A 25-year-old female is diagnosed with endometriosis. What should ...

[swpotter12]

A 25-year-old female is diagnosed with endometriosis. What should the nurse include when teaching the patient about this disorder?
 
  Select all that apply.
  1. Endometriosis can be treated without any long-term effects.
  2. If the woman desires children, she should be encouraged to become pregnant before the disease progresses.
  3. Laser ablation and birth control pills are the treatments for this condition.
  4. Leaving the condition untreated will not result in any long-term health issues.
  5. Dyspareunia can occur.

Question 2

A patient is diagnosed with uterine prolapse into the vagina. The nurse understands that which factor likely contributed to this disorder?
 
  1. multiple pregnancies
  2. endometriosis
  3. pelvic inflammatory disease
  4. cervical tumor

[Rilsmarie951]

Answer to Question 1

Correct Answer: 2, 3, 5
Endometriosis is a slowly progressive disease that is responsive to ovarian hormone stimulation. Because progressive scarring may interfere with the ability to conceive, women with significant endometriosis are encouraged to have children early if they wish to do so. Dyspareunia (painful intercourse) is a manifestation of endometriosis. Management of endometriosis may include drug (birth control pills) or surgical (laparoscopy and laser ablation) intervention; however, these treatments do have long-term effects. Women with endometriosis may experience painful, lengthy, or heavy menstrual periods, which constitute health issues for the patient.

Answer to Question 2

Correct Answer: 1
Downward displacement of the pelvic organs into the vagina results from weakened pelvic musculature, which is usually attributed to stretching of the supporting ligaments and muscles during pregnancy and childbirth. Unrepaired lacerations from childbirth, rapid deliveries, multiple pregnancies, congenital weakness, or loss of elasticity and muscle tone with aging may contribute to these disorders. Endometriosis, pelvic inflammatory disease, and tumors do not typically cause uterine prolapse.