NURS 5333 Family 1 Test 2 Questions with Correct Answers Fully Solved Latest 2025

NURS 5333 Family 1 Test 2 Questions with Correct Answers Fully Solved Latest 2025 Abnormal Uterine bleeding (AUB) - Answers Variability in menstrual cycle's - Answers In general menstruation is "28 day" cycle, but there is a plus or minus seven days variability there Mean duration of menstrual cycle - Answers average is 4 days, but don't expect patients to go beyond 7 days. If bleeding 8, 10,11 days, classified as abnormal and investigate Blood loss in Normal menses - Answers 35 to 50 cc. 80cc or more is abnormal Menorrhagia - Answers prolonged bleeding, greater than 7 days or more than 80 cc/day. This is a very common Gyn disorder, found in 14% of women otherwise healthy and in their reproductive age (as young as 11-12 yo sometimes) Metrorrhagia - Answers Uterine bleeding occuring at Irregular, but real frequent intervals Mittelschmerz - Answers Pain that occurs with ovulation, which would be about mid cycle Breakthrough bleeding (ex. of Metrorrhagia) - Answers Either w/ ovulation (Mittelschmerz), or Anovulation, pt does not ovulate at all Menometrorrhagia - Answers prolonged uterine bleeding occurring at irregular intervals (ex. pt spots everyday or bleed every 3-4 days, bleed during intercourse, exercising) anovulation - Answers pts who do not ovulate, will have uterine bleeding occurring in irregular intervals for a long time, which is why they are NOT having regular cycles Oligomenorrhea - Answers Reduction in frequency of menses. Not menstruating every month in a predictable pattern. Amenorrhea - Answers No menses for at least 3-6 months. Part two is that they need to have had a regular cycle prior to this. Primary amenorrhea - Answers patient has never had a any bleeding (menses) Ever. No prior first period. If they are 15 or 16, need to think about structural problems, missing ovaries, etc.) Secondary Amenorrhea - Answers no menses for 3-6 months after the regular cycle has been established. Cannot be classified as Secondary amenorrhea in the first 2years of starting menarche. Hypomenorrhea - Answers reduction on number of days. Most of the time a side effect of medications (birth control pills, birth control patches). Important to get a good history of what they are taking. Menopause - Answers Absence of cycles for 12 months, average age 51 yo Menstrual bleeding stops if certain things happen - Answers NSAIDS (block prostaglandins, which cause contractions and expulsion bleeding) and increasing Estrogen (Cessation of blood with higher estrogen levels) Etiology of AUD (Abnormal uterine bleeding) - Answers coagulation defects, develop leukemia, problems with thrombocytes and clotting, thyroid dysfunction PEARL: Pt w/ coagulation defect - Answers you are looking for a patient who had a very heavy flow w/ the 1st period. Bled all over the sheets, through their clothing. RED FLAG!!! Looking for a heavy period every month Von Willebrand's disease - Answers Most common inherited bleeding disorder hypothyroidism - Answers can also cause bleeding issues. It can cause Menorrhagia and metrorrhagia hyperthyroidism - Answers can also cause menstrual issues Vaginal bleeding in a pre-menarchal child - Answers common cause is a foreign body, that most likely was placed in the vagina themselves Vaginal bleeding during reproductive ages - Answers unusual bleeding most often related to anovulation or Gestational event. Is the pt pregnant? Always consider pregnancy in a reproductive age girl presenting with unusual vaginal bleeding Vaginal bleeding post-menopausal patient - Answers most often caused by atrophy or atrophic vaginitis, tissues that are irritated and thin and bleed easily Malignancies to consider - Answers Endometrial cancer, ovarian cancer, cervical cancer and less likely vaginal cancer can cause some bleeding. IMPORTANT TO MEMORIZE - Answers 10% of women with postmenopausal bleeding are going to have endometrial cancer and 10 % will also have endometrial hyperplasia, which is a precursor to endometrial cancer **If you see a woman with post-menopausal bleeding this needs to get your attention quickly because that has a high rate of endometrial hyperplasia or endometrial cancer. Causes of abnormal uterine bleeding - Answers insertion of IUD ( can cause irritation and irregular bleeding or spotting) Steroid therapy, can cause irregular bleeding