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NURS
NURS 5333 FAMILY 1 TEST 2 EXAM QUESTIONS
WITH CORRECT VERIFIED SOLUTIONS 100%
GUARANTEED PASS (LATEST UPDATE)
Causes of abnormal uterine bleeding - ANS ✓insertion of IUD ( can cause
irritation and irregular bleeding or spotting)
Steroid therapy, can cause irregular bleeding
Psychotropic drugs can cause irregular periods.
Again, very important to get a detailed history of what medications they are
taking or if they have a IUD
Anovulation - ANS ✓HUGE cause for abnormal uterine bleeding.
Estrogen is the fertilizer and progesterone is the weed killer. Estrogen is the
cause of the endometrium thickening and progesterone is what causes the
endometrium to slough off
Labs to run for abnormal uterine bleeding - ANS ✓blood count, bleeding time,
PT, PTT, and rule out STD's or some kind of infection causing vaginal bleeding.
Reproductive age women include a pregnancy test, check lutenizing hormone,
follicle-stimulating hormone, CBC, check for anemia. Order an US and STD check
and if pt is over 35 check for endometrial biopsy
Post menopausal women: trans vaginal US, to check for uterine lining thickening,
endometrial stripe. Endometrial biopsy for cancer. Consider sending them to a
gynecologist.
Endometrial stripe - ANS ✓In a post menopausal woman lining should be about
4-8 mm.
NURS 5333
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NURS
If they are on hormone therapy, expect about 5mm, greater than this is
suspicious of endometrial cancer.
If a women is not on Hormone replacement, expect stripe to be around 4 or less,
greater than that worry about endometrial cancer.
Menstruating women endometrial stripe - ANS ✓Very thick, about 13mm
Risk factors for endometrial cancer - ANS ✓nulliparity, diabetes, pts taking
unopposed estrogen, rapid weight gain, weight gain in general
Obesity is an independent risk factor for endometrial cancer, this is because
obesity is a risk factor for anovulation, which causes the lining to become thicker
and that type of hyperplasia is a precursor for endometrial cancer
Managing Uterine bleeding - ANS ✓Always, Always, Always thing pregancy and
malignancy..two things to first rule out before starting to manage the bleeding.
managing options:
progestins, estrogens, oral contraceptives and NSAIDS
Progestins - ANS ✓Used to manage uterine bleeding.
Progestins are the "weed Killers", they prohibit endometrial growth, inhibit
synthesis of the estrogen receptors and promote conversions of estradiol to
estrone. They inhibit luteinizing hormone.
Progestin agents:
Cyclic medroxyprogesterone
IUD containing progestin (MIRENA) if pt is bleeding too much
NURS 5333
NURS
NURS 5333 FAMILY 1 TEST 2 EXAM QUESTIONS
WITH CORRECT VERIFIED SOLUTIONS 100%
GUARANTEED PASS (LATEST UPDATE)
Causes of abnormal uterine bleeding - ANS ✓insertion of IUD ( can cause
irritation and irregular bleeding or spotting)
Steroid therapy, can cause irregular bleeding
Psychotropic drugs can cause irregular periods.
Again, very important to get a detailed history of what medications they are
taking or if they have a IUD
Anovulation - ANS ✓HUGE cause for abnormal uterine bleeding.
Estrogen is the fertilizer and progesterone is the weed killer. Estrogen is the
cause of the endometrium thickening and progesterone is what causes the
endometrium to slough off
Labs to run for abnormal uterine bleeding - ANS ✓blood count, bleeding time,
PT, PTT, and rule out STD's or some kind of infection causing vaginal bleeding.
Reproductive age women include a pregnancy test, check lutenizing hormone,
follicle-stimulating hormone, CBC, check for anemia. Order an US and STD check
and if pt is over 35 check for endometrial biopsy
Post menopausal women: trans vaginal US, to check for uterine lining thickening,
endometrial stripe. Endometrial biopsy for cancer. Consider sending them to a
gynecologist.
Endometrial stripe - ANS ✓In a post menopausal woman lining should be about
4-8 mm.
NURS 5333
, 2
NURS
If they are on hormone therapy, expect about 5mm, greater than this is
suspicious of endometrial cancer.
If a women is not on Hormone replacement, expect stripe to be around 4 or less,
greater than that worry about endometrial cancer.
Menstruating women endometrial stripe - ANS ✓Very thick, about 13mm
Risk factors for endometrial cancer - ANS ✓nulliparity, diabetes, pts taking
unopposed estrogen, rapid weight gain, weight gain in general
Obesity is an independent risk factor for endometrial cancer, this is because
obesity is a risk factor for anovulation, which causes the lining to become thicker
and that type of hyperplasia is a precursor for endometrial cancer
Managing Uterine bleeding - ANS ✓Always, Always, Always thing pregancy and
malignancy..two things to first rule out before starting to manage the bleeding.
managing options:
progestins, estrogens, oral contraceptives and NSAIDS
Progestins - ANS ✓Used to manage uterine bleeding.
Progestins are the "weed Killers", they prohibit endometrial growth, inhibit
synthesis of the estrogen receptors and promote conversions of estradiol to
estrone. They inhibit luteinizing hormone.
Progestin agents:
Cyclic medroxyprogesterone
IUD containing progestin (MIRENA) if pt is bleeding too much
NURS 5333
