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nurs 590 exam 1 Questions and Correct
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What would be considered abnormal uterine bleeding?
✓ - acute: sudden and intense
✓ - Chronic: if greater than 6 months
✓ - intermenstrual bleeding
✓ - bleeding more frequently then every 24 days
✓ - bleeding for more than 8 days
✓ - bleeding more than 80mL/cycle
✓ - remember "abnormal" can also mean less frequent in addition to more frequent
bleeding
How long is a normal menstrual cycle?
✓ 24 to 38 days
What is the average length of bleeding?
✓ 4 to 8 days
How much blood loss is normal during a period?
✓ 5 to 80mLs
If an older woman presents with abnormal uterine bleeding, what could it be
related to?
✓ Older women may have vaginal atrophy due to low estrogen which can lead to the
development of fissures that bleed.
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What is the acronym for abnormal uterine bleeding?
✓ PALM-COEIN
What does the acronym for PALM-COEIN stand for?
✓ P - polyp
✓ A - adenomyosis
✓ L - Leiomyoma
✓ M - malignancy
✓ C - coagulopathy
✓ O - ovulatory dysfunction
✓ E - endometrial
✓ I - iatrogenic
✓ N - not otherwise classified
How common are uterine polyps?
✓ Up to 35% of women will have this at sometime in their life.
✓ As a woman ages, they are at greater risk for getting polyps.
Presentation of uterine polyp:
✓ - intermenstrual bleeding
✓ - bleeding after sexual intercourse
✓ - Can sometimes see with speculum exam if it has prolapsed through the cervix
What do you do if you are performing a speculum exam and see a polyp popping
through the cervix?
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