Conditions characterized by abnormal menstruation Flashcards
A nurse practitioner is obtaining a health history on a patient presenting with complaints of abnormal vaginal bleeding. Recommend laboratory testing of a woman with amenorrhea.
Radiographic imaging
Urinalysis
Thyroid profile
Glucose challenge test
Thyroid profile
Propose a treatment option for a 30-year-old woman with polycystic ovarian syndrome.
Pain medication as needed for discomfort
Treatment with ofloxacin and metronidazole
Hysterectomy
Gonadotropin-releasing hormone
Pain medication as needed for discomfort
Propose an accurate statement for when discussing therapeutic management of patients presenting with heavy menstrual bleeding.
Surgical intervention is initiated, followed by medical therapy.
Treatment must be rapid and aggressive to avoid adverse outcomes.
The age of the patient must be considered when implementing treatment.
Younger women respond to endometrial ablation better than older women.
The age of the patient must be considered when implementing treatment.
Pain, amenorrhea, and menorrhagia are complex experiences involving cognitive, physical, and environmental factors. Determine the disorder that women with PCOS are at risk of developing.
Type 2 diabetes
Type 1 diabetes
Colon cancer
Hypotension
Type 2 diabetes
Determine which of the following is most consistent with patients presenting with abnormal or heavy uterine bleeding.
Amenorrhea
Polymenorrhea
Dyspareunia
Toxic shock syndrome
Polymenorrhea
Propose an accurate statement for when discussing therapeutic management of dysmenorrhea with a group of nursing students.
Hormonal treatment is highly recommended due to the lack of side effects.
Hormonal treatment is associated with unwanted side effects.
Complementary therapies are not recommended.
NSAIDs are ineffective in patients presenting with dysmenorrhea.
Hormonal treatment is associated with unwanted side effects.
Propose a statement that accurately reflects a patient who presents with polycystic ovarian syndrome.
My abdominal and back pain is constant and feels like I have needles under my skin.
I have managed to overcome my battle with anorexia.
They told me that I am insulin-resistant.
I have had 3 full-term deliveries over the past 5 years.
They told me that I am insulin-resistant.
A 16-year-old patient presents to the clinic with complaints of amenorrhea. The patient denies any previous history of menstruation. Choose the best statement that applies.
The patient should be immediately referred to the gynecologist for a complete evaluation.
The patient is experiencing primary amenorrhea; treatment is dependent on the cause.
The patient may be suffering from PCOS, which is common in all patients with amenorrhea.
The primary treatment for amenorrhea is hormonal replacement.
The patient is experiencing primary amenorrhea; treatment is dependent on the cause.
The nurse practitioner is educating students on the management of patients presenting with heavy bleeding. Establish a statement that reflects an understanding of the drug categories that are used in the treatment of this disorder.
Progestins replenish iron stores during heavy bleeding.
Iron replacement drugs suppress the endometrium.
Progestins stabilize an estrogen-primed endometrium.
Androgens prevent fibrin degradation and reduce bleeding.
Progestins stabilize an estrogen-primed endometrium.
The nurse practitioner is educating a group of students on the criteria that must be met prior to diagnosing a patient with TSS. Predict which of the following accurately reflects the criteria for TSS.
Green vaginal discharge
Temperature of 100.2 °F or greater
Frequent fractures
Hypotension (systolic BP less than 90 mm Hg)
Hypotension (systolic BP less than 90 mm Hg)
Propose a treatment option for a 30-year-old woman with polycystic ovarian syndrome.
Treatment with ofloxacin and metronidazole
Antidiabetic agents and statins (contraindicated)
Weight loss, smoking cessation, and balanced diet
Gonadotropin-releasing hormone
Weight loss, smoking cessation, and balanced diet
The nurse practitioner is educating a patient on the management of dysmenorrhea. Establish which is most consistent with an educational plan for a patient with dysmenorrhea.
Increase water consumption.
Decrease fiber intake to prevent constipation.
Start NSAIDs 1 week prior to the start of menstrual cycle.
Increase fluid intake to include caffeine.
Increase water consumption.
Pain, amenorrhea, and menorrhagia are complex experiences involving cognitive, physical, and environmental factors. Determine the disorder that women with PCOS are at risk of developing.
Infertility
Sexually transmitted infections
Colon cancer
Hypotension
Infertility
Propose a statement that accurately reflects a patient who presents with polycystic ovarian syndrome.
My abdominal and back pain is constant and feels like I have needles under my skin.
I have managed to overcome my battle with anorexia.
I have had 3 full-term deliveries over the past 5 years.
They told me that I am insulin-resistant.
They told me that I am insulin-resistant.
Propose an accurate statement for when discussing therapeutic management of patients presenting with heavy menstrual bleeding.
Endometrial ablation is not recommended in patients with heavy bleeding.
Treatment must be rapid and aggressive to avoid adverse outcomes.
Treatment depends on the cause of the bleeding.
Surgical intervention is initiated, followed by medical therapy.
Treatment depends on the cause of the bleeding.
