The nurse is assisting with the vaginal examination of a 33-year-old patient. A nontender mass at the posterolateral portion of the labia majora is noted. What should the nurse suspect is occurring with the patient?
1. a rectocele
2. a fistula
3. a Bartholin cyst
4. a cyst of Skene's gland
Correct Answer: 3
The Bartholin gland is located at the posterolateral labia majora. This gland provides lubrication to the female genitalia. A swelling in this area is consistent with the diagnosis of Bartholin's cyst. A rectocele is a protrusion of the rectal wall into the vaginal canal. A fistula is an opening between two anatomically separate organs. Skene's glands are located on the anterior vaginal walls.
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