Chapter 27, Female Genitourinary System: Findings for Female Genitalia—Sherpath

Question 1 of 12

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Which findings would the nurse consider normal on palpation of the perineum of a woman who has borne five children?

• Correct
  • Thin tissueThe perineum tissue is likely to feel thinner in a multiparous woman compared to a nulliparous woman.
• • InflammationPerineum inflammation should not be tender in either a multiparous or nulliparous woman.
• • TendernessThe perineum should not be tender in either a multiparous or nulliparous woman.
• • Smooth tissueThe tissue is likely to feel rigid, not smooth, in a multiparous woman.

Question 2 of 12

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When assessing the Bartholin glands, which finding is considered normal?

• • EdemaEdema in the Bartholin glands is an abnormal finding and may indicate infection.
• • Non-tender massA mass in the Bartholin glands, even if non-tender, is an abnormal finding and may indicate a Bartholin cyst.
• Correct
  • They are nonpalpableThe Bartholin glands should be nonpalpable in a healthy patient.
• • Presence of odor-free dischargeThere should not be any discharge noted when assessing the Bartholin glands.

Question 3 of 12

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Which findings would the nurse consider normal upon inspection of the anus?

• • FissureSkin fissures, or tears, are an abnormal finding when assessing the anus.
• • ScarringScarring is an abnormal finding when assessing the anus.
• Correct
  • Course skinThe skin of the anus normally appears coarse.
• • InflammationInflammation is an abnormal finding when assessing the anus.
• Correct
  • Dark pigmentationThe anal surface is more darkly pigmented than the surrounding skin.

Question 4 of 12

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Which finding is considered normal when palpating the cervix of a non-pregnant patient?

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  • FirmThe cervix of a nonpregnant patient should feel firm.
• • SoftThe cervix of a pregnant, not a nonpregnant, patient may feel soft.
• • OffsetThe cervix should be at midline regardless of whether the pregnant is patient.
• • Pear-shapedThe uterus, not the cervix, should feel pear shaped.

Question 5 of 12

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When palpating the uterus, which characteristics would be considered normal?

• • Pink in colorThe color of the uterus is not assessed during uterine examination.
• • TendernessUterine tenderness on palpation is an abnormal finding and may indicate pelvic inflammatory disease or a ruptured tubal pregnancy.
• • Limited motilityLimited motility or a fixed uterus is an abnormal finding and may indicate adhesions.
• Correct
  • Motility in the anteroposterior planeOn palpation the uterus should be mobile in the anteroposterior plane.

Question 6 of 12

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If the ovaries are palpable, which findings would be considered normal when palpating?

• • NodularityPalpable nodularity is an abnormal finding when palpating the ovaries.
• Correct
  • SmoothnessIf palpable, the ovaries should feel smooth.
• Correct
  • Ovoid in shapeThe ovaries should feel ovoid in shape when palpating.
• • Soft to the touchIf palpable, the ovaries should feel firm, not soft.
• Correct
  • Slight tenderness on palpationAlthough marked tenderness is abnormal, the ovaries may be slightly to moderately tender on palpation.

Question 7 of 12

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Which female genitalia finding is normal in newborns?

• • Thinning cervixA thinning cervix, or effacement, is a normal finding in a pregnant woman, but not a newborn.
• Correct
  • Protruding hymenThe newborn’s hymen is often protruding, thick, and vascular but will return to normal within a few days after birth.
• • Edema of Skene glandsEdema of Skene glands are an abnormal finding at any age and may indicate infection.
• • Urinary meatus within the vaginal introitusThe urinary meatus may be located near or within the vaginal introitus in older woman as a result of relaxed perineal musculature, but not in newborns.

Question 8 of 12

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Which types of vaginal discharge are considered normal in newborns?

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  • BloodyA vaginal discharge occasionally mixed with blood is considered normal in newborns.
• • Foul odorA vaginal discharge with a foul odor is an abnormal finding in newborns.
• Correct
  • Whitish in colorA whitish vaginal discharge is commonly seen in newborns.
• Correct
  • Mucoid in natureA vaginal mucoid discharge is commonly seen in newborns.
• • Discharge resulting from diaper irritationA vaginal discharge associated with diaper irritation is an abnormal finding in newborns.

Question 9 of 12

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Which characteristics of the newborn hymen are considered normal?

• • AbsentAn absent hymen is an abnormal finding in a female of any age.
• • ImperforateAn imperforate hymen is a rare and abnormal finding in a female of any age.
• • Opening of 2 cm in diameterAn opening of 2 cm is an abnormally large opening in a newborn’s hymen.
• Correct
  • Opening of 0.5 cm in diameterThe newborn’s hymen is typically 0.5 cm in diameter.

Question 10 of 12

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A red, soft protrusion from the endocervical canal (as imaged) is indicative of which abnormal finding?

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  • Cervical polypA red, soft protrusion from the endocervical canal is indicative of cervical polyp.
• • Cervical cancerCervical cancer is indicated by a hard granular surface, not by a red, soft protrusion from the endocervical canal.
• • EndometriosisA red, soft protrusion from the endocervical canal does not indicate endometriosis.
• • Uterine prolapseA red, soft protrusion from the endocervical canal does not indicate uterine prolapse.

Question 11 of 12

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When palpating the uterus, which findings would be considered abnormal in a nonpregnant woman?

• • Firm wallsThe walls of the uterus should feel firm on palpation.
• • Smooth wallsThe walls of the uterus should feel smooth on palpation.
• Correct
  • 3.0 cm in lengthThe uterus is expected to be 5.5-8.0 cm in length; 3.0 cm would be considered abnormal.
• • Rounded contourA rounded contour is an expected finding on palpation of the uterus.

Question 12 of 12

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When examining the labia, which findings suggest genital warts (Condyloma acuminatum)?

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  • Soft growthsSoft growths on the labia are abnormal findings suggestive of genital warts.
• Correct
  • Clustering of lesionsGenital wart lesions may form clusters and may enlarge to form cauliflower-like masses.
• • Homogeneous colorA homogenous color is an expected finding when examining the labia.
• • Nontender on palpationNontender labia on palpation are an expected finding.
• Correct
  • Reddish-brown growths on labiaReddish-brown growths on the labia are abnormal findings suggestive of genital warts.