The nurse is performing a gynecological examination and is ready ...

[kaid0807]

The nurse is performing a gynecological examination and is ready to insert the speculum. Which angle of insertion is correct for the client in the lithotomy position?
 
  1. 90 degrees.
  2. 45 degrees.
  3. Straight down.
  4. Straight up.

Question 2

The nurse is examining a postmenopausal female client and palpates a mobile, smooth, round-shaped mass in the left lower abdominal quadrant. Which action by the nurse is the most appropriate based on this data?
 
  1. Ask the client the date of her last menstrual period.
  2. Report the findings to the healthcare provider.
  3. Re-examine the area using a vaginal speculum.
  4. Ask the client if she could be pregnant.

[stano32]

Answer to Question 1

Correct Answer: 2
The speculum should be inserted at a 45-degree downward angle. This angle matches the downward slope of the vagina when the client is in the lithotomy position.

Answer to Question 2

Correct Answer: 2
In women who are postmenopausal, palpable ovaries are considered abnormal, as the ovaries would normally atrophy with the decrease in estrogen. The ovary cannot be viewed with a vaginal speculum, and a pregnant uterus would not be palpated in this area. Menstruation is not relevant to this situation.