ATI RN
Genitourinary System Assessment Questions
Question 1 of 5
An 11-year-old girl is in the clinic for a sports physical examination. The nurse notices that she has begun to develop breasts, and during the conversation the girl reveals that she is worried about her development. The nurse should use which of these techniques to best assist the young girl in understanding the expected sequence for development? The nurse should:
Correct Answer: A
Rationale: The correct answer is A: Use the Tanner scale on the five stages of sexual development. The Tanner scale is a standardized tool used to assess the stages of sexual development in children and adolescents. By using this scale, the nurse can provide the girl with a clear and objective understanding of her current stage of development and what to expect in the future. This approach helps the young girl feel informed and reassured about the normal process of puberty. Choice B is incorrect because comparing the girl's development with other girls her age may lead to unnecessary comparisons and anxiety. Choice C is incorrect as the Jacobsen table based on height and weight data is not relevant for assessing sexual development. Choice D is incorrect as simply reassuring the girl without providing detailed information may not address her concerns effectively.
Question 2 of 5
A 22-year-old woman has been considering using oral contraceptives. As a part of her health history, the nurse should ask:
Correct Answer: D
Rationale: The correct answer is D because smoking increases the risk of cardiovascular complications with oral contraceptives. By asking about the number of cigarettes smoked per day, the nurse can assess the level of risk. Choice A is incorrect as it is not directly related to the safety of oral contraceptives. Choice B is important for overall sexual health but not directly related to the safety of oral contraceptives. Choice C is vague and does not provide specific information about potential risks associated with oral contraceptives.
Question 3 of 5
The nurse is preparing to examine the external genitalia of a school-age girl. Which position would be most appropriate in this situation?
Correct Answer: B
Rationale: The correct answer is B, placing the girl in a frog-leg position on the examining table. This position provides optimal access and visualization of the external genitalia while ensuring the child's comfort and privacy. Placing the child in the parent's lap (A) may hinder the nurse's ability to perform the examination effectively. The lithotomy position (C) with feet in stirrups is typically used for pelvic exams in older females and may not be necessary for a school-age girl. Lying flat with legs extended (D) would also not provide the necessary access and visibility required for the examination.
Question 4 of 5
A 35-year-old woman is at the clinic for a gynecologic examination. During the examination, she asks the nurse, 'How often do I need to have this Pap test done?' Which reply by the nurse is correct?
Correct Answer: D
Rationale: The correct answer is D because it follows the current guidelines for cervical cancer screening. Starting at age 30, if a woman has had three consecutive normal Pap tests, she can be screened every 2 to 3 years. This is based on the evidence that the risk of cervical cancer is low in women with a history of normal Pap tests. Option A is incorrect as smoking status does not determine Pap test frequency. Option B is incorrect as annual Pap tests are no longer recommended for all women. Option C is incorrect as waiting 5 years between tests is not the standard recommendation based on guidelines.
Question 5 of 5
A 22-year-old woman presents to the clinic with a complaint of severe menstrual cramps. The nurse suspects dysmenorrhea. Which of the following is the most likely cause of dysmenorrhea?
Correct Answer: C
Rationale: The correct answer is C: Ovarian cysts. Ovarian cysts can cause dysmenorrhea by disrupting the normal menstrual cycle and causing pain. Endometriosis (B) is another common cause of dysmenorrhea, but it involves the abnormal growth of endometrial tissue outside the uterus. Uterine contractions (A) are a normal part of menstruation and may cause cramping but are not the primary cause of dysmenorrhea. PCOS (D) is a hormonal disorder that can cause irregular periods and pain, but it is not the most likely cause of dysmenorrhea in this case.