Sexuality: Exemplar 19.C Menstrual Dysfunction

________ is the absence of menstruation by age 14 without having undergone other changes associated with puberty or by age 15 with having undergone normal physical changes of puberty. A) Primary amenorrhea B) Oligomenorrhea C) Secondary amenorrhea D) Metrorrhagia

A

The nurse is assessing the sexual health of a 20-year-old female client. Which of the following findings should the nurse identify as risk factors for dysfunctional uterine bleeding? Select all that apply. A) High level of stress B) Weight gain of 20 pounds in 2 months C) Use of birth control pills for contraception D) History of peptic ulcer disease E) Limited intake of high-fat foods

ABC

In what way does menometrorrhagia differ from menorrhagia? A) Menometrorrhagia involves excessive menstruation, whereas menorrhagia does not. B) Menometrorrhagia involves irregular menstruation, whereas menorrhagia does not. C) Menometrorrhagia involves prolonged menstruation, whereas menorrhagia does not. D) Menometrorrhagia involves the absence of menstruation, whereas menorrhagia does not.

B

Which of the following statements is true regarding the etiology and pathophysiology of primary dysmenorrhea? A) Primary dysmenorrhea is caused by decreased levels of prostaglandins, which cause uterine contractions to increase in strength. B) Primary dysmenorrhea begins within the first three or four menstrual periods after menarche and will occur with each ovulatory cycle during a woman's teens and twenties. C) Secondary dysmenorrhea is more common than primary dysmenorrhea. D) Causes of primary dysmenorrhea include endometriosis, tumors, cysts, pelvic adhesions, pelvic inflammatory disease, infections, cervical stenosis, uterine leiomyomas, and adenomyosis.

B

The nurse is caring for a young adult client who reports that she has painful periods. Which assessment findings suggest that this client is experiencing primary dysmenorrhea? Select all that apply. A) Bleeding between menstrual periods B) Headache C) Fatigue D) Diarrhea E) Scant menses

BCD

Which of the following interventions should the nurse recommend to a client who is experiencing primary dysmenorrhea? Select all that apply. A) Increase caffeine intake. B) Use a heating pad. C) Try relaxation techniques. D) Engage in regular exercise. E) Avoid vitamin supplements.

BCD

A nurse is preparing to teach a group of young women about strategies for the relief of menstrual cramping. What should be the focus of these strategies? A) Minimizing menstrual flow B) Avoiding uterine contraction C) Increasing blood flow to the uterine muscle D) Decreasing estrogen production

C

A young adolescent client is concerned about experiencing severe cramps with menstruation. She tells the nurse, "I don't like the pain, and I'm also worried the cramps mean there is something wrong with me." How should the nurse respond to this client? A) "Menstrual cramping is not normal but is something that can be treated." B) "You have cramps because you started your periods too early." C) "Cramps are common in young women who just started having their periods, but they can be managed and often become less severe over time." D) "You need to see a gynecologist for a pelvic examination."

C

The nurse is working with a client who experiences severe premenstrual syndrome. Which of the following interventions should the nurse suggest to assist the client in coping with this disorder? A) "Take frequent rest periods." B) "Consider drinking 4 ounces of wine each day." C) "Be sure to exercise and use relaxation techniques on a regular basis." D) "Avoid contraception during menstruation when engaging in sexual intercourse."

C

The nurse instructs a client on ways to reduce premenstrual difficulty. Which statement on the part of the client indicates that the instruction was beneficial? A) The client states the need to increase dietary sugar intake to promote energy. B) The client states that guided imagery does not help with premenstrual symptoms. C) The client states the need to increase intake of simple carbohydrates. D) The client states that reducing caffeine intake will help

D