MENOPAUSE PEARSON QUESTIONS
AND ANSWERS WUTH COMPLETE
SOLUTIONS 100% CORRECT RATED
A+
Confirming Menopause via Lab Results
A nurse is reviewing a patient's laboratory values. Which of the following
hormone changes should the nurse identify as confirming that the patient is
experiencing menopause?
A. A decrease in follicle-stimulating hormone (FSH)
B. A significant decrease in progesterone
C. An increase in estradiol
D. An increase in estrone
✔✔ Answer: B. A significant decrease in progesterone
Rationale: Once menopause occurs, the ovaries permanently stop releasing eggs,
which halts the formation of the corpus luteum (the temporary gland responsible
for producing progesterone). This leads to a dramatic drop in systemic
progesterone levels.
Why other choices are incorrect: During menopause, follicle-stimulating
hormone (FSH) increases significantly (A) rather than decreasing, as the
pituitary gland tries in vain to stimulate the non-responsive ovaries.
Additionally, active estrogen levels (such as estradiol, the primary ovarian
estrogen) drop sharply (C), and estrone (D) does not increase.
Assessing for Perimenopausal Symptoms
The nurse is interviewing a middle-aged patient during her annual
gynecological examination. Which of the following patient statements should
lead the nurse to suspect the patient is entering perimenopause?
A. "I've been feeling unusually cold and sensitive to chilly drafts lately."
B. "I have been struggling quite a bit with constipation recently."
, C. "I frequently wake up in the middle of the night drenched in sweat."
D. "I feel like my appetite has increased significantly over the last month."
✔✔ Answer: C. "I frequently wake up in the middle of the night drenched in
sweat."
Rationale: Night sweats are a classic vasomotor symptom caused by fluctuating
estrogen levels disrupting the hypothalamus (the brain’s temperature-regulating
center). This symptom is a hallmark subjective finding reported during the
perimenopausal transition.
Exercise Recommendations to Mitigate Bone Loss and CVD Risks
A postmenopausal patient is struggling to adapt to her bodily changes. She
tells the nurse that she is highly concerned about her risk of developing
osteoporosis and cardiovascular disease. Which activity is best for the nurse to
recommend?
A. Low-impact isometric exercises
B. Regular lap swimming
C. Joining an structured diet group
D. Engaging in regular weight-bearing exercises
✔✔ Answer: D. Engaging in regular weight-bearing exercises
Rationale: As shown in the bone density diagram above, osteoporosis weakens the
internal scaffolding of the bone, increasing porosity and fracture risk. Weight-
bearing exercises (such as walking, jogging, hiking, or strength training) force the
muscles and bones to work against gravity. This physical stress stimulates
osteoblasts (bone-forming cells) to lay down new bone tissue, which preserves and
improves bone mineral density.
Why other choices are incorrect: While swimming (B) and isometric
exercises (A) have cardiovascular benefits, they are non-weight-bearing.
Because they lack gravitational impact and loading stress, they do not
stimulate bone remodeling and will not prevent osteoporosis. Joining a diet
group (C) can assist with weight management but does not actively
strengthen bone or vascular tissues.
AND ANSWERS WUTH COMPLETE
SOLUTIONS 100% CORRECT RATED
A+
Confirming Menopause via Lab Results
A nurse is reviewing a patient's laboratory values. Which of the following
hormone changes should the nurse identify as confirming that the patient is
experiencing menopause?
A. A decrease in follicle-stimulating hormone (FSH)
B. A significant decrease in progesterone
C. An increase in estradiol
D. An increase in estrone
✔✔ Answer: B. A significant decrease in progesterone
Rationale: Once menopause occurs, the ovaries permanently stop releasing eggs,
which halts the formation of the corpus luteum (the temporary gland responsible
for producing progesterone). This leads to a dramatic drop in systemic
progesterone levels.
Why other choices are incorrect: During menopause, follicle-stimulating
hormone (FSH) increases significantly (A) rather than decreasing, as the
pituitary gland tries in vain to stimulate the non-responsive ovaries.
Additionally, active estrogen levels (such as estradiol, the primary ovarian
estrogen) drop sharply (C), and estrone (D) does not increase.
Assessing for Perimenopausal Symptoms
The nurse is interviewing a middle-aged patient during her annual
gynecological examination. Which of the following patient statements should
lead the nurse to suspect the patient is entering perimenopause?
A. "I've been feeling unusually cold and sensitive to chilly drafts lately."
B. "I have been struggling quite a bit with constipation recently."
, C. "I frequently wake up in the middle of the night drenched in sweat."
D. "I feel like my appetite has increased significantly over the last month."
✔✔ Answer: C. "I frequently wake up in the middle of the night drenched in
sweat."
Rationale: Night sweats are a classic vasomotor symptom caused by fluctuating
estrogen levels disrupting the hypothalamus (the brain’s temperature-regulating
center). This symptom is a hallmark subjective finding reported during the
perimenopausal transition.
Exercise Recommendations to Mitigate Bone Loss and CVD Risks
A postmenopausal patient is struggling to adapt to her bodily changes. She
tells the nurse that she is highly concerned about her risk of developing
osteoporosis and cardiovascular disease. Which activity is best for the nurse to
recommend?
A. Low-impact isometric exercises
B. Regular lap swimming
C. Joining an structured diet group
D. Engaging in regular weight-bearing exercises
✔✔ Answer: D. Engaging in regular weight-bearing exercises
Rationale: As shown in the bone density diagram above, osteoporosis weakens the
internal scaffolding of the bone, increasing porosity and fracture risk. Weight-
bearing exercises (such as walking, jogging, hiking, or strength training) force the
muscles and bones to work against gravity. This physical stress stimulates
osteoblasts (bone-forming cells) to lay down new bone tissue, which preserves and
improves bone mineral density.
Why other choices are incorrect: While swimming (B) and isometric
exercises (A) have cardiovascular benefits, they are non-weight-bearing.
Because they lack gravitational impact and loading stress, they do not
stimulate bone remodeling and will not prevent osteoporosis. Joining a diet
group (C) can assist with weight management but does not actively
strengthen bone or vascular tissues.
