Female Genitalia

• The skin folds of the labia majora are composed of adipose tissue, sebaceous glands, and


  sweat glands
• The visible portion of the clitoris is termed the

  corpus
• The skin folds of the labia majora and the labia minora form a boat-shaped area termed the


  vestibule
• The outermost layer of the vaginal wall is composed of

  pink squamous epithelium and connective tissue
• The outer layer of the vaginal wall is under the direct influence of


  estrogen
• Painful menstruation


  Dysmenorrhea
• Cessation of menstruation


  Menopause
• "Crabs"


  Pediculosis pubis
• Heavy menstruation


  Menorrhagia
• Secrete mucus to aid in lubrication during intercourse

  Bartholin glands
• Desire for sexual activity


  Libido
• Secrete mucus to lubricate and maintain moist vaginal environment

  Skene glands
• Cervix appears blue rather than pink

  Chadwick sign
• Painful urination


  Dysuria
• Absence of menstruation


  Amenorrhea
• Opening in center of cervix

  Os
• Round firm pad of adipose tissue that covers the symphysis pubis

  Mons pubis
• Client holds breath and bears down

  Valsalva maneuver
• Examination of the rectum and sigmoid colon using a sigmoidoscope

  Proctosigmoidoscopy
• Three semilunar transverse folds within the rectal interior


  Valves of Houston
• A female client tells the nurse that she may be experiencing premenstrual syndrome. An appropriate question for the nurse to ask the client is:

  "Do you experience mood swings or bloating?"
• A 53-year-old client tells the nurse that she thinks she is starting the menopausal phase of her life. The nurse should instruct the client that she may experience:

  hot flashes
• During assessment of the vaginal area of an adult client, the client tells the nurse that she has had pain in her vaginal area. The nurse should further assess the client for:

  infection
• A female client tells the nurse that she has pain while urinating. Besides obtaining a urinalysis, the nurse should assess the client for:

  sexually transmitted disease
• An older adult client visits the clinic complaining of urinary incontinence. The nurse should explain to the client that this is often due to:

  decreased urethral elasticity
• A female client has scheduled a physical examination, including a Pap smear. The nurse should instruct the client to:

  refrain from douching 48 hours before the examination
• The nurse is preparing to perform a speculum examination on an adult woman. To lubricate the speculum, the nurse should use:

  K-Y jelly
• The nurse is performing a speculum examination on an adult woman. The nurse is having difficulty inserting the speculum because the client is unable to relax. The nurse should ask the client to:

  take a deep breath
• The nurse is assessing the genitalia of a female client and detects a bulging anterior wall in the vagina. The nurse should plan to refer the client to a physician for:

  cystocele
• An older adult client visits the clinic for a gynecologic examination. The client tells the nurse that she has been told that she has uterine prolapse. The nurse should further assess the client for:

  cystocele
• While assessing the cervix of an adult client, the nurse observes a yellowish discharge from the cervix. The nurse should further assess the client for:

  infection
• While performing a gynecologic examination, the nurse observes small, painful, ulcer-like lesions with red bases on the client's labia. The nurse should refer the client to a physician for possible:

  herpes simplex virus infection
• While assessing the genitalia of a female client, the nurse observes moist fleshy lesions on the client's labia. The nurse should refer the client to a physician for possible:

  genital warts
• During a gynecologic examination, the nurse observes that the client has a yellow-green frothy vaginal discharge. The nurse should plan to test the client for possible:

  Trichomonas vaginalis infection
• A client visits the clinic because she has missed one period and suspects she is pregnant. While assessing the client, the nurse detects a solid, mobile, tender, unilateral adnexal mass. The client's cervix is soft. The nurse suspects that the client may be experiencing:

  ectopic pregnancy
• A client visits the clinic and tells the nurse that her stools have been black for the past 3 days. The nurse should assess the client for:

  gastrointestinal bleeding
• A client visits the clinic and tells the nurse that her stools have been pale for the past 2 days and her skin has been itching. The nurse should refer the client to a physician for possible:

  biliary disease
• The nurse is planning to inspect the anal area of an adult female client. To assess for any bulges or lesions, the nurse should ask the client to:

  bear down
• While assessing the anal area of an adult client, the nurse detects redness and excoriation. The nurse determines that this sign is most likely due to:

  fungal infection
• While assessing the anus of an adult client, the nurse detects the presence of small nodules. The nurse should refer the client to a physician for possible:

  polyps