100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Women's Health Final Review NSG 6430; Questions & Answers 100% Verified $13.49   Add to cart
Quickly navigate to
Preview
  2.  
  3. NSG 6430
  4.  
  5. NSG 6430

Exam (elaborations)

Women's Health Final Review NSG 6430; Questions & Answers 100% Verified

 9 views  0 purchase
  • Course
  • NSG 6430
  • Institution
  • NSG 6430

Women's Health Final Review NSG 6430; Questions & Answers 100% Verified Primary Amenorrhea Correct answer-Absence of menses: by age 15 years Often secondary to: dysfunction in the hypothalamus, pituitary, ovaries (HPO axis), uterus, or vagina DYSMENORRHEA Correct answer-Painful cramping: ass...

[Show more]

Preview 3 out of 24  pages

Document information

  • August 8, 2024
  • 24
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • womens health final review nsg 6430
  • questions answers 100 verified

Written for

  • NSG 6430
  • NSG 6430

Seller

avatar-seller
GOLDTUTORS

Reviews received

Content preview

Women's Health Final Review NSG 6430;
Questions & Answers 100% Verified
Primary Amenorrhea Correct answer-Absence of menses: by age 15 years

Often secondary to: dysfunction in the hypothalamus, pituitary, ovaries (HPO

axis), uterus, or vagina




DYSMENORRHEA Correct answer-Painful cramping: associated with menstruation caused
by spasmodic uterine

contractions

Most common GYN problem: in adolescents & adult females

HISTORY: is KEY!!!

Primary versus Secondary




Primary Dysmenorrhea: Absence of pelvic pathology Correct answer-CAUSE: Excessive
Prostaglandins

ONSET: in adolescence

PAIN: starts 1-2 days prior to onset of menses or with menses, resolving over

12-72 hours

ASSOCIATED: with nausea, diarrhea, dizziness, fatigue, HA, back pain

IMPROVES: with NSAIDs, hormonal contraceptives, AGE & PARITY




Secondary Dysmenorrhea: Presence of Pelvic Pathology Correct answer-ONSET: Usually
after age 25 years

, Women's Health Final Review NSG 6430;
Questions & Answers 100% Verified
Abnormal uterine bleeding (AUB)

Variable SX: N, V, D, back pain

Dyspareunia: (esp. w/Endometriosis)

Symptoms: OFTEN worsen over time

Causes: Endometriosis, fibroids, infection/PID, adenomyosis, etc.




Dysmenorrhea Management Correct answer-Get a good history: (medical & menstrual)

Physical exam: to identify a cause

Pelvic exam: may defer if young, non-sexually active adolescents with mild

symptoms

Consider pelvic US: to look for adnexal masses, fibroids, other pelvic

pathology

If secondary, address underlying cause.




Dysmenorrhea Non-Pharm Management Correct answer-HEAT: to lower abdomen = Oral
Analgesics

EXERCISE: improves symptoms




Dysmenorrhea Pharm Management Correct answer-NSAIDs: 80-86% efficacy

o Start at onset of menses for x 1-2+ days

, Women's Health Final Review NSG 6430;
Questions & Answers 100% Verified
o If no relief, consider starting 1-2+ days before

Combination Hormonal Contraceptives (CHC)

Consider BOTH, if no relief with NSAIDs

Intrauterine Contraceptive (IUC): Hormonal

o Mirena or Skyla (smaller) with Levonorgestrel

If NO relief, consider SECONDARY CAUSE




ABNORMAL UTERINE BLEEDING (AUB) Correct answer-Comprehensive, focused history

Many causes: PALM-COEIN classification

Consider DIFFERENTIAL by AGE & HISTORY

Post-menopausal:

o Any bleeding beyond 12 months since LMP o Even "1 drop of blood" is concerning

o Must REFER to OBGYN to R/o cancer




Classification/Differential: PALM-COEIN Correct answer-Structural




P

Polyps:

> 30 years

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller GOLDTUTORS. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

79373 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$13.49
  • (0)
  Add to cart