The client has a distended or full bladder-when larger amounts of urine are present, the bladder becomes distended and rises above the symphysis pubis.
the spermatic cord ascends along the posterior border of the testis and through the inguinal canal and down behind the bladder. an enlarged spermatic cord would not cause a palpable mass in the hypogastric region.
the presence of stool in the sigmoid region would be palpable low in the right lower quadrant. the ureter is located between the kidney and the bladder.
a blockage in the ureter would cause urine to back up into the kidney, not the bladder.