Chapter 06- Reproductive System Concerns
Lowdermilk- Maternity & Women's Health Care,
12th Edition (Latest Update Solved Solution
2022)
1. Which
... [Show More] condition is the least likely cause of amenorrhea in a 17-year-old client?
a. Anatomic abnormalities
b. Type 1 diabetes mellitus
c. Obesity
d. Pregnancy - ANS: C
A moderately obese adolescent (20% to 30% above ideal weight) may have early onset
menstruation. Girls who regularly exercise before menarche can have delayed onset of
menstruation to age 18 years. Anatomic abnormalities are a possible cause of
amenorrhea. Type 1 diabetes mellitus is a possible cause of amenorrhea. Pregnancy is
the most common cause of amenorrhea.
2. When a nurse is counseling a woman experiencing primary dysmenorrhea, which
nonpharmacologic intervention might be recommended?
a. Increasing the intake of red meat to replace blood loss b. Reducing the intake of
diuretic foods, such as peaches and asparagus
c. Temporarily substituting physical activity for a sedentary lifestyle
d. Using a heating pad on the abdomen to relieve cramping - ANS: D
Heat minimizes cramping by increasing vasodilation and muscle relaxation and
minimizing uterine ischemia. Dietary changes such as a low-fat vegetarian diet may be
recommended for women experiencing dysmenorrhea. Increasing the intake of
diuretics, including natural diuretics such as asparagus, cranberry juice, peaches,
parsley, and watermelon, may help ease the symptoms associated with dysmenorrhea.
Exercise has been found to help relieve menstrual discomfort through increased
vasodilation and subsequent decreased ischemia
3. Nafarelin is used to treat mild-to-severe endometriosis. What instruction or
information should the nurse provide to a client regarding nafarelin administration?
a. Nafarelin stimulates the secretion of gonadotropin-releasing hormone (GnRH),
thereby stimulating ovarian activity.
b. It should be administered by intramuscular (IM) injection.
c. Nafarelin should be administered by a subcutaneous implant.
d. It can cause the client to experience some hot flashes and vaginal dryness. - ANS: D
Nafarelin is a GnRH agonist, and its side effects are similar to those of menopause. The
hypoestrogenism effect results in hot flashes and vaginal dryness. Nafarelin is a GnRH
agonist that suppresses the secretion of GnRH. Nafarelin is administered twice daily by
nasal spray and can be intranasally administered. Leuprolide is given once per month
by IM injection. Goserelin is administered by subcutaneous implant.
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