A late middle-aged mother who is certain she is not pregnant tells the nurse at an office visit that she has urinary problems and sensations of bearing down and of something in her vagina
The nurse would realize that she is most likely suffering from: 1. pelvic relaxation.
2. cystocele and/or rectocele.
3. uterine displacement.
4. genital fistulas.
2
1, 3, 4. Incorrect. Cystocele is the protrusion of the bladder downward into the vagina; rectocele is herniation of the anterior rectal wall through a relaxed or ruptured vaginal fascia. Both can present as a bearing-down sensation with urinary dysfunction. They occur more often in older women who have borne children.
2. Correct. Cystocele is the protrusion of the bladder downward into the vagina; rectocele is herniation of the anterior rectal wall through a relaxed or ruptured vaginal fascia. Both can present as a bearing-down sensation with urinary dysfunction. They occur more often in older women who have borne children.
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