A woman is undergoing surgery for a vesicovaginal fistula. What ...

[Kikoku]

A woman is undergoing surgery for a vesicovaginal fistula. What is a common postoperative complication of this surgery?
 
  A) Prolapsed uterus
  B) Vulvitis
  C) Endometriosis
  D) Infection

Question 2

A nurse is examining a 2-year-old child diagnosed with ataxic cerebral palsy. The child is unable to perform fine leg movements and has a wide-based gait. What other distinguishing features should the nurse look for in this client?
 
  A) Problems with depth perception
  B) Writhing involuntary movements
  C) Evidence of full or partial paralysis
  D) Increased muscle tone or spasticity

[mtmmmmmk]

Answer to Question 1

D
Feedback:
The incision for a fistula must granulate from the inside out to prevent an abscess. The closeness of the urinary tract to the bowel makes infection a common postoperative complication. A prolapsed uterus is one that sags or herniates into the vagina or, in severe cases, even falls outside the vagina. The most common cause is damage during childbirth. Vulvitis, inflammation of the vulva, may result from trauma caused by scratching, improper cleansing, birth control pills, or irritating vaginal discharge. In endometriosis, tissue resembling endometrial tissue appears in various places in the pelvic cavity, such as on the ovaries, oviducts, bladder, intestine, rectum, or pelvic wall. The cause of endometriosis is unknown, but it is not related to fistulas.

Answer to Question 2

A
Feedback:
The nurse should examine the child with ataxic cerebral palsy for problems with depth perception and balance. Slow, writhing involuntary movements are distinctive features of dyskinetic or athetoid cerebral palsy. Clients with spastic cerebral palsy are characterized by full or partial paralysis and increased muscle tone and muscle stiffness, whereas clients with ataxic cerebral palsy will experience muscle weakness.