What would the nurse expect to find when taking the health history of a woman admitted for repair of cystocele and rectocele, who has nine living children?
Sporadic vaginal bleeding accompanied by chronic pelvic pain
Heavy leukorrhea with vulvar pruritus
Menstrual irregularities and hirsutism on the chin
Stress incontinence with a feeling of low abdominal pressure .
The Correct Answer is D
Choice A rationale
Sporadic vaginal bleeding accompanied by chronic pelvic pain is not typically associated with a woman who has had multiple pregnancies and is admitted for repair of cystocele and rectocele.
Choice B rationale
Heavy leukorrhea with vulvar pruritus is not typically associated with a woman who has had multiple pregnancies and is admitted for repair of cystocele and rectocele.
Choice C rationale
Menstrual irregularities and hirsutism on the chin are not typically associated with a woman who has had multiple pregnancies and is admitted for repair of cystocele and rectocele.
Choice D rationale
Stress incontinence with a feeling of low abdominal pressure is a common symptom in women who have had multiple pregnancies and are admitted for repair of cystocele and rectocele. Multiple pregnancies can weaken the pelvic floor muscles, leading to conditions like cystocele and rectocele. Stress incontinence, where urine leaks out with increased abdominal pressure (such as when coughing, sneezing, or lifting), is a common symptom of these conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Smoking has been associated with an increased risk of developing endometriosis. It is thought that certain substances found in tobacco smoke may have a role in the development or progression of endometriosis14.
Choice B rationale
Regular exercise has been associated with a decreased risk of endometriosis. Physical activity may influence the body’s production of estrogen, a hormone that is thought to play a role in endometriosis14.
Choice C rationale
A higher body mass index (BMI) has been associated with a decreased risk of endometriosis. It is thought that body fat may influence the levels of hormones such as estrogen in the body14.
Choice D rationale
Age is a risk factor for endometriosis, with the condition being more common in women in their 30s and 40s. However, endometriosis can occur in any woman who has menstrual periods14.
Correct Answer is A
Explanation
Choice A rationale
A cervical cap is a small, thimble-shaped cup made of silicone that fits over the cervix to prevent sperm from reaching an egg. It must be fitted by a healthcare provider and requires a prescription.
Choice B rationale
The cervical sponge is a type of birth control that does not require a prescription. It is a small, donut-shaped device made of soft plastic foam that is inserted into the vagina before sex.
Choice C rationale
Condoms are a type of birth control that do not require a prescription. They are a barrier method that prevents sperm from reaching an egg.
Choice D rationale
Spermicide is a type of birth control that does not require a prescription. It is a chemical that kills sperm and is often used with other birth control methods to increase effectiveness.
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