You are assessing a female client who is 40 years old. The client ...

[cmoore54]

You are assessing a female client who is 40 years old. The client tells you that she has not had her menses for over five months. She is sure that she is not pregnant because she has not been sexually active since her divorce 4 years ago.
 
  You recognize that which of the following can also cause a regular period to stop? (Select all that apply.) a. Excessive exercise d. Onset of menopause
  b. Emotional stress e. Diet high in fiber
  c. Chronic disease states f. Use of oral contra-ceptives

Question 2

A breastfeeding client confides in the nurse that since resuming sexual relations, she has had discomfort during intercourse. The nurse's advice should be based on the knowledge that the discomfort is most likely caused by
 
  a. increased maternal fatigue
  b. decreased vaginal lubrication
  c. trauma to the vaginal mucosa
  d. narrowing of the vaginal introitus

[Ahnyah]

Answer to Question 1

A, B, C, D, F
Excessive exercise, emotional stress, chronic disease states, onset of menopause, and use of oral contraceptives can all cause a regular period to stop. A diet high in fiber will not affect a woman's period.

Answer to Question 2

B
Vaginal dryness occurs as a result of hormonal influences and can result in dyspareunia. The use of vaginal lubricants can sometimes help alleviate this problem. Fatigue would not cause dyspareunia (pain during intercourse). Trauma to the vaginal mucosa can result in dyspareunia, but trauma is not the most likely cause. While narrowing of the vaginal introitus can result in dyspareunia, the narrowing of the vaginal introitus is temporary until the trauma of the birthing event subsides.

[cmoore54]

Excellent

[ghepp]

TYSM