Nokea
A nurse is examining a 35-year-old female patient. During the health history, the nurse notices that she has had two term pregnancies, and both babies were delivered vaginally. During the internal examination, the nurse observes that the cervical os is a horizontal slit with some healed lacerations and that the cervix has some nabothian cysts that are small, smooth, and yellow. In addition, the nurse notices that the cervical surface is granular and red, especially around the os. Finally, the nurse notices the presence of stringy, opaque, odorless secretions. Which of these findings are abnormal?
Correct Answer: C
Rationale: The correct answer is C: The cervical surface is granular and red. This finding indicates inflammation or infection, as a healthy cervix should appear smooth and pink. The presence of granular and red surface could suggest cervicitis or another underlying issue that needs further evaluation or treatment.
A: Nabothian cysts are present - This is a normal finding and does not indicate any abnormality or concern.
B: The cervical os is a horizontal slit - This is a normal anatomical variation and does not indicate any abnormality.
D: Stringy, opaque secretions are present - This can be a normal finding depending on the phase of the menstrual cycle and does not necessarily indicate an abnormality.