The nurse is conducting a presentation to a group of women ...

[magmichele12]

The nurse is conducting a presentation to a group of women concerning menopause. Which statements by a participant indicate an understanding about the process?
 
  Select all that apply.
  1. Lubrication for intercourse will not be as necessary after menopause.
  2. My risk for vaginal infections declines as my estrogen levels decrease during menopause.
  3. My uterus will shrink in size after menopause.
  4. My skin will thicken after menopause.
  5. I should start practicing Kegel exercises.

Question 2

During the bimanual examination of a patient's uterus, the nurse notes that the uterus is tilted toward the back. What should the nurse explain to the patient about this finding?
 
  1. The uterus of a patient who has carried a child to term is frequently in a tilted-back position.
  2. The uterus may be tilted backward (retroverted) or angled backward (retroflexed).
  3. The uterus of a patient with fibroid tumors frequently tilts back under the weight of the tumors.
  4. The backward tilt of the uterus is consistent with pregnancy in the second or third trimester.

[thall411]

Answer to Question 1

Correct Answer: 3, 5
The loss of estrogen during menopause results in numerous changes. The uterus shrinks in size, and weakening of the pelvic floor muscles may contribute to involuntary incontinence. The loss of estrogen is responsible for the reduction of vaginal lubrication. Patients experiencing this loss may require lubricants to promote comfort during sexual intercourse. The vaginal dryness associated with menopause raises the risk for vaginal infections. The skin thins with menopause.

Answer to Question 2

Correct Answer: 2
The uterus may be tilted backward (retroverted) or angled backward (retroflexed).This anatomical positioning of the uterus is not related to pregnancy or the presence of fibroid tumors.