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45 Cards in this Set
- Front
- Back
what is dysmenorrhea?
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painful menses.
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symptoms of mysmenorrhea include
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pain, bloating, distention, headach , nausea, vomiting, constipation
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when does primary dysmenorrhea occure?
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after ovulation
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how does primary dysmenorrhea occure?
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smooth muscle to contract in uterus. Causes muscle spasm and pain
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primary dysmenorrhea is believed to be caused by what?
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increased prduction and release of uterine prostaglandins.
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intervention of primary dysmenorrhea include what?
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prostaglandin synthetase inhibitors, nsaids, ibuprofen motrin.
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What do you use with dysmenorrhea when contraception is not an issue and when it is an issue?
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when it isnt, psi
when it is oral contraceptives is the treatment of choice. |
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to alleviate pain with dysmenorrhea try these
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acupressure, aerobic exercise, swimming yoga meditation relaxation techniques
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to prevent pain with dysmenorrhea take these suppliments
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vit b6 calcium, magnesium, and protein and reduce sodium.
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in what phase does pms occure?
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luteal phase
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what age group is pms more prevelant in?
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30-40
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what drug decreases breast tenderness and swelling?
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Parlodel
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the most important intervention with pms is?
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education of her body.
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when managing pms, if hypoglycemia occurs what should the nurse instruct the woman to do?
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eat six small meals
limit sugar, red meat, alcohol, tee coffe chocolate eliminate caffine |
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drug therapy with pms is controversial , but some treatments have been effective such as what?
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Potassium sparing diuretics
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If pt is on a potassium sparing diuretic what may the woman need to do ?
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intake of potassium containing foods
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Some drugs that are used for pms include
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paradol, birthcontrol pills, antidepressants, prostaglandin inhibitors, and NSAIDS
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the absence of menstrual periods is called what?
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amenorrhea
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amenorrhea can be happen because 2 different things what are they?
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absence of menstration by age 16
started but stoped and not recurred for 3 months |
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amenorrheas that has not occured by age 16 (primary)is often due to what?
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reproductive tract anomalies, and fertality is usually poor.
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secondary amenorrhea is probably due to what?
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a functional disorder and the prognosis of fertility is better
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with amenorrhea, the nurse assesses what?
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the menstrual history,
obstetric history and possible sexual activity and pregnancy |
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amenorrhea can be related to this type of eating habits?
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obesity and starvation
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what is galactorrhea?
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watery or milky breast secretions in nonbreastfeeding woman
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Treatment for amenorrhea is?
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hormone replacement, ovulation stimulation, and periodic progesterone withdrawl
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what is menorrhagia?
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excessive bleeding
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what is metorrhagia?
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bleeding between.
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what is the effect of increased FSH?
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pituitary gland to stimulate ovaries to produce estrogen.
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what are vasomotor symptoms?
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hot flashes, night sweats, palpitations, dizziness
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the 3 most common causes for postmenopausal bleeding are?
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atrophi vaginitis, cervical polyps, and endometrial hyperplasia
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with atropic vaginitis you would have what?
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dry and thin vaginal mucosa
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the most serious cause of postmenopausal bleeding is what?
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endometrial hyperplasia
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bleeding with endometrial hyperplasia is caused by what?
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ovarian function declines and leads to prolonged estrogen stimulation, producint the hyperplasia that eventually breaks down and bleeds.
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the nurse must identify woman who are at risk for endometrial cancer such as woman that are?
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obese, hypertensive, diabetic or nullpara
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medical treatment for a woman receiving unopposed estrogen therapy may include the monthly administration of what?
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progesterone daily for last then days of the estroge therapy
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atrophic vaginitis is managed by what?
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estrogen via the vaginal, oral, transdermal or subdermal route.
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with estrogen replacement therapy pts should take what procautions?
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use sunscreen if you are in the sun for a prolonged period
call dr if you have pain in your calves or groin or have a shortness in breath |
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a benign disease characterized by implantation of endometrial tissue outside the uterine cavity.
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endometrosis
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endometriosis occurs most often in woman in what age group?
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30-40
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what are two risks for getting endometriosis?
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nullpara, mother had it.
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what is the most common symptom of endometriosis?
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PAin
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pt has pain right before menstral flow and it is located in the lower abdomen, causeing a sense of rectal pressure what do you think it may be?
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endometriosis
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what is dyspareunia
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painful sexual intercourse
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number one nursing intervention for a pt with endometriosis is?
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reducing pain
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some alternative therapies for endometriosis are>?
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heating pad to abd or sacrum, relaxation techniques, yoga and biofeedback.
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