The nurse is assessing the reproductive tract of the female client. What is the nurse inspecting when the client is asked to bear down?
1. A prolapsed cord
2. Bulging of the vaginal wall
3. Tears in the anus
4. Incontinence of stool
Answer: 2
1. The umbilical cord would only protrude in the pregnant client.
2. The nurse is inspecting for a bulging vaginal wall, protrusion of the cervix or uterus, and urinary incontinence.
3. The nurse inspects the anus for tears, but not by asking the client to bear down.
4. The purpose of asking the client to bear down is not looking for stool incontinence.
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