A woman who is postmenopausal is in the clinic complaining of ...

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A woman who is postmenopausal is in the clinic complaining of urinary incontinence and wants to know why this is occurring. Otherwise she has no other complaints. What response by the nurse is best?
 
  A.
  I'm not sure; let's ask the physician why this could occur.
  B.
  Low estrogen levels after menopause causes the urinary tissues to atrophy.
  C.
  Most older women experience some incontinence.
  D.
  You may have a urinary tract infection or other medical problem.

Question 2

A woman complains of irregular menstrual periods and wonders if she is in perimenopause or menopause. Her laboratory work shows high levels of follicle-stimulating hormone (FSH) and low levels of estradiol. What response by the nurse is best?
 
  A.
  No, in menopause the FSH is low and the estradiol is high.
  B.
  No, those two laboratory findings are not related to the climacteric phase.
  C.
  These laboratory findings usually indicate menopause or perimenopause.
  D.
  Yes you are definitely in menopause right now.

[Briannahope]

Answer to Question 1

ANS: B
During the perimenopausal and postmenopausal stages, lowered levels of estrogen can lead to atrophy of urinary tissues and incontinence. This is knowledge all nurses should have, so needing to ask the physician is not appropriate. Telling the woman that most older women have this problem does not give the patient any information about why this occurs, which was her question. Because she has no other complaints, a urinary tract infection is less likely.

Answer to Question 2

ANS: C
Elevated levels of FSH combined with low levels of estradiol usually indicate perimenopause or menopause.

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TYSM

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