The nurse reviews a client's medical record and notes documentation of a nontender protrusion into the anterior vaginal wall. Which condition does the nurse suspect based on this data?
1. Inflammation of the Skene gland.
2. Prolapsed uterus.
3. Rectocele.
4. Cystocele.
Correct Answer: 4
A cystocele is a hernia that is formed when the urinary bladder is pushed into the anterior vaginal wall. The Skene glands are examined by palpation on both sides of the urethra. A prolapsed uterus may protrude from the vaginal wall, and may occur with or without straining. A rectocele is a hernia that is formed when the rectum pushes into the posterior vaginal wall.
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Which statement is the best rationale for assessing maternal vital signs between contractions?
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