NURS 5333 Family 1 Test 2 Questions and Answers 100% Pass

NURS 5333 Family 1 Test 2 Questions and Answers 100% Pass Abnormal Uterine bleeding (AUB) - Variability in menstrual cycle's - In general menstruation is "28 day" cycle, but there is a plus or minus seven days variability there Mean duration of menstrual cycle - 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 - 35 to 50 cc. 80cc or more is abnormal Menorrhagia - 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 - Uterine bleeding occuring at Irregular, but real frequent intervals Mittelschmerz - Pain that occurs with ovulation, which would be about mid cycle Breakthrough bleeding (ex. of Metrorrhagia) - Either w/ ovulation (Mittelschmerz), or Anovulation, pt does not ovulate at all 2Katelyn Whitman, All Rights Reserved © 2025 Menometrorrhagia - prolonged uterine bleeding occurring at irregular intervals (ex. pt spots everyday or bleed every 3-4 days, bleed during intercourse, exercising) anovulation - 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 - Reduction in frequency of menses. Not menstruating every month in a predictable pattern. Amenorrhea - 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 - 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 - 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 - 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 - Absence of cycles for 12 months, average age 51 yo 3Katelyn Whitman, All Rights Reserved © 2025 Menstrual bleeding stops if certain things happen - 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) - coagulation defects, develop leukemia, problems with thrombocytes and clotting, thyroid dysfunction PEARL: Pt w/ coagulation defect - 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 - Most common inherited bleeding disorder hypothyroidism - can also cause bleeding issu