Chapter 24 Common Medical Problems: Musculoskeletal Injuries through Urinary Tract Disorders Gwen Short, Rita A. Seeger Jablonski, Elaine Ferrary 1. Which of the following are factors that increase a person’s risk for pelvic organ prolapse? (Select all that
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apply.) A. Female
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B. Age of 78 years
D. Body mass index (BMI) of 23 E. Smoker Answer: A, B, E
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C. Nulliparity
2. Which of the following is a significant downward rotation of more than 35° of the distal anterior vaginal
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wall caused by a defect in the suburethral connective tissue and pubourethral (pubovisceral) ligaments? A. Anterior vaginal wall prolapse
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B. Hypermobile urethra C. Apical vaginal prolapse
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Answer: B
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D. Posterior vaginal wall prolapse
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3. Misbah is a 69-year-old client who has just been diagnosed with pelvic organ prolapse. She reports vaginal
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pain when working in her garden and describes symptoms indicating urinary retention. On performing a pelvic exam, the nurse observes that the client’s vagina appears dry and shows signs of erosion and