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NUR209 Midpoint exam With Answers.

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Menopause - Answer the cessation of menses for at least 12 months usually taking place between the ages of 41-59 What causes menopause? - Answer age related hormonal changes such as decrease in estrogen S/S of menopause - Answer Hot flashes Atrophic vaginitis (thinning, drying and inflammation of vaginal walls) shrinking of labia dyspareunia (painful intercourse) increased vaginal pH (decreased vaginal secretions and dryness) incontinence Mood swings changes in sleep patterns/decreased REM sleep Decreased bone density Decreased skin elasticity, loss of genital hair migraine headaches breast tissue changes and irregular menses Nursing interventions for menopause - Answer education about condition & s/s, Hormone replacement therapy and how to administer, nutrition (decrease calories and fats, increase fiber and whole grains, adequate fluid intake), encourage physical activity and muscle toning exercises, routine screenings (mammogram, bone density, annual GYN visit, colonoscopy), smoking cessation Menopause treatments - Answer Hormone replacement therapy (estrogen, progesterone, progestin) *clients with uterus should use estrogen and progestin, clients w/o uterus should use estrogen only Oral contraceptives CAM (complementary and alternative medicine) therapies - natural estrogen, aromatherapy, acupuncture, B3 and B6 for hot flashes, yoga, phytoestrogens (dandelion, alfalfa sprouts, black beans, soy beans Complications of menopause - Answer osteoporosis Myocardial infarction

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NUR209 Midpoint exam With Answers.
Menopause - Answer the cessation of menses for at least 12 months usually taking place
between the ages of 41-59



What causes menopause? - Answer age related hormonal changes such as decrease in
estrogen



S/S of menopause - Answer Hot flashes

Atrophic vaginitis (thinning, drying and inflammation of vaginal walls)

shrinking of labia

dyspareunia (painful intercourse)

increased vaginal pH (decreased vaginal secretions and dryness)

incontinence

Mood swings

changes in sleep patterns/decreased REM sleep

Decreased bone density

Decreased skin elasticity, loss of genital hair

migraine headaches

breast tissue changes and irregular menses



Nursing interventions for menopause - Answer education about condition & s/s, Hormone
replacement therapy and how to administer, nutrition (decrease calories and fats, increase fiber
and whole grains, adequate fluid intake), encourage physical activity and muscle toning
exercises, routine screenings (mammogram, bone density, annual GYN visit, colonoscopy),
smoking cessation



Menopause treatments - Answer Hormone replacement therapy (estrogen, progesterone,
progestin)

*clients with uterus should use estrogen and progestin, clients w/o uterus should use estrogen
only

Oral contraceptives

CAM (complementary and alternative medicine) therapies - natural estrogen, aromatherapy,
acupuncture, B3 and B6 for hot flashes, yoga, phytoestrogens (dandelion, alfalfa sprouts, black
beans, soy beans



Complications of menopause - Answer osteoporosis

Myocardial infarction

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