Nokea
When performing the bimanual examination, the nurse notices that the cervix feels smooth and firm, is round, and is fixed in place (does not move). When cervical palpation is performed, the patient complains of some pain. The nurse's interpretation of these results should be which of these?
Correct Answer: C
Rationale: Step-by-step rationale for the correct answer (C):
1. The cervix is normally mobile and should move when palpated. A fixed cervix may indicate malignancy.
2. Pain during cervical palpation can be a sign of inflammation, infection, or other abnormalities.
3. Smooth and firm cervix, along with pain, raise suspicion of an underlying issue.
4. Therefore, the nurse should interpret these findings as potentially concerning and further assessment is needed.
Summary:
Choice A is incorrect because the findings are not within normal limits. Choice B is incorrect as the cervix should not be firm. Choice D is incorrect as pain during palpation is significant and should not be dismissed.