A woman with a family history of breast cancer had her last ...

[jeatrice]

A woman with a family history of breast cancer had her last menstrual period 12 months ago and is experiencing hot flashes. She has not had a hysterectomy. The primary care NP should recommend:
 
  a. black cohosh.
  b. estrogen-only therapy.
  c. progesterone-only therapy.
  d. limiting alcohol and caffeine intake.

Question 2

A 52-year-old woman reports having hot flashes and intense mood swings. After a year of having irregular menstrual periods, she has not had a period for 6 months. The primary care NP should diagnose:
 
  a. menopause.
  b. dysmenorrhea.
  c. perimenopause.
  d. postmenopause.

[Kjones0604]

Answer to Question 1

D
Hot flashes can be triggered by environmental conditions such as stress, excitement, anxiety, and alcohol and caffeine consumption. Black cohosh carries the same risks as estrogen. Estrogen-only therapy is not recommended for women with an intact uterus. Progesterone therapy is not recommended.

Answer to Question 2

C
Perimenopause usually occurs between ages 42 and 55 and is characterized by erratic ovulation and irregular periods, hot flashes, and intensified PMS symptoms. Menopause begins when periods have been absent for 12 months. Postmenopause describes the 5-year period after menopause. Dysmenorrhea is painful periods.

[jeatrice]

TYSM

[nanny]

Excellent