Nokea
On inspection of the internal structure of the vagina, the nurse notes a rounded protrusion on the posterior wall of the vagina. How does the nurse document this finding?
Correct Answer: A
Rationale: The correct answer is A: Rectocele. A rectocele is a herniation of the anterior rectal wall into the posterior vaginal wall. The rounded protrusion on the posterior wall of the vagina indicates a rectocele. This finding is documented as a rectocele due to the specific anatomical location and nature of the protrusion.
Summary of other choices:
B: Cystocele - A cystocele is a herniation of the bladder into the anterior vaginal wall, not the posterior wall.
C: Bartholin cyst - Bartholin cyst is a fluid-filled swelling in the Bartholin gland near the vaginal opening, not on the posterior wall.
D: Nabothian cyst - Nabothian cysts occur on the cervix and are not related to protrusions on the posterior wall of the vagina.