Midterm Exam: NR 577 (NR577) Primary Care Management of Adolescents and Adults Final Exam Review| Guide with Verified Answers| Latest 2023/
... [Show More] 2024|
QUESTION
women with anovulation require management because
Answer:
If left untreated, endometrial cancer can occur, regardless of the woman's age
QUESTION
Dysmenorrhea
Answer:
defined as painful cramps that occur with menstruation—is the most commonly reported menstrual disorder, affecting as many as 81% of women
QUESTION
Etiology of dysmenorrhea
Answer:
- The pain of dysmenorrhea originates from intense uterine contractions during the menstrual phase of the cycle, triggering endometrial prostaglandin production and release.
QUESTION
Primary dysmenorrhea
Answer:
more common than secondary dysmenorrhea, o often begins 6 to 12 months after menarche. symptoms are experienced with the onset of bleeding and continue for 8 to 72 hours into the menstrual cycle
QUESTION
Secondary (occurring from identifiable organic pathology) dysmenorrhea-
Answer:
Diagnosis of secondary dysmenorrhea includes pelvic pathology such as adeno- myosis, leiomyomata, irritable bowel syndrome, interstitial cystitis, and endometrio- sis o Almost any processthat can affect the pelvic viscera and cause acute or intermittent recurring pain might be a source of cyclic premenstrual pain, including urinary tract infection, pelvic inflammatory disease, hernia, and pelvic relaxation or prolapse
QUESTION
differences between primary and secondary dysmenorrhea
Answer:
The pain asso- ciated with either primary orsecondary dysmenorrhea may be similar, although pain that has increased over time is more often associated with secondary dysmenor- rhea.
QUESTION
tx dysmenorrhea
Answer:
Nonpharmacologic Treatments • Heat • Lifestyle changes
• Vitamins and herbal supplements • Acupuncture o Pharmacologic Treatments • NSAIDS: start taking 2-3 days before the start of menses; more likely to be effective for primary dysmenorrhea than forsecondary dysmenorrhea because of the associ- ated underlying pathology that often accompanies the latter • Oral contraceptives
QUESTION
PMS
Answer:
describes the cyclical recurrence of symptomsthat impair a woman's health, relationships, and occupational functioning. o PMS can be defined as a cluster of mild to moderate physical and psychological symptoms that occur during the late luteal phase of menses and resolve with menstruation
QUESTION
PMDD
Answer:
s a diagnostic label that applies to a much smaller number of men- struating women experiencing severe PMS with predominantly negative affective symptoms. o PMDD encompasses cognitive, behavioral, emotional, and negative symptomatic changes that severely impair daily functioning, relationships, parenting, and ability to work in the late luteal menstrual phase
QUESTION
Dx criteria for PMDD
Answer:
One (or more) of the following symptoms is present: irritability, depressed mood, marked anxiety, tension, or affective lability. o One or more of the following symptoms must additionally be present (the combination of symptoms in I and II must total five): decreased interest in usual activities, difficulty concentrating, fatigue, appetite change (decreased or increased), changes in sleep patterns(hypersomnia or insomnia),sense of feeling overwhelmed, physicalsymp- toms such as breast tenderness, joint or muscle pain, bloating, or weight gain.
o The symptoms markedly interfere with occupational orsocial functioning. o The symptoms are not due to an exacerbation of another disorder. o The preceding criteria h
QUESTION
Menorrhagia:
Answer:
heavy or prolonged menstrual bleeding
QUESTION
Metrorrhagia:
Answer:
"irregular" intermenstrual bleeding or bleeding between men- strual periods
QUESTION
Menometrorrhagia:
Answer:
"irregular" and heavy intermenstrual bleeding
QUESTION
Post-Coital:
Answer:
bleeding that occurs afterintercourse
QUESTION
Post-Menopausal:
Answer:
bleeding that occurs after a menopausal woman has not had a period for at least 12 months
QUESTION
Structural abnormalities for AUB
Answer:
Polyps, leiomyoma, adenomyosis, malig- nancy and hyperplasia
QUESTION
Polyps [Show Less]