Asked by Chloe Peters on Jul 12, 2024

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During an internal examination, the nurse notices that the cervix bulges outside the introitus when the patient is asked to strain. How should the nurse document this finding?

A) A normal finding
B) Uterine prolapse, graded first degree
C) Uterine prolapse, graded third degree
D) Uterine prolapse, graded second degree

Uterine Prolapse

A condition where the uterus sags or slips from its normal position into the vaginal canal, often due to weakened pelvic floor muscles.

Introitus

The entrance to a cavity or channel, often used in reference to the vaginal opening.

  • Recognize and comprehend the signs and symptoms linked with prevalent gynecologic conditions and diseases.
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Miriam TreviñoJul 19, 2024
Final Answer :
D
Explanation :
The cervix should not be found to bulge into the vagina. Uterine prolapse is graded as follows: first degree-the cervix appears at the introitus with straining; second degree-the cervix bulges outside the introitus with straining; and third degree-the whole uterus protrudes, even without straining (essentially, the uterus is inside out).