WOMEN'S HEALTH FINAL REVIEW NSG 6430 QUESTIONS WITH CORRECT ANSWERS LATEST
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Course
MEDICAL-SURG NURSING
Institution
MEDICAL-SURG NURSING
WOMEN'S HEALTH FINAL REVIEW NSG 6430 QUESTIONS WITH CORRECT ANSWERS LATEST WOMEN'S HEALTH FINAL REVIEW NSG 6430 QUESTIONS WITH CORRECT ANSWERS LATEST WOMEN'S HEALTH FINAL REVIEW NSG 6430 QUESTIONS WITH CORRECT ANSWERS LATEST
WOMEN'S HEALTH FINAL REVIEW NSG 6430 QUESTIONS WITH
CORRECT ANSWERS LATEST UPDATE 2024 A+
GUARANTEED
1. Primary amenorrhea: absence of menses: by age 15 years
often secondary to: dysfunction in the hypothalamus, pituitary, ovaries (hpo axis),
uterus, or vagina
2. Dysmenorrhea: painful cramping: associated with menstruation caused by
spasmodic uterine contractions
most common gyn problem: in adolescents & adult females history: is
key!!!
primary versus secondary
3. Primary dysmenorrhea: absence of pelvic pathology: cause: excessive
prostaglandins
onset: in adolescence
pain: starts 1-2 days prior to onset of menses or with menses, resolving over 12-
72 hours
associated: with nausea, diarrhea, dizziness, fatigue, ha, back pain
improves: with nsaids, hormonal contraceptives, age & parity
4. Secondary dysmenorrhea: presence of pelvic pathology: onset: usually
after age 25 years
abnormal uterine bleeding (aub) variable
sx: n, v, d, back pain
,dyspareunia: (esp. W/endometriosis)
symptoms: often worsen over time
causes: endometriosis, fibroids, infection/pid, adenomyosis, etc.
5. Dysmenorrhea management: get a good history: (medical & menstrual)
physical exam: to identify a cause
pelvic exam: may defer if young, non-sexually active adolescents with mild
symptoms
consider pelvic us: to look for adnexal masses, fibroids, other pelvic pathology
if secondary, address underlying cause.
6. Dysmenorrhea non-pharm management: heat: to lower abdomen = oral
analgesics
exercise: improves symptoms
7. Dysmenorrhea pharm management: nsaids: 80-86% efficacy o start at onset
of menses for x 1-2+ days
o If no relief, consider starting 1-2+ days before
combination hormonal contraceptives (chc)
consider both, if no relief with nsaids
intrauterine contraceptive (iuc): hormonal
o Mirena or skyla (smaller) with levonorgestrel
if no relief, consider secondary cause
8. Abnormal uterine bleeding (aub): comprehensive, focused history
many causes: palm-coein classification consider differential by age & history
post-menopausal: o any bleeding beyond 12 months since lmp o even "1 drop of
blood" is concerning o must refer to obgyn to r/o cancer
9. Classification/differential: palm-coein: structural
, P
Polyps:
> 30 years
A
adenomyosis:
> 30
L
Leiomyoma/fibroids: >
30
M
Malignancy/hyperplasia:
> 40 (obesity, dm, pcos, > 50 yr)
Non structural
C
Coagulopathy:
any age
O
Ovulatory dysfunction:
Any age
E
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