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2.  External genitalia—vulva, labia majora, mons pubis, labia minora, clitoris, vestibule, perineum  Internal genitalia—vagina, uterus, corpus, cervix, fallopian tubes, ovaries  Breasts  Menstruation and menopause

3. Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc.

5.  External genitalia—penis, scrotum  Internal genitalia—testes and prostate gland  Inguinal area

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7.  Patient history  Nutrition history  Family history and genetic risk  Genitoreproductive history  Current health problems—pain, bleeding, discharge, masses

8. Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc.  History—pain, bleeding, discharge, masses  Physical assessment:  Breast examination  Abdominal examination  Examination of external genitalia

9. Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc.  Pelvic examination  Bimanual examination  Rectovaginal examination

10. Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc.

11.  Examination of external genitalia  Assess for inguinal hernia  Examination of rectum and prostate

12. Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc.  Patient preparation for Pap test  Procedure  Follow-up care

13. Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc.  Hormone levels  Serologic testing  HIV testing  Prostate-specific antigen (PSA)  Cultures

14. Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc.  HPV testing  Urinalysis  Cultures  Imaging studies:  General x-rays  CT scans for reproductive system disorders  Hysterosalpingography—x-ray of cervix, uterus, and fallopian tubes  Mammography

15. Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc.  Ultrasonography  MRI for pelvic tumors  Endoscopic studies:  Colposcopy  Laparoscopy  Hysteroscopy

16. Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc.  Biopsy:  Cervical  Endometrial (and aspiration)  Breast biopsy and aspiration of breast fluid or tissue  Prostate

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19. Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Which patient response during a genitoreproductive history requires further exploration by the nurse? A. “I have had one pregnancy and one child.” B. “I began my menses at age 14.” C. “I would rather not answer questions about my sex life with my husband.” D. “My breasts hurt in the beginning of my menstrual cycle.”

20. Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Which ethnic group has a higher frequency of developing testicular cancer? A. Caucasian B. African American C. Hispanic/Latino D. Asian American

21. Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. A woman on oral contraceptives reports increasing fatigue and shortness of breath over the past 6 months. The nurse should evaluate the patient’s diet for deficiency in what nutrient(s)? A. Protein B. Vitamin B 1 and folic acid C. Vitamins A and C D. Vitamins B 6 and B 12