NR509 APEA Test Womens health / NR 509 APEA Exam Womens health (Latest-2021): Advanced physical assessment: Chamberlain College of Nursing |100% Correct Q
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NR 509 APEA Test (Womens health) / NR509 APEA Exam (Womens health): Advanced physical assessment: Chamberlain College of Nursing
NR509 APEA Test Womens health / NR 509 APEA Exam Womens health (Latest): Advanced physical assessment: Chamberlain College of Nursing
Question:
When palpating the cervix during the bimanual exam, cervical motion tenderness (chandelier sign) is noted. This tenderness could be suggestive of:
retroversion of the uterus.
pelvic inflammatory disease.
vulvar lesions.
Bartholin gland infection.
Question:
In a female diagnosed with a first-degree uterine prolapse, the cervix:
is located in its normal position.
has slipped but is well within the vagina.
is located in the introitus.
and vagina are outside the introitus.
Question:
Daughters of women who took Diethylstilbestrol (DES) during pregnancy are at a high risk for developing all of the following abnormalities except:
columnar epithelium covering most or all of the cervix.
a slit- like cervical os.
vaginaladenosis.
a circular collar or ridge of tissue between the cervix and the vagina.
Question:
A female patient presents with a profuse, yellowish, green vaginal discharge that is malodorous. This vaginal discharge is most consistent with:
candidalvaginitis.
bacterialvaginosis.
Trichomonal vaginitis.
gonorrhea.
Question:
The most common causes of sexual problems in females are related to:
lack of sexual desire.
inadequate vaginal lubrication.
psychosocial factors.
pelvic disorders.
Question:
Chronic pelvic pain refers to pain that does not respond to therapy and:
lasts more than 3 months.
lasts more than 6 months.
lasts more than 9 months.
lasts more than 12 months.
Question:
In female patients with dyspareunia, superficial pain is most likely related to all of the following except:
localinflammation.
atrophic vaginitis.
pressure on a normal ovary.
inadequate lubrication.
Question:
If urethritis or inflammation of the paraurethral glands is suspected in a female patient, the index finger should be inserted into the vagina and:
milk the urethra gently from the outside inward.
milk the urethra gently from the inside outward.
massage the urethral meatus with the other hand.
massage the pelvic floor muscles in a clockwise fashion.
Question:
Upon examination of the vagina, a swollen red ring is noted around the urethral opening. This finding is most consistent with a:
prolapse of the urethral mucosa.
urethral caruncle.
cystocele.
cystourethrocele.
Question:
When performing a bimanual vaginal exam, a solid, nodular-like lesion is palpated over the right ovary. This finding is most consistent with:
ovarian cancer.
an ovarian tumor.
a right tubal pregnancy.
atubo-ovarian abscess.
Question:
Indications for performing a rectovaginal exam include all of the following except to:
palpate a retroverteduterus.
assess pelvic pathology.
assess an inguinal hernia.
screen for colorectal cancer in women over 50.
Question:
Examination of a female patient's right breast reveals a retraction of the nipple and areola. This finding is consistent with:
breast cancer.
mastitis.
Paget's disease of the breast.
fibrocystic breast disease.
Question:
To assess pelvic floor muscle strength during the bimanual vaginal exam, have the patient squeeze around the inserted fingers for as long as possible. To consider full strength, snug compression should last for:
1 seconds.
2 seconds.
3 seconds.
at lease 5 seconds.
Question:
Upon examination of the vagina, a tense, hot, very tender abscess with labial swelling is noted. This finding is most consistent with a:
cystocele.
urethralcaruncle.
rectocele.
bartholin gland infection.
Question:
A female patient has a history of a retroverted uterus. This condition refers to:
the normal position of the uterus and cervix.
a tilting backward of the uterus and cervix.
a backward angulation of the uterus in relation to its cervix.
the cervix being located at the introitus and the uterus in the vaginal canal.
Question:
Upon examination of the vagina, the entire anterior vaginal wall, together with the bladder and urethra create a bulge. This condition is most consistent with a:
prolapse of the urethral mucosa.
urethralcaruncle.
cystocele.
cystourethrocele.
Question:
Urethritis in a female patient may arise from all of the following organisms except:
Neisseria gonorrhoeae.
Herpes simplex.
Chlamydiatrachomatis.
Campylobacter.
Question:
To palpate the uterus during a bimanual exam, the examiner would lubricate the index and middle fingers of one hand and insert them into the vagina. The other hand would be placed on the abdomen:
near the symphysis pubis while pressing downward and elevating the cervix and uterus with the other hand.
about midway between the umbilicus and symphysis pubis while elevating the cervix and uterus with the other hand.
just above the umbilicus while pressing downward and elevating the cervix and uterus with the other hand.
just below the umbilicus while pressing downward and elevating the cervix and uterus with the other hand.
Question:
When do the ovaries become non-palpable after menopause?
One year
Twoyears
Three to five years
Six to ten years
Question:
When performing a rectal exam on a female, a hard nodular rectal "shelf" is palpable at the tip of the examiner's finger. This finding is suggestive of:
an ovarian cyst.
metastatic tissue in the rectouterine pouch.
rectal polyp.
carcinoma of the rectum.
Question:
A twenty-year-old female complains of a milky discharge bilaterally from her breasts. This suggests:
a normal finding in women in their early twenties.
pregnancy or elevated prolactin level.
breastdisease.
breast cancer.
Question:
A woman complains of infrequent menses with intervals greater than 35 days. This condition is termed:
oligomenorrhea.
polymenorrhea.
metrorrhagia.
menorrhagia.
Question:
The most common cause of acute pelvic pain in women is:
ruptured ovarian cysts.
appendicitis.
pelvic inflammatory disease.
mittelschmerz.
Question:
When performing a vaginal exam with a speculum, the use of the upper blade as a retractor could expose a:
rectocele.
cystocele.
Bartholin gland infection.
prolapse of the urethral mucosa.
Question:
When preparing to perform a pelvic exam in an older female, vaginal atrophy is noted. Due to this finding, the speculum:
should not be used.
should be a larger size.
should be a smaller size.
should be completely dry.
Question:
Upon examination of the cervix, a yellow drainage is visible around the cervical os. This finding is most likely suggestive of:
candidalvaginitis.
cervicalpolyp.
carcinoma of the cervix.
mucopurulent cervicitis.
Question:
When examining the cervix, a bright, red, soft and fragile lesion is noted on the cervical surface. This finding is consistent with:
a retention cyst.
an epidermoid cyst.
a syphilitic chancre.
a cervical polyp.
Question:
During examination of the vagina, a bulge in the upper two-thirds of the anterior vaginal wall is noted. This symptom is most consistent with a:
prolapse of the urethral mucosa.
urethralcaruncle.
cystocele.
cystourethrocele.
Question:
The most common type of hernia in women is the:
femoralhernia.
indirect inguinal hernia.
incisionalhernia.
umbilical hernia.
Question:
A female patient presents with a gray, thin, malodorous (fishy) vaginal discharge. These symptoms are most consistent with:
candidalvaginitis.
bacterial vaginosis
Trichomonalvaginitis.
gonorrhea.
Question:
When performing a bimanual vaginal exam, a smooth and rather compressible non-tender lesion is palpated over the right ovary. This finding is most consistent with:
ovarian cancer.
an ovarian cyst.
a right tubal pregnancy.
atubo-ovarian abscess.
Question:
When performing the bimanual vaginal exam, a nodule on the anterior uterine surface could suggest a (an):
ovariancyst.
myoma.
pregnancy.
pelvic inflammatory disease.
Question:
Cessation of the menses for 12 months is termed:
oligomenorrhea.
menopause.
menorrhagia.
metrorrhagia.
Question:
A woman complains of experiencing uterine bleeding between expected menstrual cycles. This condition is termed:
oligomenorrhea.
polymenorrhea.
metrorrhagia.
menorrhagia.
Question:
A 45-year old female presents to the nurse practitioner with complaints of postcoital bleeding (greater than spotting) unrelated to the menstrual cycle. What is the most likely cause?
Endometriosis
Cervical cancer
Earlypregnancy
Menopause
Question:
When performing the bimanual vaginal exam, uterine enlargement is noted. This enlargement could suggest:
a malignancy.
retroversion of the uterus.
retroflexion of the uterus.
pelvic inflammatory disease.
Question:
In which of the following situations would it be difficult for the examiner to palpate an ovary during the bimanual vaginal exam?
A slender woman
A woman who is anxious
A relaxed woman
A one year postmenopausal woman
Question:
Causes of post menopausal bleeding typically include all of the following except:
endometrialcancer.
hormone replacement therapy.
atrophic vaginitis.
uterine polyps.
Question:
A 35-year-old female presents with complaints of swelling of her right breast. Findings reveal edema of the lower portion of her right breast. The skin appears thickened with enlarged pores. This condition is consistent with:
Paget's disease.
thepeaud'orange sign.
nippledeviation.
skin dimpling.
Question:
The shiny, pink area located around the cervical os is known as:
a retention cyst.
the columnar epithelium.
squamous epithelium.
theendocervix.
Question:
During a speculum exam of the cervix the speculum is maintained in an open position by:
sliding the speculum along the posterior wall of the vagina.
rotating and adjusting the speculum until it cups the cervix.
gently tightening the thumb screw on the speculum.
rotating the speculum into a horizontal position while maintaining pressure posteriorly.
Question:
A female patient presents with a white and curd-like thin vaginal discharge. This discharge is most consistent with:
candidal vaginitis.
bacterial vaginosis
Trichomonalvaginitis.
gonorrhea.
Question:
Upon examination of the vagina, a bulge is noted in the lower posterior wall of the vagina. This finding is most consistent with a:
cystocele.
cystourethrocele.
rectocele.
bartholin's gland infection.
Question:
Upon examination of the cervix, an irregular cauliflower-like growth was noted around the cervical os. This finding is most suggestive of:
venerealwarts.
a cervical polyp.
carcinoma of the cervix.
genital herpes.
Question:
Upon examination of the vagina, a small, red, benign tumor is noted at the posterior part of the urethral meatus. This finding is most consistent with a:
prolapse of the urethral mucosa.
urethral caruncle.
cystocele.
cystourethrocele.
Question:
To palpate an indirect inguinal hernia in a woman, have her stand and palpate in the labia majora and:
palpate the external floor muscles in a clockwise position.
apply pressure against the anterior and lateral walls of the vagina.
in the rectum.
palpate upward to just lateral to the pubic tubercles.
Question:
An ulcerated vulvar lesion in an elderly woman may indicate:
Condylomataacuminata.
a syphilitic chancre.
vulvar cancer.
ovarian cancer.
Question:
Pelvic floor muscle weakness may be due to all of the following except:
aging.
dyspareunia.
stressincontinence.
Parkinson's disease
Question:
In a female diagnosed with a third-degree uterine prolapse, the cervix:
is located in its normal position.
has slipped but is well within the vagina.
is located in the introitus.
and vagina are outside the introitus.
Question:
A woman complains of abnormally heavy and prolonged menstrual periods that occur at regular intervals. This condition is most likely:
oligomenorrhea.
polymenorrhea.
metrorrhagia.
menorrhagia.
Question:
In a female diagnosed with a second-degree uterine prolapse, the cervix:
is located in its normal position.
has slipped but is well within the vagina.
is located in the introitus.
andvagina are outside the introitus.
Question:
A woman complains of experiencing frequent menses with intervals of fewer than 21 days. This condition is termed:
oligomenorrhea.
polymenorrhea.
metrorrhagia.
menorrhagia.
Question:
If performed ly and in a timely fashion, which one of the following is most definitive for the diagnosis of breast cancer?
Breast tissue sample
Digital mammogram
Self-breast examination
Clinical breast exam
Question:
Retraction of the nipple and areola suggest:
a cystic breast.
an underlying breast mass.
afibroadenoma.
a normal finding in most women.
Question:
The vaginal mucosa lies in transverse folds called the:
fornices.
rugae.
corpus.
fornix.
Question:
The most important risk factor for cervical cancer is:
failure to undergo screening.
multiple sexual partners.
long term use of oral contraception.
persistent infection with high-risk human papillomavirus (HPV) subtypes.
Question:
When performing a bimanual exam of the vagina, the examiner should lubricate the index and middle fingers of a gloved hand. From a standing position, the fingers should be inserted into the vagina while exerting pressure primarily:
anteriorly.
posteriorly.
toward the "4-o"clock" position.
toward the "8-o"clock" position.
Question:
Fixed flattening of the nipple suggests:
dimpling.
nipple retraction.
cysticbreasts.
galactorrhea.
Question:
Chronic pelvic pain may be secondary to all of the above except:
sexually transmitted diseases.
sexualabuse.
fibroids.
peptic ulcer disease.
Question:
When discussing the female anatomy, the introitus is also known as the:
uterus.
vaginalcanal.
vaginal opening.
cervicalos.
Question:
When performing a breast exam, a mobile mass becomes fixed when the arm relaxes. This suggests that the mass is:
cystic.
attached to the rib or intercostal muscle.
nonmalignant.
attached to the pectoral fascia.
Question:
To palpate the right ovary when performing the bimanual vaginal exam, the abdominal hand should be on the right lower quadrant and the pelvic hand needs to be:
in the left lateral fornix.
in the right lateral fornix.
exerting pressure primarily posteriorly.
elevating the cervix and uterus simultaneously.
Question:
When performing an examination of the external genitalia of a female patient, a small, firm, round cystic nodule in the labia is identified. This lesion is most consistent with:
a syphilitic chancre.
an epidermoid cyst.
Condylomataacuminata.
genital herpes.
Question:
Primary dysmenorrhea results from:
endometriosis.
increased prostaglandin production during the luteal phase of the menstrual cycle.
pelvic inflammatory disease.
endometriosis in the muscular layers of the uterus.
Question:
The deep red area located around the cervical os is known as:
a retention cyst.
the columnar epithelium.
squamousepithelium.
theendocervix.
Question:
When examining the cervix, a translucent nodule is noted on the cervical surface. This finding is consistent with:
a retention cyst.
an epidermoid cysta
syphilitic chancre.
a cervical polyp.
Question:
To palpate the left ovary when performing the bimanual vaginal exam, the abdominal hand should be on the left lower quadrant and the pelvic hand needs to be:
in the left lateral fornix.
in the right lateral fornix.
exerting pressure primarily posteriorly.
elevating the cervix and uterus simultaneously.
Question:
When performing a vaginal exam with a speculum, the use of the lower blade as a retractor during bearing down could expose an anterior wall defect such as a:
rectocele.
cystocele.
Bartholin gland infection.
prolapse of the urethral mucosa. [Show Less]