Chapter 23 The Gynecologic Examination and Prenatal Care

Gynecology is the branch of medicine that deals with

Diseases of the reproductive organs of women

The absence of cessation of the menstrual period is known as

Amenorrhea

Pain associated with the menstrual period is known as

Dysmenorrhea

Excessive bleeding during the menstrual period is known as

Dysfunctional uterine bleeding

A complete gynecologic examination consists of a

Breast and pelvic examination

In what position is the patient placed for a breast examination

Supine

The American College of Obstertricians and Gynecologists recommends that a woman perform a breast self-examination

once each month

Which of the following positions is used to perform a pelvic examination

Lithotomy

Why is it important that the patient be relaxed during the pelvic examination

For easier insertion of the vaginal speculum, to make the examination easier for the patient, to make it easier for the physician to perform the bi-manual pelvic examination

Which of the following is included in a pelvic examination

Inspection of the external genitalia, vagina, and cervix, collection of a specimen for a pap test, bin-manual pelvi examination, rectal- vaginal examination

The function of a vaginal speculum is to

Hold the walls of the vagina apart,

If a pap test is being performed using the liquid based method, the vaginal speculum should be

Thinly lubricated with a water based lubricant

What is the purpose of the Pap test

Early detection of cervical cancer

The patient should be instructed not to douche before having a pap smear taken, because

reduces the number of cells available for analysis

A pap smear should not be performed during a woman's menstrual period because blood cells

Obscure the specimen and interfere with an accurate reading

When collecting a pap smear, the ectocervical specimen is obtained using

the S- shaped end of the spatula

Which of the following is an advantage of the liquid- based pap method

Almost all the pap specimen is preserved, debris is removed from the specimen, the cells are dispersed in a thin even layer on the slide

The purpose of the maturation index is to

Provide the physician with an endocrine evaluation

The Bethesda System for reporting the results of the pap test includes

a detailed description of any abnormal findings

The purpose of a bi manual pelvic examination is to

Determine the size, shape and position of th uterus and ovaries

In preparation for a gynecologic examination the patient should be instructed to

Empty bladder, undress completely, wear the examining gown with the opening in front and breath deeply slowly and evenly during the examinaiton

Which of the following is NOT a systom of trichomoniasis

Abdominal pain

The causative agent of trichomoniasis is a

Motile protozoan

What preparation is required to examine Trichomomnas vaginalis under the microscope

THe vaginal discharge is placed on a slide with a drop of isotonic saline

Which of the following patients is most likely to develop candidiasis

A patient on prolonged antibiotic therapy

Which of the following is a symptom of candidiasis

Thick odorless cottage cheese like discaharge

If Candida albicans is present what would be observed under the microscope

Yeast buds, spores and hyphae

Symptoms of chlamydial infection in a female if the occur include

Dysuria, itching, irritation of the genital area, yellowish odorless vaginal discharge

If left untreated a chlamydial infection in a woman may result in

pelvic inflammatory disease

Chlamydial infection often occurs in association with

Gonorrhea

Gonorrhea is transmitted through

sexual intercourse

Which of the following is NOT a characteristic of gonorrhea in a male

Enlargement of the prostate gland

Which of the following can be used to diagnose chlamydia and gonorrhea

DNA- probe test

What is the purpose of prenatal care

to prevent disease, to promote health, to provide prenatal education, and early detection of problems

In the absence of complications, the first prenatal visit should be scheduled after the patient

misses her second menstrual period

Which of the following in not included in the first prenatal visit

determination of fetal presentaion and position

the purpose of the prenatal record is to

provide info on the past health status of patientk identify high risk patients, provide info on present health status of patient and serve as a flow sheet for prenatal visits

The purpose of the past medical history is to obtain information from the patient on

Conditions that may affect the health of the mother and fetus

The purpose of the present pregnancy history is to

Establish a baseline for the present health status of the prenatal patient, record medications being taken by the patient, determine if the patient has experienced any of the early signs of pregnancy

What is the LMP

The date of the first day of the last menstural period`

What is the EDD of a patient whose LMP was September 5, 2013

6/12/2014

Which of the following is NOT a warning sign in pregnancy

heartburn

The purpose of the interval prenatal history is to

record weight, blood pressure, and urine testing results, determine the presence of any concerns or problems, determine the occurrence of any additional signs of pregnancy, record the fetal heart tones and fundal height

Which of the following is performed during the initial prenatal examination

Measurement of vital signs , physical examination, breast examination, pelivic examination

Which of the following urine tests is performed at each return prenatal visit

Glucose and protein

If not treated, infection of the infant's eyes with gonorrhea during delivery could result in

blindness

An infant infected with group B streptococcus during delivery may develop

Septicemia, meningitis, pneumonia

When is a pregnant woman tested for group b streptococcus

35-37 weeks

What is the usual schedule of prenatal visits during the first 28 weeks of gestation

every 4 weeks

What is the most common medical disorder of pregnacey

Hypertension

The purpose of measuring fundal height is to

Assess whether fetal growth is progessing normally

Which of the following is Not a characteristic of the Doppler fetal pulse detector

The FHT can first be detected between 2 to 4 weeks of gestation

What is the normal range for the pulse rate

120-160 beats min

A vaginal exam is usually performed as the patient nears term, which of the following is not a reason for performing this examination

To determine when the patient will go into labor

The triple screen test is used to detect which of the following fetal abnormalities

Neural tube defects

Obstetric ultrasound is used to

detect ectopic pregnancy, determine gestational age, detect the presence of multiple fetuses, and determine the position of the placenta

Amniocentesesis can be used to

Aid in the diagnosis of congenital abnormalities, assess fetal lung maturity, determine the gender of the fetus, detect fetal disteress

Which of the following conditions may warrant fetal heart rate monitoring

Decreased fetal activity, fetal growth that is not progressing well, overdue baby, gestational diabetes mellitus

The dome-shaped upper portion of the uterus between the fallopian tubes is known as the

Fundus

What is the term for a woman who has been pregnant more that once

Multigravida

What is the term for the child in utero, from the 3rd month after conception to birth

fetus