NR 304 / NR304 EXAM TESTBANK. QUESTIONS WITH 100% CORRECT ANSWERS

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NR 304 EXAM TEST BANK. Jarvis: Physical Examination & Health Assessment, 7th Edition 31. During an examination, which tests will the nurse collect to screen for cervical cancer? Endocervical specim... en, cervical scrape, and vaginal pool 32. When performing the bimanual examination, the nurse notices that the cervix feels smooth and firm, is round, and is fixed in place (does not move). When cervical palpation is performed, the patient complains of some pain. The nurse’s interpretation of these results should be which of these? The cervix should move when palpated; an immobile cervix may indicate malignancy. 33. The nurse is palpating a female patient’s adnexa. The findings include a firm, smooth uterine wall; the ovaries are palpable and feel smooth and firm. The fallopian tube is firm and pulsating. The nurse’s most appropriate course of action would be to: Give her an immediate referral to a gynecologist. 34. A 65-year-old woman is in the office for routine gynecologic care. She had a complete hysterectomy 3 months ago after cervical cancer was detected. Which statement does the nurse know to be true regarding this visit? The nurse should plan to lubricate the instruments and the examining hand adequately to avoid a painful examination. 35. The nurse is preparing to examine the external genitalia of a school-age girl. Which position would be most appropriate in this situation? In a frog-leg position on the examining table 36. When assessing a newborn infant’s genitalia, the nurse notices that the genitalia are somewhat engorged. The labia majora are swollen, the clitoris looks large, and the hymen is thick. The vaginal opening is difficult to visualize. The infant’s mother states that she is worried about the labia being swollen. The nurse should reply: “This is a normal finding in newborns and should resolve within a few weeks.” 37. During a vaginal examination of a 38-year-old woman, the nurse notices that the vulva and vagina are erythematous and edematous with thick, white, curdlike discharge adhering to the vaginal walls. The woman reports intense pruritus and thick white discharge from her vagina. The nurse knows that these history and physical examination findings are most consistent with which condition? Candidiasis 38. A 22-year-old woman is being seen at the clinic for problems with vulvar pain, dysuria, and fever. On physical examination, the nurse notices clusters of small, shallow vesicles with surrounding erythema on the labia. Inguinal lymphadenopathy present is also present. The most likely cause of these lesions is: Herpes simplex virus type 2. 39. When performing an external genitalia examination of a 10-year-old girl, the nurse notices that no pubic hair has grown in and the mons and the labia are covered with fine vellus hair. These findings are consistent with stage _____ of sexual maturity, according to the Sexual Maturity Rating scale. [Show More]

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