Chapter 26: Female Genitourinary System

Chapter 26: Female Genitourinary System

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

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