During a vaginal examination of a 33-year-old patient, a nontender mass at the posterolateral portion of the labia majora is noted. The nurse anticipates which diagnosis?
1. Rectocele
2. Fistula
3. Bartholin cyst
4. Cyst of the Skene's gland
3
Rationale 1: A rectocele results when the walls between the rectum and the vagina become weakened.
Rationale 2: A fistula results when there is an opening between two separate organs.
Rationale 3: The Bartholin glands are located at the posterolateral labia majora. These glands are responsible for providing lubrication to the female genitalia. A swelling in this area is consistent with the diagnosis of a Bartholin cyst.
Rationale 4: The Skene's glands are located on either side of the urethral meatus.
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