Alterations Associated with Menopause Flashcards

1
Q

Define Climacteric

A

Change of Life;

Menopause

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2
Q

Climacteric can be influenced by what?

A

1) Own Experience
2) Knowledge
3) Physical well-being
4) Family views
5) Marital Stability
6) Sociocultural Expectations

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3
Q

How many years before Menopause does Perimenopause begin?

A

2 - 8 years preceding menopause

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4
Q

What wanes during Perimenopause?

A

Ovarian function.

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5
Q

Should a women going through Perimenopause still be on birth control?

A

Yes. They can still get pregnant.

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6
Q

What happens to a woman’s libido during Perimenopause?

A

Decreases.

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7
Q

What causes the characteristic symptoms associated with perimenopause?

A

Hormonal deficiencies.

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8
Q

During Perimenopause, what causes decreased levels of estrogen?

A

Increased FSH levels.

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9
Q

When does Menopause begin?

A

When estrogen levels are so low that menstruation stops.

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10
Q

During the Menopause transition, what changes happen to the usual menstrual periods?

A

A lot of bleeding
Oligomenorrhea
Amenorrhea

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11
Q

What would lab tests show during Perimenopause?

A

FSH Increased
Serum Estrogen Decreased
LH Increased

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12
Q

What are the vasomotor symptoms of Perimenopause?

A

1) Hot Flashes
2) Night Sweats
3) Poor Sleep/ Insomnia

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13
Q

What happens to the sexual organs during the transition to Menopause?

A

Uterine, Fallopian tube & Ovarian Atrophy

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14
Q

What can happen to the vagina during the transition to Menopause?

A

Vaginal Dryness

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15
Q

What can vaginal dryness cause?

A

Dyspareunia.

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16
Q

Dyspareunia - Definition.

A

Painful intercourse.

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17
Q

What happens to the libido during the transition to Menopause?

A

Libido decreases

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18
Q

Back pain and mood changes are associated with what change to women?

A

Transition to Menopause.

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19
Q

What is the typical age for Menopause?

A

50 - 52.

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20
Q

What happens when someone is “becoming menopausal?”

A

Periods become lighter and less.

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21
Q

What happens to the bleeding during the transition from Perimenopause to Menopause?

A

Abnormal Bleeding.

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22
Q

Why would a woman need a myomectomy during her transition from Perimenopause to Menopause?

A

Fibroids;

The removal of which would allow the uterus to carry a pregnancy and allow the uterus to stretch.

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23
Q

What is a myomectomy?

A

Removal of muscle in the uterus.

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24
Q

What can bleeding after Menopause signify?

A

Cancer.

25
Q

Amenorrhea for how long can equal Menopause?

A

1 year.

26
Q

To get an idea of when a person will start the Menopause process, what history information would be most valuable?

A

The mother’s females and when they started Menopause.

27
Q

What can happen if a women goes through Menopause before 40 years old?

A

1) Higher risk for Osteoporosis

2) Require surgery and/or possibly a hysterectomy

28
Q

What psychosocial aspects should a nurse be observing a women while going through Menopause?

A

1) Positive Attitude
2) Effective coping
3) Time of personal growth

29
Q

Hormone Replacement Therapy (HRT) is a combination of what?

A

Estrogen & Progesterone.

30
Q

What is the role of Progesterone in HRT?

A

It protects against cervical cancer.

31
Q

What must a woman have before starting HRT?

A

Uterus.

32
Q

Is there controversy with HRT?

A

Yes.

33
Q

What must a woman have had in order to receive Estrogen Replacement Therapy (ERT)?

A

Hysterectomy

34
Q

What are some contraindications for estrogen therapy?

A

1) DVT
2) Smoker
3) Family history of blood clots

35
Q

What are some alternatives to HRT?

A

1) Diet and Nutrition
2) Weight bearing exercise
3) Stress Management Techniques
4) Homeopathic & Herbal treatments

36
Q

What is one way to modify Diet and Nutrition as an alternative to HRT?

A

Avoid junk food.

37
Q

What are some examples of weight bering exercise used as alternatives to HRT?

A

Walking & Lifting weights

38
Q

What are some stress management techniques that can be used as alternatives for HRT?

A

1) Yoga
2) Stretching
3) Swimming
4) Jacuzzi
5) Biofeedback
6) Visualization

39
Q

What are some examples of Homeopathic and Herbal Treatments?

A

Phytoestrogens

40
Q

Where can Phytoestrogens be found and give some examples?

A

Foods

Red Sage, Mexican Yam

41
Q

What is Osteoporosis?

A

Metabolic disease in which bone demineralization results in decreased density and resultant fractures.

42
Q

What areas are most commonly affected by Osteoporosis?

A

1) Wrist
2) Hip
3) Vertebrae

43
Q

Women lose _____ of their bone mass during their lifetime.

A

40 - 45%

44
Q

Up to what age do women need to be consuming as much calcium as possible?

A

25.

45
Q

What type of bone do women lose first?

A

Trabecular (spongy) bone

46
Q

After women lose Spongy bone, what is the next type of bone to be lost?

A

Cortical (compact) bone

47
Q

What is used to measure Bone Marrow Density (BMD)?

A

DEXA scan.

48
Q

What does a DEXA scan measure?

A

The amount of calcium in the bone.

49
Q

Which bones does a DEXA scan examine?

A

Look at the spine and left femur.

50
Q

Osteopenia - Definition

A

“lack” of bone mass

51
Q

What T score would be needed to classify as Osteopenia?

A

1 - 2.5

52
Q

Osteoporosis - Definition

A

“loss” of bone mass

53
Q

What T score would be needed to classify as Osteoporosis?

A

greater than 2.5

54
Q

Primary Osteoporosis: who usually gets it?

A

1) Postmenopausal women

2) Men in 50s and 60s

55
Q

Why does a Postmenopausal woman get osteoporosis?

A

Lack of Estrogen

56
Q

Why do men in their 50s and 60s get osteoporosis?

A

Decreased levels of testosterone.

57
Q

How does someone get Secondary Osteoporosis?

A

1) Hyperparathyroidism
2) Long term use of corticosteroids
3) Prolonged immobilization

58
Q

Why would a COPD patient be at risk for developing Secondary Osteoporosis?

A

Because of long term use of corticosteroids.

59
Q

Why would a patient with spinal chord injury be at risk for developing Secondary Osteoporosis?

A

Prolonged immobilization.