NSG 6330 WEEK 2 EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
Abnormal |vaginal |bleeding |- |CORRECT |ANSWER✔✔-Any |variation |from |a |woman's |usual |
menstrual |pattern; |bleeding |postmenopause
What |are |the |possible |etiology |of |vaginal |bleeding |- |CORRECT |ANSWER✔✔-A.Systemic |
illnesses: |thyroid |disease, |blood |dyscrasias, |adrenal |imbalance, |von |Willebrand's |disease |
B.Submucous |leiomyomata |in |uterus, |polyps, |uterine |prolapse, |liver |disease, |clotting |disorders,
|kidney |disease, |leukemia |
C.Tumor |in |vagina, |uterus |
D.Trauma |to |vagina, |cervix; |scar |tissue |
E.Cervical |lesions |
| 1.Polyps |
| 2.Carcinoma |F.Abnormal |hormone |secretion |(with |anovulatory |bleeding) |
G.Change |in |ovarian |function |(perimenopause) |H.Endometrial |polyps |or |leiomyomata |in |cervix,
|uterus |
I.Pelvic |malignancy—nodes, |uterus, |bladder, |rectum, |vagina, |ovary |
J.Ectopic |pregnancy |
K.Abortion |
L.Placental |accidents |
M.Hyperplasia |
N.Stress, |excessive |exercise |
O.Postmenopausal |bleeding |P.Pharmacotherapeutics |
Q.Sexually |transmitted |infections |(STIs), |pelvic |inflammatory |disease |(PID) |
, R.Structural |abnormalities |within |the |endometrium, |including |synthesis |of |vasculature |
vasodilatory |proteins |
S.Endometriosis/adenomyosis |
T.An |object |in |the |vagina |U.Urethral |prolapse
What |may |the |patient |with |vaginal |bleeding |present |with? |- |CORRECT |ANSWER✔✔-1.Midcycle
|bleeding |
2.Spotting |
3.Pain |
4.Sudden |onset |of |heavy |bleeding |5.Perimenopausal |bleeding |
6.Postmenopausal |bleeding
What |other |additional |information |must |be |considered |with |vaginal |bleeding? |- |CORRECT |
ANSWER✔✔-1.Is |bleeding |recent |or |since |menarche? |
2.Onset |of |bleeding |
3.Amount |of |flow |(pads |or |tampons |per |hour); |clots |and |size |of |clots |
4.Normal |bleeding |pattern: |How |does |this |episode |differ |from |normal |menstruation? |
5.Current |or |recent |use |of |medication; |complementary |therapies |(herbals, |homeopathics) |
6.Last |menstrual |period, |previous |menstrual |period |7.Last |sexual |contact, |if |sexually |active |
8.Birth |control |method(s) |(including |recent |insertion |of |intrauterine |device |[IUD], |intrauterine |
contraceptive |device |[IUCD]) |
9.Recent |trauma |to |pelvic |area |or |any |other |part |of |body |(screen |for |abuse) |
10.Characteristics |of |present |bleeding: |clots, |tissue |11.Any |related |pain |
12.Any |fever |
13.Any |dizziness, |syncope |
14.Symptoms |of |changing |ovarian |function |(perimenopause) |
15.Recent |pelvic |surgery, |including |tubal |ligation, |uterine |ablation
COMPLETE SOLUTIONS
Abnormal |vaginal |bleeding |- |CORRECT |ANSWER✔✔-Any |variation |from |a |woman's |usual |
menstrual |pattern; |bleeding |postmenopause
What |are |the |possible |etiology |of |vaginal |bleeding |- |CORRECT |ANSWER✔✔-A.Systemic |
illnesses: |thyroid |disease, |blood |dyscrasias, |adrenal |imbalance, |von |Willebrand's |disease |
B.Submucous |leiomyomata |in |uterus, |polyps, |uterine |prolapse, |liver |disease, |clotting |disorders,
|kidney |disease, |leukemia |
C.Tumor |in |vagina, |uterus |
D.Trauma |to |vagina, |cervix; |scar |tissue |
E.Cervical |lesions |
| 1.Polyps |
| 2.Carcinoma |F.Abnormal |hormone |secretion |(with |anovulatory |bleeding) |
G.Change |in |ovarian |function |(perimenopause) |H.Endometrial |polyps |or |leiomyomata |in |cervix,
|uterus |
I.Pelvic |malignancy—nodes, |uterus, |bladder, |rectum, |vagina, |ovary |
J.Ectopic |pregnancy |
K.Abortion |
L.Placental |accidents |
M.Hyperplasia |
N.Stress, |excessive |exercise |
O.Postmenopausal |bleeding |P.Pharmacotherapeutics |
Q.Sexually |transmitted |infections |(STIs), |pelvic |inflammatory |disease |(PID) |
, R.Structural |abnormalities |within |the |endometrium, |including |synthesis |of |vasculature |
vasodilatory |proteins |
S.Endometriosis/adenomyosis |
T.An |object |in |the |vagina |U.Urethral |prolapse
What |may |the |patient |with |vaginal |bleeding |present |with? |- |CORRECT |ANSWER✔✔-1.Midcycle
|bleeding |
2.Spotting |
3.Pain |
4.Sudden |onset |of |heavy |bleeding |5.Perimenopausal |bleeding |
6.Postmenopausal |bleeding
What |other |additional |information |must |be |considered |with |vaginal |bleeding? |- |CORRECT |
ANSWER✔✔-1.Is |bleeding |recent |or |since |menarche? |
2.Onset |of |bleeding |
3.Amount |of |flow |(pads |or |tampons |per |hour); |clots |and |size |of |clots |
4.Normal |bleeding |pattern: |How |does |this |episode |differ |from |normal |menstruation? |
5.Current |or |recent |use |of |medication; |complementary |therapies |(herbals, |homeopathics) |
6.Last |menstrual |period, |previous |menstrual |period |7.Last |sexual |contact, |if |sexually |active |
8.Birth |control |method(s) |(including |recent |insertion |of |intrauterine |device |[IUD], |intrauterine |
contraceptive |device |[IUCD]) |
9.Recent |trauma |to |pelvic |area |or |any |other |part |of |body |(screen |for |abuse) |
10.Characteristics |of |present |bleeding: |clots, |tissue |11.Any |related |pain |
12.Any |fever |
13.Any |dizziness, |syncope |
14.Symptoms |of |changing |ovarian |function |(perimenopause) |
15.Recent |pelvic |surgery, |including |tubal |ligation, |uterine |ablation
