Which observation is expected during a speculum inspection of a 25-year-old patient's vaginal canal, who has never been pregnant?
Oval-shaped ovaries
Cervix with an irregular, enlarged os
Cervix with a smooth, small os
Pear-shaped uterus
The Correct Answer is C
A. Oval-shaped ovaries: The ovaries are not visualized during a speculum inspection of the vaginal canal. They are located deep within the pelvis and can only be assessed indirectly through bimanual examination or imaging studies.
B. Cervix with an irregular, enlarged os: An irregular or enlarged cervical os is more commonly observed in women who have given birth vaginally. In a nulliparous woman, the cervical os usually appears small and round rather than irregular.
C. Cervix with a smooth, small os: In a 25-year-old patient who has never been pregnant, the expected finding is a smooth cervix with a small, round os. This reflects the absence of prior cervical dilation that typically occurs during childbirth.
D. Pear-shaped uterus: The uterus has a pear shape anatomically, but it is not visualized during a speculum inspection. Only the cervix at the end of the vaginal canal is directly seen with this procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. 21-year-old living with partner who uses substances: Substance use in a partner is a strong risk factor for intimate partner violence. Dependence on substances often leads to impaired judgment, increased aggression, and financial or emotional instability that raises the risk of abuse in the relationship.
B. 21-year-old university student living at home: Living in a supportive home environment while pursuing education generally provides stability and reduces exposure to common abuse risk factors. Without additional stressors such as dependence or family violence, this does not indicate increased risk.
C. 70-year-old patient confined to a wheelchair: Older adults with physical disabilities are at higher risk of elder abuse due to dependency on caregivers. Mobility limitations increase vulnerability to neglect, mistreatment, and exploitation, particularly when they rely on others for daily care.
D. 35-year-old stay at home parent with a controlling spouse: A controlling spouse is a significant risk factor for abuse, as it indicates power imbalance and possible emotional, physical, or financial control.
E. 45-year-old female bank manager: Employment, financial independence, and a professional role provide protective factors against abuse. While abuse can occur in any setting, this profile does not inherently increase the risk when compared to those with dependency or controlling relationships.
Correct Answer is C
Explanation
A. 12: A Glasgow Coma Scale score of 12 indicates a moderate brain injury. The patient is impaired but not in a coma, as coma is defined by significantly lower scores.
B. 24: The Glasgow Coma Scale ranges only from 3 to 15, so a score of 24 is not possible. The maximum score of 15 reflects a fully alert and oriented patient.
C. 6: A score of 8 or less on the Glasgow Coma Scale indicates coma. A score of 6 demonstrates severe neurological impairment with limited responsiveness, placing the patient in a comatose state.
D. 15: A score of 15 indicates a normal level of consciousness with full eye, motor, and verbal responses. This represents no impairment and does not meet criteria for coma.
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