Chapter 15

How many stages of labor and delivery does the patient go through? 

In which procedure would the surgeon likely request 8-0 or 9-0 suture? 

What is the name of the routine surgical treatment of infected Bartholin’s gland cysts? 

For a dilation and curettage (D&C), which of the following orders of instrument use is CORRECT for endometrial biopsy? 

What color is the abnormal tissue after staining with Lugol’s solution in a cervical biopsy? 

What is the procedure name for the removal of fibroid tumors of the uterus with the preservation of fertility? 

What color is the abnormal tissue after staining with acetic acid in a cervical biopsy? 

Which of the following structures is NOT part of the anatomy of the vulva? 

Which incision is MOST frequently used for cesarean sections? 

What is the main purpose of putting a bolster sheet or roll under the right hip of a patient just prior to C-section? 

Which maneuver might be performed by the surgical technologist during a cesarean section to aid in the delivery as the surgeon gently manipulates the head of the fetus out of the uterus? 

What is the MOST common surgical intervention for a vaginal delivery? 

All of the following are paired ligaments that support the uterus in the lower abdomen and attach it to the pelvis, EXCEPT: 

Cervical cerclage is performed to: 

Cephalopelvic disproportion is a component of which of the following indications for a cesarean section delivery? 

Which medication may be injected into the uterus for hemostasis, before closure of the uterus in a cesarean section? 

What is the name of the fingerlike projections at the terminal end of the fallopian tube that guides oocytes into the lumen? 

Which method of tubal ligation (sterilization) is most frequently used? 

Which radiological study might be ordered preoperatively for a patient scheduled for tuboplasty? 

Which piece of operating room furniture would likely be unnecessary for many vaginal surgical procedures? 

Delivery of the placenta is the conclusion of which stage of labor? 

Which of the following is a weighted vaginal speculum? 

Which self-retaining retractor has the shape of a figure-of-eight (8) when in the closed position? 

What is the name of a bivalve speculum frequently found in a vaginal procedure tray? 

What is the name of the heavy, right-angle scissors frequently used to dissect around the cervix during hysterectomy? 

Which term means the number of times a woman has been pregnant? 

What is the preferred method of anesthesia for a cesarean section delivery? 

When is the first "uterine count" performed in a cesarean section? 

Bulb syringes are used in obstetrical delivery procedures to: 

What is the name of the anatomical area where the fallopian tubes are attached and enter the uterus? 

Which gynecologic procedure is performed for treatment of urinary incontinence or cystocele? 

In which of the following procedures would the patient be left without a vagina or any of the female reproductive organs and have a permanent colostomy and ileostomy? 

Tubal ligation is performed for: 

Cherney, Maylard, and Pfannenstiel are examples of gynecologic: 

For which procedure would the surgical technologist want to be sure to have adequate numbers of Allis or Allis-Adair tissue forceps? 

Which of the following is routinely done first in a basic gynecologic laparoscopy that may require a small separate setup and glove change before proceeding? 

Which gynecologic procedure is used for visualization of the endometrium and may be used to treat polyps or myomas? 

Which of the following procedures would likely be assigned a Class III or Class IV wound and may require aerobic and anaerobic culture tubes? 

Which anatomical structure is located anterior to the symphysis pubis and superior to the vaginal opening? 

Which anatomical area is located between the posterior vaginal opening and the anus? 

What is the general term for the treatment method that destroys genital condylomata with a carbon dioxide laser? 

Which pistol-grip type of instrument might be found in a D&C tray for cervical biopsy? 

 What is another name for the ovarian suspensory ligament? 

Which of the following is the largest supporting ligament in the female pelvis that has anterior and posterior leaves? 

Which type of needle holder is curved and frequently used for hysterectomy procedures? 

Instruments used for closure of the vaginal cuff in total abdominal hysterectomy are: 

Total abdominal hysterectomy is assigned which wound classification? 

Which paired ligaments are encountered and ligated last in an abdominal hysterectomy and first in a vaginal hysterectomy? 

The fallopian tubes are located bilaterally in the mesosalpinx of which uterine-pelvic ligaments? 

 The term adnexa refers to which gynecologic anatomical structures? 

Which of the following procedures does NOT require an incision, use of trocars, or distention with gas or fluid? 

What is a Veress needle used for? 

Which of the following is used for creating pneumoperitoneum in laparoscopy? 

Which of the following types of stirrups would likely be used for a laparoscopically assisted vaginal hysterectomy (LA VH)? 

Radionuclide seeds are used to treat: 

Which procedure involves an en bloc removal of the uterus, bilateral ovaries and fallopian tubes, supporting ligaments, upper third of the vagina, and pelvic lymph nodes? 

Which of the following statements is CORRECT regarding anatomical changes following pelvic exenteration? 

Which instrument should the surgical technologist have ready to provide exposure during cesarean section procedures when the uterine incision is made? 

Which instrument is used to test the patency of the fallopian tube during tuboplasty? 

Which instrument is used to manipulate the fallopian tubes without compression or damage? 

 For which procedure would the gynecologist likely wear surgical loupes? 

Which of the following is a serum analysis done to detect ovarian carcinoma? 

Which muscle is incised in transverse abdominal approaches for gynecologic procedures? 

Which instrument is used to grasp the cervix and provide traction during cervical dilation? 

What is used to achieve tissue destruction in an endometrial balloon ablation? 

In a robotically assisted hysterectomy, the surgical technologist may be responsible for removing the specimen from the vagina after the vaginal cuff closure has been completed. 

Radionuclide seeds are placed in infected Bartholin’s gland cysts to treat the infected contents. 

Laparoscopic linear stapling devices are often used to ligate and cut the uterine ligaments and vessels during LAVH. 

Clamp, clamp, cut, tie (CCCT) is a way to anticipate routine dissection steps during hysterectomy procedures. 

Adhesion formation is a normal physiologic inflammatory response to abdominal surgery that cannot be prevented or minimized. 

A woman in her first pregnancy or who has delivered only once 

Seizures or coma in a pregnant patient secondary to precursor hypertension and rapid weight gain 

Dark green or black fecal material that may be present in amniotic fluid, putting neonate at risk of pneumonitis from aspiration

A vaultlike recess in the upper part of the vagina caused by the protrusion of the uterine cervix into the vagina 

Placement of a catheter or probe into a tubular structure to assess patency or treat an obstruction 

Symptom of difficult or painful sexual intercourse in some females 

Benign uterine fibroid tumor that arises from the smooth muscle layer 

Method of biopsy of vulvar or cervical lesions by use of an electrified wire 

Instrument used for cystoscopic or hysteroscopic ablation using wire loops or roller balls and electrical current 

Extension of peritoneal cavity between the back wall of the uterus and the rectum, also called a cul-de-sac