A woman is admitted for repair of cystocele and rectocele. She has nine living children. In taking her health history, which of the following would the nurse expect to find?
A) Sporadic vaginal bleeding accompanied by chronic pelvic pain
B) Heavy leukorrhea with vulvar pruritus
C) Menstrual irregularities and hirsutism on the chin
D) Stress incontinence with feeling of low abdominal pressure
D
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Cystocele and rectocele are examples of pelvic organ prolapse. Manifestations typically include stress incontinence and lower abdominal pressure or pain. Complaints of sporadic vaginal bleeding and chronic pelvic pain are associated with uterine fibroids. Leukorrhea and vulvar pruritus commonly are associated with an infection. Menstrual irregularities and hirsutism are associated with polycystic ovary syndrome.
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