Which explanation would the nurse provide to a patient being prepared for colposcopy with a cervical biopsy?a. involves dilation of the cervix and biopsy of the tissue lining the uterus.b. will take place in a same-day surgery center so that local anesthesia can be used.c. requires that the patient have nothing to eat or drink for 6 hours before the procedure.d. is similar to a speculum examination of the cervix and should result in little discomfort.
The correct answer and explanation is:
The correct answer is d. is similar to a speculum examination of the cervix and should result in little discomfort.
Explanation:
A colposcopy with cervical biopsy is a procedure used to examine the cervix for signs of abnormal cells or diseases, such as cervical cancer or precancerous changes. During the colposcopy, the healthcare provider uses a special microscope called a colposcope to closely inspect the cervix. The cervix is gently held open using a speculum, much like in a regular pelvic exam. This allows the provider to see the cervix more clearly and may involve applying a vinegar solution to highlight abnormal areas.
A cervical biopsy is typically performed if suspicious areas are detected during the examination. This involves taking a small sample of tissue from the cervix for further analysis. While the procedure is generally well-tolerated, some discomfort may occur, including mild cramping or a feeling of pressure, similar to what some women experience during a pelvic exam.
Contrary to what some might believe, colposcopy with cervical biopsy is typically a quick procedure, often done in an outpatient setting, and the patient can usually resume normal activities soon afterward. Most patients report only mild discomfort, and some may experience light spotting afterward. However, significant pain or prolonged discomfort is not typical. Local anesthesia is not usually required, as the procedure is less invasive compared to more extensive surgeries or procedures that involve deeper tissue or organs.
Understanding this, the nurse would explain that while the procedure may feel somewhat uncomfortable due to the need for the speculum and biopsy, it should not cause significant pain and will feel somewhat like a routine pelvic exam.