Author Question: A woman is diagnosed with polycystic ovarian disease (PCOS) after being unable to conceive. Her ... (Read 22 times)

APUS57 · **on:** Jul 23, 2018

A woman is diagnosed with polycystic ovarian disease (PCOS) after being unable to conceive. Her provider has ordered metformin (Glucophage) and clomiphene citrate (Clomid). The nurse will explain that metformin is given for which purpose?

a. To increase androgen levels
b. To induce ovulation
c. To promote a dominant follicle
d. To regulate menstrual periods

Question 2

A 30-year-old woman describes having periods every 30 days, lasting 8 days, with heavy bleeding. The nurse understands that these are signs of which condition?

a. Menometrorrhagia
b. Menorrhagia
c. Menorrhea
d. Metrorrhagia

amandanbreshears · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Metformin decreases androgen levels, which helps to regulate periods. It does not induce ovulation but increases the possibility of ovulation by its antiandrogenic effects. Clomiphene citrate promotes a dominant follicle.

Answer to Question 2

ANS: B
Menorrhagia is defined as regular uterine bleeding lasting more than 7 days with heavy bleeding. Metrorrhagia is irregular uterine bleeding lasting more than 7 days with heavy bleeding. Menorrhea is normal uterine bleeding. Menometrorrhagia is a combination of menorrhagia and metrorrhagia.