Author Question: A nurse is caring for a client who complains of pain with menstruation. What is true regarding the ... (Read 76 times)

cherise1989 · **on:** Jun 25, 2018

A nurse is caring for a client who complains of pain with menstruation. What is true regarding the etiology and pathophysiology of this condition?

A) Primary dysmenorrhea is caused by decreased levels of prostaglandins, causing the contractions of the uterus to increase in strength.
B) Primary dysmenorrhea begins within the first 3 or 4 menstrual periods after menarche and will occur with each ovulatory cycle during the teens and 20s of a woman's life.
C) Secondary dysmenorrhea is more common than primary dysmenorrhea.
D) Primary dysmenorrhea causes include endometriosis, tumors, cysts, pelvic adhesions, pelvic inflammatory disease, infections, cervical stenosis, uterine leiomyomas, and adneomyosis.

Question 2

The nurse identifies that a client is at risk for dysfunctional uterine bleeding. What did the nurse assess in this client?

Select all that apply.
A) High level of stress
B) Weight gain of 20 lbs. in 2 months
C) Uses birth control pills for contraception
D) Has a history of peptic ulcer disease
E) Limits intake of high-fat foods

31809pancho · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B

Pain associated with menses, called dysmenorrhea, is one of the most common menstrual dysfunctions. Primary dysmenorrhea is very common among women with normal menstrual function and is more common than secondary dysmenorrhea. Primary dysmenorrhea is caused by the release of prostaglandins that cause the contractions of the uterus needed to expel menstrual fluid and tissue. Primary dysmenorrheal begins within the first 3 or 4 menstrual periods after menarche and will occur with each ovulatory cycle during the teens and 20s of a woman's life. Secondary dysmenorrhea is related to pathology or diseases that affect the uterus and pelvic area. Causes of secondary dysmenorrhea include endometriosis, tumors, cysts, pelvic adhesions, pelvic inflammatory disease, infections, cervical stenosis, uterine leiomyomas, and adneomyosis.

Answer to Question 2

Answer: A, B, C

A number of factors may predispose a woman to dysfunctional uterine bleeding. These factors include stress, extreme weight changes, and use of oral contraceptive agents. Dysfunctional uterine bleeding is usually related to hormonal imbalances and not associated with peptic ulcer disease or low-fat diets.