Assignment:Genitourinary Assessment

Assignment:Genitourinary Assessment

Question 1

When performing a genitourinary assessment, the nurse notices that the urethral meatus is positioned ventrally. This finding is [ ].

Answer

Hypospadias

Question 2

A 25-year-old woman comes to the emergency department with a sudden fever of 101F and abdominal pain. Upon examination, the nurse notices that she has rigid, board like lower abdominal musculature. When the nurse tries to perform a vaginal examination, the patient has severe pain when the uterus and cervix are moved. The nurse knows that these signs and symptoms are suggestive of:

endometriosis.

uterine fibroids.

ectopic pregnancy.

pelvic inflammatory disease.

Question 3

While assessing a hospitalized, bedridden patient, the nurse notices that the patient has been incontinent of stool. The stool is loose and gray-tan in color. The nurse recognizes that this finding indicates which of the following?

Occult blood.

Inflammation.

Absent bile pigment.

Ingestion of iron preparations.

Question 4

A 55-year-old man is experiencing severe pain of sudden onset in the scrotal area. It is somewhat relieved by elevation. On examination, the nurse notices and enlarged, red scrotum that is very tender to palpation. It is difficult to distinguish the epididymis from the testis, and the scrotal skin is thick and edematous. This description is consistent with which of these?

epididymitis.

spermatocele.

testicular torsion.

hernia.

Question 5

When the nurse is performing a testicular examination on a 25-year-old man, which of these findings is considered normal?

Nontender subcutaneous plaques.

A scrotal area that is dry, scaly, and nodular.

Testes that feel oval and movable and are slightly sensitive to compression.

A single, hard, circumscribed, movable mass, less than 1cm under the surface of the testes.

Question 6

A woman who is 8 weeks pregnant is in the clinic for a checkup. The nurse reads on her chart that her cervix is softened and looks cyanotic. The nurse knows that the woman is exhibiting [ ] sign and [ ] sign. (submit two answers)

Asnwer

Goodell’s; Chadwick’s

Question 7

A patient who is visiting the clinic complains of having “stomach pains fo r2 weeks” and describes his stools as being “soft and black” for about the last 10 days. He denies taking any medications. The nurse is aware that these symptoms are most indicative of:

excessive fat caused by malabsorption.

increased iron intake resulting from a change in diet.

occult blood resulting from gastrointestinal bleeding.

absent bile pigment from liver problems.

Question 8

The nurse is palpating the prostate gland through the rectum and notices an abnormal finding if which of these is present?

palpable central groove.

tenderness to palpation.

heart-shape.

elastic and rubbery consistency.

Question 9

The nurse is examining a 35-year-old female patient. During the history, the nurse notices that she has had two term pregnancies, and both babies were delivered vaginally. During the internal examination the nruse observes that the cervical os is a horizontal slit with some healed lacerations and that the cervix has some nabothian cysts that are small, smooth, and yellow. In addition, the nurse notices that the cervical surface is granular and red, especially around the os. Finally, the nurse notices the presence of stringy, opaque, odorless secretions. Which of these findings are abnormal?

Presence of Nabothian cysts.

The cervical os is a horizontal slit.

The cervical surface is granular and red.

Stringy and opaque secretions are present.

Question 10

The nurse is reviewing the changes that occur with menopause. Which of these are changes associated with menopause?

Uterine and ovarian atrophy along with thinning vaginal epithelium.

Ovarian atrophy, increased vaginal secretions, and increasing clitoral size.

Cervical hypertrophy, ovarian atrophy, and increased acidity of vaginal secretions.

Uterine and ovarian hypertrophy and a thickening of the along vaginal epithelium.