, 10/2/24, 11:24 AM NURS 660 EXAM1 LATEST UPDATE 2024/2025 COMPREHENSIVE QUESTIONS AND EXPLAINED DETAILED ANSWERS…
What is the most important Cancer (especially endometrial)
differential to rule out in
postmenopausal
bleeding?
An average cycle is how 28 days
many days? Range 21-35 days/3-5 weeks
How long does an average 4-6 days
cycle last and how much 30 mL (not typically measured, upper limit of normal 6-
blood is typically lost? 80)
Absence of menses >6 months
Amenorrhea is defined as If <6 months, this is just irregular menstrual bleeding
and not actual amenorrhea
Define oligomenorrhea Bleeding at an interval >35 days
Excessive or prolonged menstural bleeding occurring
Define menorrhagia at regular intervals
>80 cc or >7 days
Define polymenorrhea Bleeding at an interval <21 days
Ovulatory bleeding is cyclic bleeding accompanied by
cyclic signs of ovulation (tender breasts, cramping,
Differentiate between
pain) aka typical menstrual bleeding
ovulatory and anovulatory
Anovulatory bleeding is unpredictable, non-cyclic
bleeding.
bleeding that is variable in flow and duration. There are
no signs of ovulation.
What age groups are Perimenopausal
anovulatory bleeding not Pre-teen
uncommon in?
What are some Spontaneous abortion, ectopic pregnancy, placental
differentials to consider previa (not attached to the fundus), placenta abruptio
with pregnancy related (detaching, emergency), trophoblastic disease,
AUB? childbirth complications
Anticoagulants, SSRIs/antipsychotics (especially
What are some
Lexapro), corticosteroids, hormonal medications, IUD,
medications that can cause
tamoxifen
irregular bleeding?
Also some herbals like ginseng, gingko, soy, black
Herbals?
cohosh
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