Nursing NR 509 APEA Exam - WOMENS HEALTH Question and Answers with Explanations (CORRECT ANSWERS ARE HIGHLIGHTED) Question 1 When palpating the cervix during the bimanual exam, cervical motion tenderness (chandelier sign) is noted. This tenderness could be suggestive of: A.retroversion of the uterus. B.pelvic inflammatory disease. C.vulvar lesions. D.Bartholin gland infection. Explanation: Cervical motion tenderness, also known as Chandelier's sign, and/or adnexal tenderness, suggest pelvic inflammatory disease, ectopic pregnancy, or appendicitis. Question 2 In a female diagnosed with a first-degree uterine prolapse, the cervix: A.is located in its normal position. B.has slipped but is well within the vagina. C.is located in the introitus. D.and vagina are outside the introitus.Explanation: Uterine prolapse occurs in progressive stages. The uterus becomes retroverted and descends down the vaginal canal to the exterior. In first-degree prolapse, the cervix is still well within the vagina. In second-degree prolapse, it is at the introitus. In third-degree prolapse (procidentia), the cervix and vagina are outside the introitus. Question 3 Daughters of women who took Diethylstilbestrol (DES) during pregnancy are at a high risk for developing all of the following abnormalities except: A.columnar epithelium covering most or all of the cervix. B.a slit- like cervical os. C.vaginal adenosis.