Prolapse of the uterus with eversion of the entire vagina is termed as?

Appeared in: AIIMS Bhopal NO - 2018 (Shift-1st)

Explanation

Procidentia is the medical term for the most severe form of uterine prolapse, where the entire uterus protrudes outside the vaginal introitus.
This condition is also referred to as third-degree or complete uterine prolapse.
It involves the complete eversion (turning inside out) of the vaginal walls along with the descent of the uterus.
The image provided visually confirms this, showing the 3rd-degree stage where the uterus is completely outside the body.

Option B: This is not a standard or recognized medical term for classifying uterine prolapse.
Option C: This is a general term describing the descent of the uterus and vagina but does not specify the severity. Procidentia is the most severe form of utero-vaginal prolapse.
Option D: This term describes the patient's obstetric history (a woman who has never given birth) rather than the anatomical severity of the prolapse.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Definition and classification of uterine prolapse as background academic context rather than a clinical decision trigger.
Procidentia significantly impacts a patient's quality of life, causing discomfort, urinary issues (retention or incontinence), bowel problems, and sexual dysfunction.
The exposed cervix and vaginal tissues are at high risk for ulceration, infection, and bleeding due to friction and drying.
Nursing care involves managing symptoms with pessaries (a supportive device inserted into the vagina), teaching pelvic floor muscle exercises (Kegel's), and providing pre- and post-operative care for surgical repair (hysterectomy or uterine suspension).

How to Approach the Question

First, identify the key descriptive phrases in the question: 'prolapse of the uterus' and 'eversion of the entire vagina'.
Recognize that these phrases describe the most extreme form of uterine descent.
Analyze the provided options to find the specific medical term for this condition.
Recall or deduce the definitions of the different degrees of uterine prolapse. The image helps visualize these stages.
Match the description of complete prolapse with the term 'Procidentia'.
Eliminate the other options: 'Complex prolapse' is not a standard term, 'Utero-vaginal prolapse' is too general, and 'Nulliparous prolapse' describes the patient's history, not the condition's severity.

Concept Tested & Keywords

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E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 1-5

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