NUR 4455 Exam 3 Final

NUR 4455 Exam 3 Final

• dysmenorrhea

Answer

painful menstruation

• What is severe dysmenorrhea associated with? (3)

Answer

early menarche, nullipar- ity, and lack of physical exercise

• primary dysmenorrhea

Answer

painful menstruation associated with prostaglandin re- lease in ovulatory cycles

more common in younger females; appears 6 to 24 months after menarche, when ovulation is established

• Primary dysmenorrhea

Answer

S/S (4)

• backache

• weakness
• diaphoresis 1 / 4

• GI symptoms (anorexia, nausea, vomiting, and diarrhea)
• CNS symptoms (dizziness, syncope, headache, and poor concentration)

• Primary dysmenorrhea

Answer Pathology prostaglandins release during menses dur- ing luteal phas

prostaglandins increase the amplitude and frequency of uterine contractions --> vasospasm of the uterine arterioles --> ischemia and cyclic lower abdominal cramps

• secondary dysmenorrhea

Answer

Painful menstruation related to pelvic pathology can occur any time in the menstrual cycle

develops later in life (after 25 yo)

• Secondary dysmenorrhea causes

Answer

• Endometriosis

• Uterine Polyps • Fibroids • Pelvic Inflammatory Disease • Intrauterine Contraceptive Device (IUD)

• primary dysmenorrhea 2 / 4

Answer tx (5)

• heat to lower abdomen

• exercise
• pelvic rocking
• diet
• NSAIDs several days before menses

• primary dysmenorrhea

Answer recommended diet (3)

• reduce fluid retention

low salt and sugar 7-10 days before the expected menses

• natural diuretics

asparagus, cranberry juice, peaches, parsley, or watermelon

• low-fat vegetarian diet and vitamin E and D intake

• s/s of primary dysmenorrhea 3 / 4

Answer

• dull lower abdominal aching that radiating to the back or thighs

• bloating or pelvic fullness

• Oligomenorrhea (2)

Answer

infrequent menstrual periods (intervals of 40 to 45 days or longer) AND hypomenorrhea to scanty bleeding at normal intervals

• causes of oligomenorrhea

Answer

-Hypothalamic

-Pituitary

• Ovarian abnormalities

• What two instances may oligomenorrhea physiologic?

Answer

• woman's normal pattern for the first few years after menarche

• several years before menopause

• Oligomenorrhea

Answer

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