A nurse is conducting a physical examination on a patient suspected of having Endometriosis.
What findings should the nurse be particularly attentive to during the assessment?
Absence of pelvic tenderness.
Mobile pelvic organs.
Palpable nodules.
Retroverted uterus.
Correct Answer : B,C
Choice A rationale:
The absence of pelvic tenderness would not be a typical finding in a patient suspected of having endometriosis.
In fact, pelvic tenderness is often associated with endometriosis due to the inflammatory nature of the condition.
Therefore, the nurse would not particularly focus on this finding during the assessment.
Choice B rationale:
Mobile pelvic organs can be a significant finding in patients with endometriosis.
The presence of adhesions and endometriotic implants can lead to decreased mobility of pelvic organs, which may be palpable during a physical examination.
This finding can be indicative of endometriosis and warrants attention during the assessment.
Choice C rationale:
Palpable nodules (endometriotic nodules) are a key clinical finding that the nurse should be attentive to during the assessment of a patient suspected of having endometriosis.
These nodules, often located within the pelvic cavity, can be felt during a pelvic examination and are a characteristic feature of the condition.
Choice D rationale:
A retroverted uterus is not a specific finding associated with endometriosis.
While the nurse should perform a thorough pelvic examination, the presence of a retroverted uterus alone would not confirm or rule out endometriosis.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale:
The statement "Early menarche is a protective factor against Endometriosis" is not accurate.
Early menarche, which is an early onset of menstruation, is actually considered a risk factor for developing endometriosis.
The rationale behind this is that women who start menstruating at a younger age have a longer exposure to estrogen, which is believed to contribute to the development of endometriosis.
Choice B rationale:
The statement "Nulliparity does not increase the risk of developing Endometriosis" is not accurate.
Nulliparity, which means never having given birth to a child, is indeed considered a risk factor for endometriosis.
Women who have not had children are at a higher risk because pregnancy and childbirth have protective effects against the development of endometriosis.
Choice C rationale:
The statement "Prolonged menstrual cycles are not associated with Endometriosis" is not accurate.
Prolonged menstrual cycles, or irregular menstrual cycles, can be associated with endometriosis.
This is because endometriosis can lead to menstrual irregularities and changes in the menstrual cycle.
Choice D rationale:
The statement "Family history of Endometriosis is a risk factor for developing the condition" is accurate.
Family history is indeed a risk factor for endometriosis.
Women who have close relatives (such as a mother or sister) with a history of endometriosis are at an increased risk of developing the condition themselves.
This suggests a genetic predisposition to the condition.
Correct Answer is D
Explanation
Choice A rationale:
The statement "Endometriosis is solely caused by genetic factors" is not accurate.
While genetics may play a role in the development of endometriosis, it is not the sole cause.
Endometriosis is a complex condition with multiple factors involved, including hormonal, immunological, and environmental factors.
Choice B rationale:
The statement "It's primarily due to normal menstruation without any abnormalities" is not accurate.
Endometriosis is not primarily due to normal menstruation.
It involves the abnormal growth of endometrial-like tissue outside the uterus, which is not a normal part of the menstrual cycle.
Choice C rationale:
The statement "Exposure to endocrine disruptors has no role in Endometriosis development" is not accurate.
There is some evidence to suggest that exposure to endocrine-disrupting chemicals may contribute to the development of endometriosis.
These chemicals can disrupt hormonal balance, which is known to play a role in the condition.
Choice D rationale:
The statement "One possible cause is the implantation of endometrial-like tissue outside the uterus" is accurate.
This is a key feature of endometriosis.
The condition is characterized by the presence of tissue similar to the lining of the uterus (endometrium) growing outside the uterus, leading to inflammation, pain, and other symptoms.
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