Author Question: A 50-year-old woman visits a clinic complaining of heat intolerance, irregular menses, and a slight ... (Read 52 times)

james · **on:** Jun 27, 2018

A 50-year-old woman visits a clinic complaining of heat intolerance, irregular menses, and a slight increase in bleeding during her menses. The most likely cause of her symptoms is

a. uterine cancer c. uterine fibroids
b. menopause d. ovarian cancer

Question 2

A primigravida at 40 weeks of gestation is having uterine contractions every 1 to 2 mi-nutes and says that they are very painful. Her cervix is dilated 2 cm and has not changed in 3 hours. The woman is crying and wants an epidural.

What is the likely status of this woman's labor? a. She is exhibiting hypotonic uterine dysfunction.
b. She is experiencing a normal latent stage.
c. She is exhibiting hypertonic uterine dysfunction.
d. She is experiencing pelvic dystocia.

KKcool · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
The client is experiencing normal manifestations of menopause.

Answer to Question 2

C

Feedback
A With hypotonic uterine dysfunction, the woman initially makes normal progress into the active stage of labor; then the contractions become weak and inefficient or stop altogether.
B The contraction pattern seen in this woman signifies hypertonic uterine activity. Typically uterine activity in this phase occurs at 4- to 5-minute intervals lasting 30 to 45 seconds.
C Women who experience hypertonic uterine dysfunction, or primary dysfunc-tional labor, often are anxious first-time mothers who are having painful and frequent contractions that are ineffective at causing cervical dilation or efface-ment to progress.
D Pelvic dystocia can occur whenever contractures of the pelvic diameters reduce the capacity of the bony pelvis, including the inlet, midpelvis, outlet, or any combination of these planes.