Maternity Nursing Q 17

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When performing a pelvic examination, the nurse observes a red swollen area on the right side of the vaginal orifice. The nurse would document this as enlargement of which of the following?

  

     A. Clitoris

     B. Parotid gland

     C. Skene’s gland

     D. Bartholin’s gland

    

    

Correct Answer: D. Bartholin’s gland

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The Bartholin’s glands are located symmetrically at the posterior region of the vaginal opening and play an important role in the female reproductive system. These two pea-sized glands are involved in mucus secretion and vaginal lubrication.

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Option A: The clitoris is female erectile tissue found in the perineal area above the urethra. During sexual stimulation, the clitoris functions much like a man’s penis in that it becomes erect thanks to signals from the brain. The shaft under the skin has erectile tissue, which becomes engorged with increased blood flow. The clitoris is a very sensitive area when stimulated.

Option B: The parotid glands are open into the mouth. The parotid is the largest of the three glands and is bordered superiorly by the zygomatic arch, anteriorly and medially by the masseter, and posteriorly by the sternocleidomastoid. The saliva secreted from these glands moistens the mouth which helps with chewing, swallowing, phonation, and digestion.

Option C: Skene’s glands open into the posterior wall of the female urinary meatus. The Skene’s glands, which are also known as the lesser vestibular glands (homologous to the prostate glands in males), are two glands located on either side of the urethra. These glands are believed to secrete a substance to lubricate the urethra opening. This substance is also believed to act as an antimicrobial.

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