Nurs 128 FINAL-repro Questions with Correct Answers
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Course
Nursing Pediatrics
Institution
Nursing Pediatrics
menstruation Correct Answer--the cycle of shedding the endometrial lining of the uterus
-menarche-female's first menstruation and 1 sign of puberty (usually btw ages of 10-16)
-normal cycle is usually not exablished for 1-2 years
-first cycles are usually anovulary (w/o ovulation) and irregular
...
Nurs 128 FINAL-repro Questions with Correct
Answers
menstruation Correct Answer--the cycle of shedding the endometrial
lining of the uterus
-menarche-female's first menstruation and 1 sign of puberty (usually btw
ages of 10-16)
-normal cycle is usually not exablished for 1-2 years
-first cycles are usually anovulary (w/o ovulation) and irregular
-cycle lasts about 28 days, first day is first day of bleeding
**regular cycle indicates normal sex hormone production and the
occurrence of ovulation
Ovulation Correct Answer--the cycle maturation of a dominant folicle
(the graafian follicle) and the subsequent release of the ovum.
-occurs about 14 days before the beginning of the next menstrual cycle
menopause Correct Answer--the biologic end of reproductive ability, but
the term only applies to the last mensrual period (usually btwn 40-50)
-date cannot be determined until 1 year has passed w/o menses
-climacteric-the phase of a womans life from the initial decline in the
amt of estrogem produced by the ovaries to the end sx--menopause is
only one sign of climacteric
-folicles in the ovaries atrophy causing a decline in estrogen which
causes the woman to notice changes
,Menopause cont. Correct Answer---during climacteric, the woman has
irregular menstrual and ced estrovarian cycles, ovulation fails to occur,
and flow may be lighter or heavier than normal
-reduogen affects bone density (osteoporosis and fractures); the uterus,
cervix, ovaries, labia, and clitoris shrink; vagina shortens and narrows;
vag. mucosa becomes thin and dry; and loss of tone reduces bladder
support which can cause incontinence
-hot flashes, emotional/mood changes and fatigue
artificial menopause Correct Answer--when menopause occurs for
reasons other than climateric
-ex-oophorectomy
-some women need estrogen and progesterone therapy , but risks and
benefits must me considered
menopause mgmt Correct Answer--HRT (hormone replacement
therapy)-estrogen and progestin (start at the lowest dose; assiciated with
increased risk for coronary heart disease and breast cancer)
-use water-based lubricants for dyspareunia (painful intercourse) d/t
vaginal dryness
-nutrition and exercise
-antidepressants
-Evista-non hormonal; reduce Sx; osteo/cardio protection elements like
HRT, but not risk for cancers
Assessment Correct Answer-Patient history
, Health habits (diet, sleep, exercise)
Family history and genetic risk
Genitoreproductive history
Current health problems—pain, bleeding, discharge, masses
pelvic exam part 1 Correct Answer--a speculum size is selected, warmed
and lubricated with warm water (no lubricant if cytologic studies are to
be performed). Tell the woman when the speculum will be inserted, once
inserted, it is opened.
-the cervix is examined for color, shape, dilation and for erosions,
nodules, masses, discharge and bleeding
-herpes, syphilis and cancer can produce lesions on the cervix
-specimens are obtained from cervix, endecervix and vaginal pool for
cytologic studies
-vaginal tissue is inspected for inflamation during withdrawal of
speculum
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