Jarvis: Physical Examination And Health Assessment, 5Th Edition

Front 1

when observing the vestibule, the nurse should be able to see the:

Back 1

urethral meatus and vaginal orifice (pg. 758)

Front 2

during an inspection of the vagina, the nurse would expect to see what at the end of the vagina?

Back 2

cervix (pg. 759)

Front 3

an 11 yo girl in clinic for a sports physical. the nurse notes that she has begun to develop, breast and during the conversation the girl reveals that she is unsure about the progression of development.the nurse should use which of the following to best assist the girl in understanding the expected sequence for development?

Back 3

the nurse should use Tanner's table of 5 stages of sexual development (pg. 760)

Front 4

a woman who is 8 wks pregnant is in the clinic for a check. the nurse reads on her chart the her cervix is softened and looks cyanotic. the nurse knows that the woman is exhibiting which of the following signs?

Back 4

chadwick's sign and hegars's sign (pg.760)

Front 5

the changes normally associated with menopause accur generally because the cells in the reproductive cells in the reproductive tract are:

Back 5

estrogen dependent (pg. 760)

Front 6

which of the following are changes associated with menopause?

Back 6

uterine and ovarian atrophy along with thinning vaginal epithelium (pg.760-761)

Front 7

a patient has had three pregnancies and two live births. how would the nurse record this info?

Back 7

gravida 3, para 2, AB 1

Front 8

a 52 yo patient states that when she sneezes or coughs she "wets herself a little". she is concerned that something may be wrong. the nurse knows the problem is:

Back 8

stress incontinence and is usually due to muscle weakness (pg. 762)

Front 9

a nurse is assessing a patient's risk fof contracting a std. an appropriate question would be?

Back 9

" do you use a condom with each episode of sexual intercourse?" (pg. 764)

Front 10

when the nurse is discussing sexuality and sexual issues woth adolescents, a permission statement helps to cinvey that it is normal to think or feel a certain way. which statement is the best ex. of a permission statement?

Back 10

"often girls your age engage in sexual activity. It is okay to tell me if you have had intercourse" ( pg. 764)

Front 11

an 18 yo pt. is having her first pelvic exam. It would be appropriate to:

Back 11

raise the head of the exam table and give her a mirror so that she can view the exam.(pg767)

Front 12

the nurse has just completed an inspection of a woman's external genitalia. Which of the following would be a description of a finding wnl

Back 12

multiple nontender sebaceous cysts. (pg768)

Front 13

during an internal exam of a woman's genitalia, the nurse will use which technique for proper insertion of the speculum?

Back 13

Push the introitus down and open, instruct the women to bear down, and insert the speculum with the width of blades at an oblique angle applying and pressure downward.(pg. 771)

Front 14

the nurse is examining a 35yo
female. during the hx. during the internal exam the the nurse observes: cervical os is a horizontal slit with some healed lac.,cervix has some small,smooth,and yellow nabothian cyst,smooth red cervix and finally string, opaque,odorless secretions. which of these findings are wnl?

Back 14

the cervical surface is granular and red (pg 772)

Front 15

Which of the following test are usually collected when sceening for cervical ca?

Back 15

endocervical specimen,cervical scrape,and vaginal pool (pg.773-774)

Front 16

the nurse is preparing to exam
the external genital of a school-age girl.which of the following positions would be most appropriate in this situation?

Back 16

in a frog-leg position on the examining table (pg. 779)

Front 17

during a vaginal exam of a 38 yo,the nurse notes the following: vulva/vagina red and edemtous c thick, white,curdlike d/c sticking to vag. wall. reports intense itching and white d/c from vagina. the nurse knows that these h/p findings are consistent with?

Back 17

candidiasis (pg. 788)

Front 18

when performing an external genitalia ex. of 10yo girl, the nurse notes the following: no pubic hair, the mons and the labia are covered with fine vellus hair. these findings are consistent with which stage of sexual maturity, according to the sexual maturity rating scale?

Back 18

stage 1 (pg. 760)

Front 19

a 25yo comes to er with acute fever 101 and abd pain. the abd is rigid and boardlike. when the nurse tries to perform a vaginal exam the pt. has severe pain when the uterus and cervix are moved. these are sx of:

Back 19

pelvic inflammatory dz. (pg. 791)

Front 20

on exam of ex. genitalia the nurse notes several lesions around the vulva. the lesions are pink,moist,softand pointed papules.the nurse recognizes that these lesions

Back 20

hpv or genital warts

Front 21

during an exam, the nurse would expect the cervical os of a woman who has never had children to appear:

Back 21

small and round (pg 772)