Reference no: EM133806847

Question

A 45-year-old female presents to the urology clinic complaining of a feeling of "heaviness" in the pelvis. She states she has had 2 vaginal deliveries, which she describes as "normal" but does state that her first labor was significantly longer than her second, and that she pushed for almost four hours. She works full time for a vending company filling vending machines, which involves regular heavy lifting. She also states she has suffered from constipation her entire life, which requires her to strain while passing stool. She expresses frustration as her bowel issues seem to be worsening. She reports feelings of incomplete emptying and at times has to manually extract stool. Which statement made by the nurse is the most appropriate. Question 18 options: "It sounds as if you are experiencing stress urinary incontinence (SUI). I am going to order a urine culture and have you return for a pelvic exam when we have the results." It sounds as if you are experiencing stress urinary incontinence (SUI). I am going to provide instructions on how to fill out a bladder diary and have you return in three days to discuss the next steps." "I suggest we do a pelvic exam.