Author Question: The nurse is assisting with the vaginal examination of a 33-year-old patient. A nontender mass at ... (Read 32 times)

Mr.Thesaxman · **on:** Jun 25, 2018

The nurse is assisting with the vaginal examination of a 33-year-old patient. A nontender mass at the posterolateral portion of the labia majora is noted. What should the nurse suspect is occurring with the patient?

1. a rectocele
2. a fistula
3. a Bartholin cyst
4. a cyst of Skene's gland

Question 2

The nurse is scheduling a hysterosalpingogram test for a patient. When planning the test, which information from the patient's history will the nurse need?

1. the date of the patient's LMP
2. the number of past pregnancies the patient has had
3. the type of contraceptive being used by the patient and her partner
4. the patient's age at menarche

dreamfighter72 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 3
The Bartholin gland is located at the posterolateral labia majora. This gland provides lubrication to the female genitalia. A swelling in this area is consistent with the diagnosis of Bartholin's cyst. A rectocele is a protrusion of the rectal wall into the vaginal canal. A fistula is an opening between two anatomically separate organs. Skene's glands are located on the anterior vaginal walls.

Answer to Question 2

Correct Answer: 1
The hysterosalpingogram is performed to assess the uterus and fallopian tubes for abnormalities. The test is performed on days 7 to 9 after the menstrual period. Knowledge of the patient's last menstrual period (LMP) will be useful when planning the test. The test is often used as a diagnostic test for patients experiencing infertility, but the number of past pregnancies, contraceptive being used, and age at menarche are not relevant to scheduling the test.