During a routine pelvic examination the nurse instructs the client to bear down. The nurse understands that the reason for this is to assess for: Select all that apply
1. Cystoceles.
2. Rectoceles.
3. Prolapsed uterus.
4. Ovarian cysts.
5. Vaginal tumors.
1. Cystoceles.
2. Rectoceles.
3. Prolapsed uterus.
Rationale: Cystoceles. Cystoceles, or relaxation of the anterior vagina wall under the urinary bladder, is assessed by asking the client to bear down so that the health care provider can determine the presence of the structures through the vagina. Rectoceles. Rectoceles, or relaxation of the posterior vaginal wall over the rectum, is assessed by asking the client to bear down so that the health care provider can determine the presence of the structures through the vagina. Prolapsed uterus. Prolapsed uterus, or the protrusion of the uterus into the vaginal wall, is assessed by asking the client to bear down so that the health care provider can determine the presence of the structures through the vagina. Ovarian cysts. Ovarian cysts are palpated manually and the client does not have to bear down to determine their presence. Vaginal tumors. Vaginal tumors may be detected by visual inspection of the pelvis thorough a speculum device.
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