During a routine pelvic examination, the nurse instructs the patient to bear down
The nurse explains that this motion makes it easier to assess for which conditions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Rectoceles
2. Prolapsed uterus
3. Vaginal tumors
4. Ovarian cysts
5. Cystoceles
1,2,5
Rationale 1: Rectocele, or relaxation of the posterior vaginal wall over the rectum, is assessed by asking the patient to bear down so that the health care provider can determine the presence of the structures through the vagina.
Rationale 2: Prolapsed uterus, or the protrusion of the uterus into the vaginal wall, is assessed by asking the patient to bear down so that the health care provider can determine the presence of the structures through the vagina.
Rationale 3: Vaginal tumors may be detected by visual inspection of the pelvis through a speculum device.
Rationale 4: Ovarian cysts are palpated manually, and the patient does not have to bear down to determine their presence.
Rationale 5: Cystocele, or relaxation of the anterior vaginal wall under the urinary bladder, is assessed by asking the patient to bear down so that the health care provider can determine the presence of the structures through the vagina.
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