When performing a well woman examination, the nurse expects what findings?

Correct Answer: A

Rationale: The correct answer is A because during a well woman examination, the inner surface of the vestibule should appear deep pink, moist, and have a smooth texture, indicating normal vaginal mucosa. This indicates good vascularization and moisture levels. Choice B is incorrect as the inguinal skin should not be wrinkled and moist with sparse hair distribution during a well woman examination. Choice C is incorrect as the labia minora should not be deeply pigmented, ragged, or asymmetrical. It should appear pink, smooth, and symmetrical. Choice D is incorrect as the pubic hair being evenly distributed over the mons shaped as a triangle is not a specific finding expected during a well woman examination.

Correct Answer: C

Rationale: The correct answer is C: Weak urine stream. Enlargement of the prostate gland can compress the urethra, leading to difficulty in urination and a weak urine stream. Constipation (A), change in bowel patterns (B), and increased mucus in urine (D) are not typically associated with prostate enlargement. This highlights the importance of understanding the anatomical and physiological implications of prostate enlargement on urinary function.

Correct Answer: B

Rationale: The correct answer is B because the Huhner test is used to assess the quality of cervical mucus and its ability to support sperm survival and movement. Therefore, determining the estimated time of ovulation is crucial as it ensures that the test is performed during the most fertile period of the woman's cycle. This increases the chances of obtaining accurate and relevant results. A: Being sedated during the procedure is unnecessary as the Huhner test is a simple and non-invasive procedure that does not require sedation. C: Experiencing shoulder pain after the procedure is not a common side effect of the Huhner test and is not a significant aspect to focus on during preparation. D: Refraining from intercourse before the appointment is not specifically required for the Huhner test, as the purpose of the test is to evaluate the quality of cervical mucus rather than the presence of sperm.

Correct Answer: D

Rationale: The correct answer is D: Prepare the client for further diagnostic testing. A testosterone level of 680 ng/dL is high for a 67-year-old male, which could indicate an underlying medical condition. A prostate-specific antigen level of 10 ng/mL is elevated and could suggest prostate issues. Prolactin level of 5 ng/mL is within normal range but still needs further evaluation due to the other abnormal results. Therefore, preparing the client for further diagnostic testing is crucial to investigate the potential underlying health concerns. Incorrect options: A: Assess for possible galactorrhea with breast discharge - Irrelevant as galactorrhea is not indicated by the given results. B: Note the possibility of a testicular tumor - Testosterone level elevation is more indicative of non-testicular issues. C: Communicate to the provider that results were normal - Results are not normal, warranting further evaluation.

Correct Answer: A

Rationale: The correct answer is A: Dilation of the cervix. This is the first stage of labor, where the cervix begins to open and thin out to allow the baby to pass through the birth canal. This process is crucial in preparing the body for delivery. The other choices are incorrect as they occur in later stages of labor. B: Delivery of the infant is the second stage, C: Contraction of the uterus is a general process throughout labor, and D: Delivery of the placenta is the third stage after the baby is born.