Nu 155 Med Surg Exam 4 Reproductive Test
With Complete Solution
When do you do a self-breast examination? - ANSWER In the shower,
monthly after menstraul cycle
What are s/s of menopause? - ANSWER Hot flashes, vaginal dryness,
insomnia, joint pain, HA, nausea, smaller uterus, shorter vagina, sparse pubic
and axillary hair, decreased breast firmness, stress incontinence, emotional
instability, irritability, depression
What is medical tx for menopause? - ANSWER Estrogen therapy for vaginal
dryness, supportive care
What is pelvic organ prolapse? - ANSWER Protrusion of the pelvic organs
into or out of the vagina
What are causes of organ prolapse? - ANSWER Pregnancy and child birth,
weakness pelvic muscles
What are s/s of pelvic prolapse? - ANSWER Dyspareunia, lower back/pelvic
discomfort, recurrent bladder infections, protruding from vaginal opening
What is tx for pelvic prolapse? - ANSWER Kegel exercises, pessary,
colporrhaphy, hysterectomy
What are pelvic prolapse complications? - ANSWER Second and third degree
prolapse is subject to trauma & may become eroded or necrotic,
incontinence
What is dysmenorrhea? - ANSWER painful menstruation
, What is oligomenorrhea? - ANSWER decreased menstruation > 45 days
What is amenorrhea? - ANSWER absence of menstruation
What is metrorrhagia? - ANSWER bleeding between periods "spotting"
What is menorrhagia? - ANSWER excessive bleeding during menstruation
What is Leiomyoma (fibroid)? - ANSWER smooth muscle tumors of the uterus
(benign) during reproductive years
What are s/s of leiomyoma? - ANSWER Menstrual irregularities, backache,
lower abdomen pressure, constipation, urinary frequency
What are complications of leiomyomas? - ANSWER Infertility,
crowding,malpositioning of fetus, interruption of blood supply
What is the medical dx for leiomyomas? - ANSWER Enlarged and distorted
uterus
What is tx for leiomyomas? - ANSWER Tumors atrophy after menopause,
possible myomectomy, uterine artery embolization
What is endometriosis? - ANSWER cells deposited in the pelvic cavity implant
on structures within the cavity (ovaries, rectovaginal septum, pelvis and abd.)
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