NUR 4455 Exam 3 Final
1. dysmenorrhea
Answer
painful menstruation
2. What is severe dysmenorrhea associated with? (3)
Answer
early menarche, nullipar- ity, and lack of physical exercise
3. primary dysmenorrhea
Answer
painful menstruation associated with prostaglandin re- lease in ovulatory cycles
more common in younger females; appears 6 to 24 months after menarche, when ovulation is
established
4. Primary dysmenorrhea
Answer
S/S (4)
- backache
- weakness
- diaphoresis
,- GI symptoms (anorexia, nausea, vomiting, and diarrhea)
- CNS symptoms (dizziness, syncope, headache, and poor concentration)
5. Primary dysmenorrhea
Answer
Pathology
prostaglandins release during menses dur- ing luteal phas
prostaglandins increase the amplitude and frequency of uterine contractions --> vasospasm of
the uterine arterioles --> ischemia and cyclic lower abdominal cramps
6. secondary dysmenorrhea
Answer
Painful menstruation related to pelvic pathology can occur any time in the menstrual cycle
develops later in life (after 25 yo)
7. Secondary dysmenorrhea causes
Answer
• Endometriosis
• Uterine Polyps
• Fibroids
• Pelvic Inflammatory Disease
• Intrauterine Contraceptive Device (IUD)
8. primary dysmenorrhea
,Answer
tx (5)
- heat to lower abdomen
- exercise
- pelvic rocking
- diet
- NSAIDs several days before menses
9. primary dysmenorrhea
Answer
recommended diet (3)
- reduce fluid retention
low salt and sugar 7-10 days before the expected menses
- natural diuretics
asparagus, cranberry juice, peaches, parsley, or watermelon
- low-fat vegetarian diet and vitamin E and D intake
10. s/s of primary dysmenorrhea
, Answer
- dull lower abdominal aching that radiating to the back or thighs
- bloating or pelvic fullness
11. Oligomenorrhea (2)
Answer
infrequent menstrual periods (intervals of 40 to 45 days or longer) AND hypomenorrhea to
scanty bleeding at normal intervals
12. causes of oligomenorrhea
Answer
-Hypothalamic
-Pituitary
- Ovarian abnormalities
13. What two instances may oligomenorrhea physiologic?
Answer
- woman's normal pattern for the first few years after menarche
- several years before menopause
14. Oligomenorrhea
Answer
1. dysmenorrhea
Answer
painful menstruation
2. What is severe dysmenorrhea associated with? (3)
Answer
early menarche, nullipar- ity, and lack of physical exercise
3. primary dysmenorrhea
Answer
painful menstruation associated with prostaglandin re- lease in ovulatory cycles
more common in younger females; appears 6 to 24 months after menarche, when ovulation is
established
4. Primary dysmenorrhea
Answer
S/S (4)
- backache
- weakness
- diaphoresis
,- GI symptoms (anorexia, nausea, vomiting, and diarrhea)
- CNS symptoms (dizziness, syncope, headache, and poor concentration)
5. Primary dysmenorrhea
Answer
Pathology
prostaglandins release during menses dur- ing luteal phas
prostaglandins increase the amplitude and frequency of uterine contractions --> vasospasm of
the uterine arterioles --> ischemia and cyclic lower abdominal cramps
6. secondary dysmenorrhea
Answer
Painful menstruation related to pelvic pathology can occur any time in the menstrual cycle
develops later in life (after 25 yo)
7. Secondary dysmenorrhea causes
Answer
• Endometriosis
• Uterine Polyps
• Fibroids
• Pelvic Inflammatory Disease
• Intrauterine Contraceptive Device (IUD)
8. primary dysmenorrhea
,Answer
tx (5)
- heat to lower abdomen
- exercise
- pelvic rocking
- diet
- NSAIDs several days before menses
9. primary dysmenorrhea
Answer
recommended diet (3)
- reduce fluid retention
low salt and sugar 7-10 days before the expected menses
- natural diuretics
asparagus, cranberry juice, peaches, parsley, or watermelon
- low-fat vegetarian diet and vitamin E and D intake
10. s/s of primary dysmenorrhea
, Answer
- dull lower abdominal aching that radiating to the back or thighs
- bloating or pelvic fullness
11. Oligomenorrhea (2)
Answer
infrequent menstrual periods (intervals of 40 to 45 days or longer) AND hypomenorrhea to
scanty bleeding at normal intervals
12. causes of oligomenorrhea
Answer
-Hypothalamic
-Pituitary
- Ovarian abnormalities
13. What two instances may oligomenorrhea physiologic?
Answer
- woman's normal pattern for the first few years after menarche
- several years before menopause
14. Oligomenorrhea
Answer
