NURS 5333 Family 1 Test 4 Questions
with Accurate Solutions
Von Willebrand's disease - ANSWER Most common inherited bleeding disorder
hypothyroidism - ANSWER can also cause bleeding issues. It can cause Menorrhagia
and metrorrhagia
hyperthyroidism - ANSWER can also cause menstrual issues
Vaginal bleeding in a pre-menarchal child - ANSWER common cause is a foreign body,
that most likely was placed in the vagina themselves
Vaginal bleeding during reproductive ages - ANSWER 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 - ANSWER most often caused by atrophy
or atrophic vaginitis, tissues that are irritated and thin and bleed easily
Malignancies to consider - ANSWER Endometrial cancer, ovarian cancer, cervical cancer
and less likely vaginal cancer can cause some bleeding.
IMPORTANT TO MEMORIZE - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER In a post menopausal woman lining should be about 4-
8 mm.
with Accurate Solutions
Von Willebrand's disease - ANSWER Most common inherited bleeding disorder
hypothyroidism - ANSWER can also cause bleeding issues. It can cause Menorrhagia
and metrorrhagia
hyperthyroidism - ANSWER can also cause menstrual issues
Vaginal bleeding in a pre-menarchal child - ANSWER common cause is a foreign body,
that most likely was placed in the vagina themselves
Vaginal bleeding during reproductive ages - ANSWER 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 - ANSWER most often caused by atrophy
or atrophic vaginitis, tissues that are irritated and thin and bleed easily
Malignancies to consider - ANSWER Endometrial cancer, ovarian cancer, cervical cancer
and less likely vaginal cancer can cause some bleeding.
IMPORTANT TO MEMORIZE - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER In a post menopausal woman lining should be about 4-
8 mm.
