Physical Examination and Health Assessment 8th Edition 0323510809
Chapter 27: Female Genitourinary System Jarvis: Physical Examination and Health Assessment, 8th Edition 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: Applying (Application) MSC: Client Needs: Health Promotion and Maintenance 2. The nurse is examining a female patient’s vestibule. What does the nurse expect to visualize? 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) MSC: Client Needs: Health Promotion and Maintenance 3. During a speculum inspection of the vagina, what would the nurse expect to see 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) MSC: Client Needs: Health Promotion and Maintenance
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