Page 391 - Saunders Comprehensive Review For NCLEX-RN

analysis. This test may or may not
include screening for human
papilloma virus (HPV).
5. Bimanual examination
a. Performed by PHCP or other
practitioner
b. Internal examination of the structures
of the female reproductive tract
c. May reveal masses, nodules, growths,
or tenderness
d. The uterus is palpated for position, size,
shape, contour, and mobility.
e. The adnexa and ovaries are palpated for
masses or tenderness.
f. A rectovaginal examination may be
done for further examination of the
pelvic structures.

6. Client teaching

a. Stress the importance of personal
hygiene.
b. Explain the purpose and recommended
frequency of Pap tests.
c. Explain the signs of sexually
transmitted infections.
d. Educate the client on measures to
prevent a sexually transmitted
infection.
e. Inform the client with a sexually
transmitted infection that she must
inform her sexual partner(s) of the
need for an examination.
M. Male genitalia
1. Subjective data: Urinary difficulty (e.g.,

frequency, urgency, hesitancy or straining, dysuria,
nocturia); pain, lesions, or discharge on or from the
penis; pain or lesions in the scrotum; medications
being taken; sexual activity and the use of
contraceptives; history of sexually transmitted
infections

2. Objective data

a. Includes assessment (inspection and
palpation) of the external genitalia and
inguinal ring and canal
b. Client may stand or lie down for this

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