Questions: While examining the introitus, the nurse practitioner asks the client to "bear down." The client for which condition? Uterine prolapse Human papillomavirus Colorectal cancer Female genital mutilation

While examining the introitus, the nurse practitioner asks the client to "bear down." The client for which condition? Uterine prolapse Human papillomavirus Colorectal cancer Female genital mutilation

Transcript text: While examining the introitus, the nurse practitioner asks the client to "bear down." The client for which condition? Uterine prolapse Human papillomavirus Colorectal cancer Female genital mutilation

Solution

The answer is the first one: uterine prolapse.

Explanation for each option:

Uterine prolapse: This condition occurs when the uterus descends into or outside of the vaginal canal due to weakened pelvic floor muscles. Asking the client to "bear down" can help the nurse practitioner assess the degree of prolapse by observing any descent of the uterus or vaginal walls.
Human papillomavirus (HPV): This is a viral infection that affects the skin and mucous membranes. Bearing down is not typically used to diagnose or assess HPV, as it is usually identified through visual inspection, Pap smears, or HPV testing.
Colorectal cancer: This type of cancer affects the colon or rectum. Bearing down is not a diagnostic maneuver for colorectal cancer; instead, it is typically diagnosed through colonoscopy, imaging, and biopsy.
Female genital mutilation (FGM): This involves the partial or total removal of external female genitalia for non-medical reasons. While a physical examination is necessary to identify FGM, bearing down is not a specific technique used for its assessment.

In summary, the maneuver of asking a client to "bear down" is primarily used to assess for uterine prolapse.

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