A client comes to the clinic complaining of severe menstrual cramps. She has never been pregnant, has been diagnosed with ovarian cysts, and has had an intrauterine device (IUD) for 2 years. What is the most likely reason for this client's complaint?
1. Menorrhagia
2. Hypermenorrhea
3. Primary dysmenorrhea
4. Secondary dysmenorrhea
Question 2
What should the gynecology clinic nurse recommend for the client experiencing premenstrual syndrome (PMS)?
1. Increase your consumption of red meat when you feel symptoms, and eat three large meals per day.
2. Engage in aerobic activity often throughout the month, and continue exercising when your symptoms begin.
3. Decrease your dietary intake of dairy and soy slightly during the month, and especially during your days of bleeding.
4. Eat more chocolate and drink more caffeine beginning a week prior to when your menstrual cycle bleeding should begin.
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