Question 1

During a routine pelvic examination, the nurse instructs the patient to bear down. The nurse explains that this motion makes it easier to assess for which conditions?. Select all that apply.

Accepted Answer

Bearing down during a pelvic exam can help to assess for rectoceles, prolapsed uterus, and cystoceles. This motion assists in pushing these organs down and making them more noticeable during the exam. Vaginal tumors and ovarian cysts may require other methods or imaging to be detected.

Question 2

The patient asks why the nurse is asking questions about her mother's obstetrical history. Which rationale for this questioning should the nurse provide?

Accepted Answer

Obstetrical history can provide information about any medications or treatments the patient's mother may have received during pregnancy that could affect the patient's health.

Question 3

The nurse is instructing a female patient about changes in sexual functioning that may result from the aging process. Which nursing diagnoses would the nurse incorporate into the plan of care for this patient regarding sexual intercourse?. Select all that apply.

Accepted Answer

The answer of The nurse is instructing a female patient...

Question 4

A young adult male asks the nurse about the recommended frequency of testicular self-exams. How should the nurse respond?

Accepted Answer

While some healthcare providers may recommend monthly testicular self-exams, not all experts agree that they are necessary or beneficial for young men. The nurse should provide accurate and evidence-based information to the patient, which includes the fact that not all healthcare providers recommend frequent self-exams.

Question 5

During assessment, the nurse notes a third nipple about 4 inches below the patient's costal margin. What nursing action is indicated?

Accepted Answer

A third nipple, also known as a supernumerary nipple, is a common normal variant and does not typically require further action beyond documentation in the patient's medical record. It is not necessary to ask when it appeared or to look for additional nipples. While it is true that some supernumerary nipples have been associated with breast cancer, this is not a common occurrence, and further investigation would only be warranted if there were other concerning findings on the exam.

Question 6

A female patient who is experiencing hot flashes during menopause asks the nurse how long they will last. Which information should the nurse provide?

Accepted Answer

Hot flashes can last up to 5 years or longer in some women after menopause. While some women may experience hot flashes for only a few months, others may have them for several years. It is important for the nurse to provide accurate information and support for the patient during this transitional period.

Question 7

On assessment the nurse notes that a patient's urinary opening is on the ventral side of the penis. How should the nurse document this finding?

Accepted Answer

The urinary opening on the ventral side of the penis is a characteristic of hypospadias, a congenital condition where the urethra opens on the underside of the penis.

Question 8

Which statement by a patient offers the nurse information about moliminal symptoms?

Accepted Answer

Menstrual cramps are an example of molimina, which are symptoms that come before a specific event, such as a period or an exacerbation of a chronic condition.

Question 9

Which precautions should the nurse conducting an assessment of the reproductive system take to avoid the cremasteric reflex?

Accepted Answer

The cremasteric reflex is a reflex contraction of the cremaster muscle in response to touch of the thigh or scrotum. To avoid this reflex, the nurse should conduct the examination in a warm room, as cold temperatures can trigger the reflex. Asking the patient to cough or breathe slowly will not prevent the reflex. Lubrication for a prostate exam is not relevant to avoiding the cremasteric reflex.

Question 10

A 20-year-old female asks the nurse when she should begin having pelvic examinations. Which should the nurse ask before responding?

Accepted Answer

The most appropriate question for the nurse to ask is whether the patient is sexually active. This information helps the nurse determine the appropriate age to begin pelvic examinations and to provide education and counseling on contraception and sexually transmitted infections (STIs) prevention. The other questions are not relevant to determining when to start pelvic exams.

Quiz 40: Nursing Assessment of the Patient With Reproductive Disorders