Chapter 17 Reproductive System and the Perineum

Chapter 17  Reproductive System and the Perineum

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. During the initial inspection of the female genitalia, the nurse recognizes which finding as normal?
a.
The labia minora are hair-covered and lying within the labia majora.
b.
The cervical os in the multiparous woman has the shape of a small circle.
c.
The vaginal vestibule lies between the labia minora and contains the urinary meatus.
d.
The openings of Skene and Bartholin glands are visible posteriorly.

ANS: C

Feedback
A
The labia majora, rather than the labia minora, are covered with hair.
B
The os of parous women is the shape of a slit.
C
This description is of normal female anatomy.
D
The opening of these glands is on either side of the vaginal vestibule.

DIF: Cognitive Level: Understand REF: 386| 401
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Physiologic Integrity: Reduction of Risk Potential: System Specific Assessments

2. The pregnant patient tells the nurse that she has had three pregnancies and two live births to date. How does the nurse record this in the patient’s history?
a.
Gravida 3, para 3
b.
Gravida 3, para 2
c.
Gravida 2, para 3
d.
Gravida 2, para 2

ANS: B

Feedback
A
Gravida 3, para 3 represents three pregnancies and three that reached 20 weeks or longer.
B
Gravida 3, para 2 represents three pregnancies and two that reached 20 weeks or longer, which is consistent with what the patient reported.
C
Gravida 2, para 3 represents two pregnancies and three that reached 20 weeks or longer, which is not possible.
D
Gravida 2, para 2 represents two pregnancies and two that reached 20 weeks or longer.

DIF: Cognitive Level: Apply REF: 394
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Physiologic Integrity: Reduction of Risk Potential: System Specific Assessments

3. A mother asks a nurse when her daughter should get immunized again for human papilloma virus (HPV). What is the nurse’s most appropriate response to this question?
a.
“Your daughter does not need this immunization until she becomes sexually active.”
b.
“The recommended age for this immunization is between ages 25 and 30 years of age.”
c.
“Between the ages of 11 and 26 years is the recommended time for this immunization.”
d.
“When she begins having menstrual periods is the best time for this immunization.”

ANS: C

Feedback
A
This is not the recommendation of the CDC.
B
This is not the recommendation of the CDC.
C
This is the recommendation from the Centers for Disease Control and Prevention (CDC).
D
This is not the recommendation of the CDC.

DIF: Cognitive Level: Apply REF: 398
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Promotion Programs

4. A patient asks when she should make an appointment for her first Pap (Papanicolaou) test to screen for cervical cancer. What is the nurse’s most appropriate response?
a.
“There is no need for Pap tests until after you have become pregnant.”
b.
“All women should have the first Pap test after reaching menarche.”
c.
“All women should have the first Pap test after they are 19 years of age.”
d.
“All women should have the first Pap test when they become sexually active or at age 21.”

ANS: D

Feedback
A
The recommendation is when females become sexually active or 21 years old.
B
The recommendation is when females become sexually active or 21 years old.
C
All females should be screened when they become sexually active or 21 years old, whichever happens first.
D
This is the recommendation from the U.S. Preventive Services Task Force. All females should be screened when they become sexually active or age 21, whichever happens first.

DIF: Cognitive Level: Apply REF: 399
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Promotion Programs

5. A patient asks when she can stop having Pap (Papanicolaou) tests. What is the nurse’s most appropriate response?
a.
“Until you are no longer sexually active.”
b.
“Through age 65.”
c.
“Until you begin menopause.”
d.
“Through the end of menopause.”

ANS: B

Feedback
A
The recommendation from the U.S. Preventive Services Task Force is through age 65.
B
This is the recommendation from the U.S. Preventive Services Task Force. All females should be screened after the onset of sexual activity through age 65.
C
The recommendation from the U.S. Preventive Services Task Force is through age 65.
D
The recommendation from the U.S. Preventive Services Task Force is through age 65.

DIF: Cognitive Level: Apply REF: 399
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Promotion Programs