A sexually active adolescent is scheduled for a pelvic ...

[cartlidgeashley]

A sexually active adolescent is scheduled for a pelvic examination. What should the nurse do to help the patient relax during the examination?
 
  A) Show her a speculum prior to the exam.
  B) Assure her that no part of the exam will hurt.
  C) Coach her to hold her breath during the exam.
  D) Advise her to keep one hand on her abdomen.

Question 2

A sexually active adolescent female is concerned that she has contracted gonorrhea. Which finding should the nurse expect to assess if gonorrhea is present in this patient?
 
  A) A low-grade fever for 3 days
  B) Painful ulcers on the perineum
  C) Slight yellow vaginal discharge
  D) A white, frothy vaginal discharge

[Smiles0805]

Answer to Question 1

A
Feedback:
Because the first pelvic examination can be stressful, the nurse should spend time with the girl before the procedure to teach her about what is being assessed. Providing representative instruments is helpful when describing the examination. There is no guarantee that no part of the pelvic examination will hurt. The patient should breathe normally during the examination. Keeping one hand on the abdomen has no significance during a pelvic examination.

Answer to Question 2

C
Feedback:
Although symptoms of gonorrhea in females are not as visible, there may be a slight yellowish vaginal discharge. The manifestations of a low-grade fever, ulcers on the perineum, and a frothy white vaginal discharge are not associated with gonorrhea.