Author Question: An adolescent patient has come to the clinic for her first vaginal examination. Which speculum ... (Read 26 times)

Hungry! · **on:** Jun 25, 2018

An adolescent patient has come to the clinic for her first vaginal examination. Which speculum should the nurse prepare for this examination?

1. Graves speculum
2. Pederson speculum
3. Killian speculum
4. Vienna speculum

Question 2

A pregnant patient overhears the examiner referring to a positive Hegar sign and asks what this means. Which response by the nurse best explains this sign?

1. Hegar sign refers to the softening of the lower uterine segment during pregnancy.
2. Hegar sign refers to the skin changes noted in early pregnancy.
3. Hegar sign refers to the softening of the cervix during the early stages of pregnancy.
4. Hegar sign refers to the changes in color of the vaginal mucosa during pregnancy.

nital · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2
The Pederson speculum is narrower and is used for adolescents or adult women who are virgins, have never had a baby, or are postmenopausal with vaginal atrophy. The Graves speculum is used for the adult woman. The Killian and Vienna specula are used to examine the nasal passages.

Answer to Question 2

Correct Answer: 1
Hegar sign refers to a softening of the lower uterine segment or isthmus during pregnancy. Skin changes during pregnancy may include linea nigra or chloasma, not Hegar sign. Softening of the cervix during pregnancy is referred to as Goodell sign. Changes in color of the mucous membranes of the vagina during pregnancy are referred to as Chadwick sign.