A client in late middle age who is certain she is not pregnant tells the nurse during an office visit that she has urinary problems,as well as sensations of bearing down and of something in her vagina.What condition would the nurse suspect based upon this report?
A) Pelvic relaxation
B) Cystoceles and/or rectoceles
C) Uterine prolapse
D) Genital fistulas

Question

Quizplus · Accepted Answer

Uterine displacement can be caused by congenital or acquired weakness of the pelvic support structures and is known as pelvic relaxation.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 produce a bearing-down sensation with urinary dysfunction.They occur more often in older women who have borne children.Uterine prolapse is a more serious type of displacement.In women with a complete prolapse,the cervix and body of the uterus protrude through the vagina.Genital fistulas are perforations between genital tract organs.Most occur between the bladder and the genital tract.

A Client in Late Middle Age Who Is Certain She