When assessing the patient for amenorrhea, the nurse should be ...

[kwoodring]

When assessing the patient for amenorrhea, the nurse should be aware that this may be caused by all conditions except:
 
  a. Anatomic abnormalities.
  b. Type 1 diabetes mellitus.
  c. Lack of exercise.
  d. Hysterectomy.

Question 2

A client received epidural anesthesia during the first stage of labor. The epidural is discontinued immediately after delivery. This client is at increased risk for which problem during the fourth stage of labor?
 
  1. Nausea
  2. Bladder distention
  3. Uterine atony
  4. Hypertension

[medine]

Answer to Question 1

C

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A Anatomic abnormalities are a possible cause of amenorrhea.
B Type 1 diabetes is a possible cause of amenorrhea.
C Lack of exercise is not a cause of amenorrhea. Strenuous exercise may cause amenorrhea.
D Hysterectomy is a possible cause of amenorrhea.

Answer to Question 2

2
Rationale:
1. The epidural is discontinued after delivery, decreasing the likelihood of nausea.
2. Bladder distention can be a result of decreased bladder sensation in the fourth stage.
3. Uterine atony is not the result of an epidural.
4. Hypotension, not hypertension, is an early side effect of epidurals.