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 .

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale
Smoking and drinking alcohol can indeed affect sperm count. Studies have shown that smoking and alcohol consumption do not significantly affect semen quality, but avoiding them is still considered good health advice.
Choice B rationale
Trichomoniasis is a sexually transmitted infection that can be treated with medication. If treated properly, it should not affect the ability to conceive in the future.
Choice C rationale
The timing of intercourse for conception is usually centered around the time of ovulation, which typically occurs in the middle of the menstrual cycle, not three weeks after menstruation. Engaging in unprotected intercourse three weeks after her menstrual period may not be the most effective timing for conception.
Choice D rationale
Regular use of hot tubs can indeed decrease a man’s sperm count. The heat from hot tubs can affect sperm production, leading to a reduction in sperm count.

A. Hot flashes B. Dyspareunia C. Fluid retention D. Fever

Correct Answer is B

Explanation

Choice A rationale
Hot flashes are typically associated with menopause, not endometriosis. They occur due to changes in hormone levels, particularly a decrease in estrogen.
Choice B rationale
Dyspareunia, or painful intercourse, is a common symptom of endometriosis. The condition can cause adhesions and lesions in and around the pelvic organs, leading to pain during sexual activity.
Choice C rationale
Fluid retention is not specifically associated with endometriosis. It can occur due to a variety of conditions, including hormonal changes, dietary factors, and certain medications.
Choice D rationale
Fever is not a typical symptom of endometriosis. It’s more commonly associated with infections or inflammatory conditions.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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