What is the meaning of uterine prolapse?

Appeared in: NORCET 2 -2021 (Shift-2)

Explanation

Uterine prolapse is defined as the downward displacement or descent of the uterus from its normal position.
This condition occurs when the pelvic floor muscles and supporting ligaments weaken and can no longer hold the uterus in place.
The descent can range from mild (the uterus drops into the vagina) to severe (the uterus protrudes outside the body).
Therefore, 'Downward movement of the uterus' is the most accurate and fundamental definition of the condition.

Option B: This describes a specific, more advanced stage of uterine prolapse (second or third degree), not the general definition of the condition. Prolapse begins with any downward movement, even if the cervix does not reach the vaginal opening.
Option C: An infection of the uterus is known as endometritis or metritis. It is an inflammatory condition caused by pathogens, not a structural displacement of the organ.
Option D: A neoplasm is an abnormal growth of tissue, such as a tumor (benign like a fibroid or malignant like cancer). It is a different type of pathology and not related to the position of the uterus.

Visual 1: Diagram - An anatomical illustration showing the normal position of the uterus compared to the three degrees of uterine prolapse. This helps visualize the progressive downward displacement described in the explanation.

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.
Common risk factors for uterine prolapse include multiple vaginal births, advanced age, obesity, chronic coughing, and chronic constipation, all of which increase pressure on the pelvic floor.
Nurses play a key role in patient education regarding preventive measures, such as performing Kegel exercises to strengthen pelvic floor muscles, maintaining a healthy weight, and avoiding straining.
Management can be conservative (pessary use, lifestyle changes) or surgical. Nurses assist in pessary fitting, care, and teaching, as well as providing pre- and post-operative care for surgical repairs.

How to Approach the Question

This is a definition-based recall question. Start by identifying the key term in the question stem: 'uterine prolapse'.
Recall or deduce the fundamental definition of this medical term. 'Prolapse' generally means the slipping forward or downward of a part or organ.
Evaluate each option to see which one best matches this core definition.
Option A directly defines the downward movement.
Option B describes a symptom of a severe stage, not the overall definition.
Options C and D describe completely different pathologies (infection and tumor, respectively).

Concept Tested & Keywords

Qp8HyAMyIyYAqAdGVydYMD

Practise the full NORCET 2 -2021 (Shift-2)

Attempt every question from this paper in a timed mock, then review the full solution for each one.