A young female patient tells the nurse that she has a thin, runny ...

[Brittanyd9008]

A young female patient tells the nurse that she has a thin, runny discharge from her vagina every month, about halfway through her menstrual cycle. What should the nurse realize this patient is describing?
 
  1. normal changes in cervical mucus
  2. evidence of a blocked vaginal gland
  3. sexual arousal response
  4. evidence of a sexually transmitted infection

Question 2

During an assessment of a female patient's internal genitalia, the nurse feels a bulge along the posterior vaginal wall. The nurse recognizes that this finding is considered:
 
  1. a prolapsed uterus.
  2. a cystocele.
  3. a rectocele.
  4. a blocked gland.

[Tonny]

Answer to Question 1

Correct Answer: 1
In the menstrual cycle, as the maturing follicle begins to produce estrogen around days 6 to 14, the proliferative phase begins. The amount of cervical mucus produced near the time of ovulation increases. Cervical mucus changes to a thin, crystalline substance and forms channels to help the sperm move up into the uterus. Symptoms of a blocked vaginal gland are not evident. Changes in cervical mucous are not an indication of a sexually transmitted infection or of a sexual arousal response.

Answer to Question 2

Correct Answer: 3
Bulging of the posterior wall suggests a rectocele. Bulging of the anterior vaginal wall and urinary incontinence would suggest a cystocele. Protrusion of the cervix or uterus into the vagina indicates uterine prolapse. The vagina does not contain glands but rather is lubricated by mucus-producing cells. Skene's and Bartholin glands are located between the labia in the vestibule.