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.

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Question 1 of 5

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.

Correct Answer: D

Rationale: The correct answer is D: Goodell; Chadwick. Goodell's sign refers to cervical softening, which is a common sign of pregnancy at 8 weeks. Chadwick's sign refers to the bluish discoloration of the cervix due to increased blood flow, also commonly seen at this stage. Tanner and Hegar signs are not relevant to the described scenario. Tanner's sign is related to breast development and Hegar's sign is related to softening of the isthmus of the uterus, not the cervix. Therefore, choices A, B, and C are incorrect.

Question 2 of 5

A married couple has come to the clinic seeking advice on pregnancy. They have been trying to conceive for 4 months and have not been successful. What should the nurse do first?

Correct Answer: B

Rationale: The correct answer is B because it aligns with standard medical guidelines. Couples are typically considered infertile after 1 year of trying to conceive without success. This timeframe allows for natural variations in fertility and is when medical intervention is usually recommended. A: Ascertain antibiotic use is not the first step as it may not be directly related to infertility. C: Referring to pelvic inflammatory disease assumes a diagnosis without proper evaluation. D: Incorrect timeline of 3 months and immediate referral to a fertility expert is premature without giving time for natural conception.

Question 3 of 5

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:

Correct Answer: A

Rationale: Step 1: Neonatal genital engorgement is a common finding due to maternal hormones. Step 2: Maternal hormones can cause swelling of the labia majora, clitoris, and thickening of the hymen. Step 3: This physiological phenomenon typically resolves within a few weeks post-birth. Step 4: The nurse should reassure the mother that this is a normal finding in newborns. Summary: Choice A is correct because it aligns with the normal physiological process, while the other options suggest unnecessary interventions or monitoring that are not indicated in this situation.

Question 4 of 5

A nurse is examining a 40-year-old woman for signs of ovarian cancer. She has a family history of ovarian cancer. Which statement does the nurse know to be true regarding ovarian cancer?

Correct Answer: A

Rationale: The correct answer is A: Ovarian cancer often does not show symptoms until late stages. This is true because ovarian cancer is often asymptomatic in the early stages, making it difficult to detect. By the time symptoms appear, the cancer is usually at an advanced stage. Choice B is incorrect because the Pap smear test is used to detect cervical cancer, not ovarian cancer. Choice C is incorrect because while some high-risk women may benefit from periodic ultrasound screenings, it is not recommended for all women at high risk. Choice D is incorrect because there is no specific annual screening recommendation for ovarian cancer in women over the age of 50.

Question 5 of 5

A 50-year-old woman reports that she has been experiencing hot flashes, night sweats, and vaginal dryness. The nurse suspects that she is in the peri-menopausal stage. What is the primary reason for these symptoms?

Correct Answer: D

Rationale: I must clarify that the correct answer should be A: Decreased estrogen levels. In the peri-menopausal stage, a woman's ovaries produce less estrogen, leading to symptoms like hot flashes, night sweats, and vaginal dryness. Option B is incorrect because increased estrogen levels are not typical during peri-menopause. Option C is vague and does not specifically address the primary reason for the symptoms. Option D, psychological stress, may exacerbate symptoms but is not the primary cause in this scenario.

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