A client comes to the clinic complaining of severe menstrual ...

[Sportsfan2111]

A client comes to the clinic complaining of severe menstrual cramps. She has never been pregnant, has been diagnosed with ovarian cysts, and has had an intrauterine device (IUD) for 2 years. What is the most likely reason for this client's complaint?
 
  1. Menorrhagia
  2. Hypermenorrhea
  3. Primary dysmenorrhea
  4. Secondary dysmenorrhea

Question 2

What should the gynecology clinic nurse recommend for the client experiencing premenstrual syndrome (PMS)?
 
  1. Increase your consumption of red meat when you feel symptoms, and eat three large meals per day.
  2. Engage in aerobic activity often throughout the month, and continue exercising when your symptoms begin.
  3. Decrease your dietary intake of dairy and soy slightly during the month, and especially during your days of bleeding.
  4. Eat more chocolate and drink more caffeine beginning a week prior to when your menstrual cycle bleeding should begin.

[jessicaduplan]

Answer to Question 1

4
Explanation:
1. Menorrhagia is excessive, profuse flow.
2. Hypermenorrhea is an abnormally long menstrual flow.
3. Primary dysmenorrhea is defined as cramps without underlying disease.
4. Secondary dysmenorrhea is associated with pathology of the reproductive tract and usually appears after menstruation has been established. Conditions that most frequently cause secondary dysmenorrhea include ovarian cysts and the presence of an intrauterine device.

Answer to Question 2

2
Explanation:
1. Decreased red meat consumption can be beneficial to reduce PMS symptoms, as will eating several small meals per day rather than three large meals.
2. Regular aerobic activity helps to decrease PMS symptoms.
3. 1200 mg of calcium per day can help decrease PMS symptoms. The calcium can either come from supplements or be obtained through dietary intake of dairy and soy products.
4. Chocolate and caffeine contain methylxanthines; therefore, intake of chocolate, coffee, and colas should be limited throughout the month.