Exam (elaborations)
NU 404 Unit 2 Exam Guide With Complete Solution
- Course
- Institution
NU 404 Unit 2 Exam Guide With Complete Solution...
[Show more]
Content preview
NU 404 Unit 2 Exam Guide WithComplete Solution
Amenorrhea
Absence of menses during reproductive years.
Underlying etiology will not be on exam.
Normal before puberty, during pregnancy, postpartum, post menopause.
There are two types of primary amenorrhea:
-Absence of menses by age 15 with absence of development of secondary
sexual characteristics.
-Absence of menses by age 16 with normal development of secondary sexual
characteristics.
Secondary amenorrhea: the absence of regular menses for three cycles or
irregular menses for 6 months in women who have previously menstruated
regularly.
Management of Amenorrhea
Nursing Assessment: obtain a health history (sexually active) physical
assessment, labs and diagnostic tests.
Nursing Management: counseling and education.
Therapeutic Management: With primary amenorrhea management involves
correction of any UNDERLYING disorders and estrogen replacement therapy.
,With secondary amenorrhea management includes cyclic progesterone,
treatment of hyperprolactinemia, eating disorder, obesity, hypothalamic
failure, hypothyroidism.
Birth control can be used to regulate menstrual cycles ... there is
progesterone in birth control.
Dysmenorrhea
Painful menstruation.
Primary (Spasmodic): increased prostaglandin production (level highest day 2
of menses). Sharp, intermittent spasms of pain.
Secondary (Congestive): pelvic or uterine pathology, chronic pain, commonly
associated with endometriosis.
Management of Dysmenorrhea
Nursing Assessment: obtain health history such as sexual activeness, thyroid
disorder, physical trauma, family history and clinical manifestations. Physical
assessment, labs and diagnostic testing could include X-Ray and ultrasound.
Nursing Management: Educate!
***NSAIDS suppress prostaglandin production/reduce inflammation &
associated pain. Use Ibuprofen (Advil, Motrin, Midol) 400-800 mg TID.
Naproxen (Anaprox, Naprelan, Naprosyn, Aleve) 250-500 mg TID
Non Medical approaches: increase water consumption, heating pad, warm
bath, increase exercise & physical activity.
,Therapeutic Management: the overall goal is to provide adequate pain relief.
Ovarian Suppressive Agent - Lupron.
Hormonal Contraceptives (low-dose oral contraceptives, Depo-Provera
injection, Mirena IUD)
Complimentary Therapies: massage, acupuncture.
Surgery - last resort.
Abnormal Uterine Bleeding
Painless endometrial bleeding that is prolonged, excessive, and irregular and
not attributed to any underlying structural or systemic disease.
Check thyroid labs, prolactin level, hypothalamus is functioning properly.
Similar to and may overlap with other uterine bleeding disorders.
Common at the beginning and end of reproductive years.
Pathology related to hormonal disturbance.
Treat the underlying cause! Polyp, adenomyosis, leiomyosis, malignancy,
coagulopathy, ovulatory dysfunction, endometrial, iatrogenic, not yet
classified.
Management: Abnormal Uterine Bleeding
Nursing assessment:
•Health history and clinical manifestations
•Physical assessment
•Laboratory and diagnostic tests: CBC, PT, U/S, pregnancy test
, Nursing management
•Education
•Medication therapy (high dose estrogen-nausea)
Therapeutic Management:
•Normalize the bleeding
•Correct the anemia
•Prevent or diagnose early cancer (yearly exams)
•Pharmacotherapy (oral contraceptives)
•Insertion of a hormone-secreting intrauterine system (IUD)
•Surgical interventions:
•Ablation-removes a thin layer of tissue (endometrium) that lines the uterus;
use heat or cold. Cannot get pregnant after this procedure.
•Hysterectomy- surgical procedure to remove the uterus. Cannot get
pregnant after this procedure.
•Uterine artery embolization (UAE) cut blood supply to fibroid
Uterine artery embolization (UAE)
UAE fibroids can grow in the uterus may need to be cut out; fibroids are very
vascular and fibroids are the main reason females experience AUB. Fibroids
grow and can fill up the whole uterus. Procedure used as last resort with
abnormal uterine bleeding.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Belina. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now