Practice Quiz

CNM Certified Nurse Midwife

Category - Primary Care

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A nurse midwife performs a bimanual pelvic examination on a 25-year-old female client during her annual examination. Which of the following findings indicates a need for further evaluation?
  1. Cervical motion tenderness
  2. The fallopian tubes and ovaries are not palpable.
  3. The ovaries are smooth and firm.
  4. The uterus is freely movable.
Explanation
Answer: A - Cervical motion tenderness should alert the nurse midwife that further evaluation is necessary. This finding is commonly associated with pelvic inflammatory disease. The fallopian tubes and ovaries are small, and it is normal that they are not palpated in certain patients. If they are palpated, they must be smooth and firm. The uterus is normally freely movable.
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