A mother in late middle age who is certain she is not pregnant tells the nurse during an office visit that she has urinary problems and sensations of bearing down and of something in her vagina
The nurse would realize that the client most likely is suffering from:
a. Pelvic relaxation. c. Uterine displacement.
b. Cystoceles and/or rectoceles. d. Genital fistulas.
ANS: B
Cystoceles are protrusions of the bladder downward into the vagina; rectoceles are herniations of the anterior rectal wall through a relaxed or ruptured vaginal fascia. Both can manifest as a bearing down sensation with urinary dysfunction. They occur more often in older women who have borne children.
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