholin glands
what do you look for when palpating the bartholin glands? - Answer discharge, swelling,
tenderness, masses, heart or fluctuation
swelling that is painful, hot to the touch, and fluctuant is indicative of what? - Answer
infection- usually gonococcal or staphylococcal in origin and filled with pus
a non-tender mass of the Bartholin gland is indicative of what? Answer a bartholin cyst,
which is the result of chronic inflammation of the gland
top two skin folds of the vagina. may be gaping or closed, dry or moist. may be shriveled
or full - Answer Labia Majora
the tissue of the labia majora should have what characteristics? - Answer soft and
homogeneous
Labial swelling, redness or tenderness, especially if unilateral may denote the presence
of: a Bartholin gland infection
,excoriation, rashes, or lesions of the labia majora should bring to mind: infectious or
inflammatory process
two smaller folds of skin of the vagina. inner surface should be moist and dark pink
Labia Minora
Labia minora tissue should be ________________. - Answer: soft, smooth, and without
tenderness
Labia minora tissue inflammation, irritation, excoriation, or caked discharge in tissue
folds indicates ________________. - Answer: vaginal infection or poor hygiene
Discoloration or tenderness of the labia minora may indicate ________________. - Answer:
result of traumatic bruising
ulcers or vesicles on the labia minora may be indicative of what? -Answer an STI
located between the vaginal introitus and the anus. -Answer the perineum
what is descriptive of the perineal surface? -Answer smooth
what is the definition of a woman who is nulliparous? -Answer she has never given birth
to a child
What is the character of the perineum tissue in a nulliparous woman? Anwer : thick and
smooth
What is the character of the tissue in the perineum of a multiparous woman? Answer :
thinner and rigid
, What is the definition of a woman being multiparous? Answer : she has given birth to
several children
Uterine prolapse or hernia into or beyond the vagina
result of weakening of the supporting structures of the pelvic floor, often occurring
concurrently with a cystocele and rectocele
nuter-us becomes progressively retroverted and descends in to the vaginal canal -
Answer uterine prolapse
the cervix remains within the vagina - Answer first degree prolapse of the uterus
the cervix is at the introitus - Answer second degree prolapse of the uterus
the cervix and vagina drop outside the introitus -Answer third degree prolapse of the
uterus
what are some subjective signs of an uterine prolapse? -Answer -sensation of pelvic
heaviness and/or uterus falling out
- tissue protruding from vagina
- may report urinary leakage or urge incontinence, difficulty having a bowel movement,
or low back pain
what color should the cervix be? -Answer pink, w/the color evenly distributed
bluish coloured cervix is indicative of what? - Ans increased vascularity which may be a
sign of pregnancy
an anteriorly pointing cervix is indicative of what? - Ans retroverted uterus
a posteriorly pointing cervix is indicative of what? - Ans anteverted uterus
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