Common Women's Health Issues
Study online at https://quizlet.com/_jteodb
1. amenorrhea absence of menses
When it is abnormal, it reflects dysfunction within the hypothalamic pituitary
uterine (HPOU) axis
2. when is amenor- prepuberty, pregnancy, postpartum, postmenopausal women
rhea normal?
3. primary amenor- failure to achieve menarche most often caused by genetic or anatomic abnormal-
rhea ities
4. genetic or Turner syndrome, Mullerian agenesis, imperforate hymen, transverse vaginal
anatomic abnor- septum, or isolated GnRH deficiency
malities resulting
in primary amen-
orrhea
5. physiologic and delayed puberty, stress, excessive exercise, weight loss/eating disorders, chronic
functional causes illness, hypothyroidism, PCOS
of primary amen-
orrhea
6. secondary amen- loss of previously established menses for 3 cycles or 6 months in individuals who
orrhea previously menstruated who are not pregnant, lactating, or menopausal
7. causes of sec- pregnancy, functional hypothalamic amenorrhea (stress, eating disorders, ex-
ondary amenor- cessive exercise), PCOS, thyroid disorders, hyperprolactinemia, primary ovarian
rhea insufficiency
8. nursing assess- -obtain OBGYN history
ment for amen- -S&S of eating disorders
orrhea -evaluate secondary sex characteristics and androgen excess
-pelvic exam
, Common Women's Health Issues
Study online at https://quizlet.com/_jteodb
-assess breast development using tanner staging
-recognize physical findings suggestive of genetic conditions
9. S&S of an eating hypothermia, bradycardia, hypotension, decreased subcutaneous fat
disorder
10. S&S of androgen acne, oily skin, coarse hair growth on face or chest, irregular menstrual periods
excess
11. nursing manage- -provide counseling and education
ment of amenor- -educate patient on risk of osteoporosis
rhea -educate on connection between eating disorders and menstrual dysfunction
12. dysmenorrhea painful menstruation starting 1-2 days before menses that decreases over 12-72
hours after bleeding starts
13. risk factors for younger age, smoking, psychosical stress
dysmenorrhea
14. primary dysmen- painful menstruation that is caused by an increase in endometrial prostaglandin
orrhea production, leading to uterine vasoconstriction and intense rhythmic contractions
15. secondary dys- painful menstruation that results from pelvic or uterine pathology, such as en-
menorrhea dometriosis and fibroids, and typically develops after years of less painful menses
16. causes of sec- endometriosis, adenomyosis, fibroids, pelvic adhesions, PID, cervical stenosis,
ondary dysmen- intrauterine systems, congenital uterine or vaginal abnormalities
orrhea
17. therapeutic supportive measures
treatment of -NSAIDs
dysmenorrhea -hormonal contraceptives
-hormonal therapies
-complementary therapies
, Common Women's Health Issues
Study online at https://quizlet.com/_jteodb
-transcutaneous electrical nerve stimulation (TENS_
-gonadotropin-releasing interventions
18. nursing assess- -encourage monthly tracking
ment of dysmen- -educate patients about risk factors
orrhea -educate on medication teaching; NSAIDs can be used prophylactically
-administer low-dose contraceptives
-promote nonpharm interventions
19. abnormal uter- umbrella term describing any deviation from normal menstrual volume, regularity,
ine bleeding timing, duration, or frequency lasting 6+mos; it is typically painless
(AUB)
pathophysiology may involve structural uterine abnormalities, coag disorders,
or hormonal or dysfunction, and persistent heavy bleeding that may lead to
iron-deficiency anemia
20. PALM-COEIN categorization for AUB
PALM:
Polyp
Adenomyosis
Leiomyoma
Malignancy and hyperplasia
COEIN:
Coagulopathy
Ovulatory dysfunction
Endometrial
Iatrogenic
Not yet classified
21. therapeutic man- -med management once malignancy and pathology is ruled out
agement of AUB -estrogens, progestins, oral contraceptives, NSAIDs, levonorgestrel IUDs, andro-
Study online at https://quizlet.com/_jteodb
1. amenorrhea absence of menses
When it is abnormal, it reflects dysfunction within the hypothalamic pituitary
uterine (HPOU) axis
2. when is amenor- prepuberty, pregnancy, postpartum, postmenopausal women
rhea normal?
3. primary amenor- failure to achieve menarche most often caused by genetic or anatomic abnormal-
rhea ities
4. genetic or Turner syndrome, Mullerian agenesis, imperforate hymen, transverse vaginal
anatomic abnor- septum, or isolated GnRH deficiency
malities resulting
in primary amen-
orrhea
5. physiologic and delayed puberty, stress, excessive exercise, weight loss/eating disorders, chronic
functional causes illness, hypothyroidism, PCOS
of primary amen-
orrhea
6. secondary amen- loss of previously established menses for 3 cycles or 6 months in individuals who
orrhea previously menstruated who are not pregnant, lactating, or menopausal
7. causes of sec- pregnancy, functional hypothalamic amenorrhea (stress, eating disorders, ex-
ondary amenor- cessive exercise), PCOS, thyroid disorders, hyperprolactinemia, primary ovarian
rhea insufficiency
8. nursing assess- -obtain OBGYN history
ment for amen- -S&S of eating disorders
orrhea -evaluate secondary sex characteristics and androgen excess
-pelvic exam
, Common Women's Health Issues
Study online at https://quizlet.com/_jteodb
-assess breast development using tanner staging
-recognize physical findings suggestive of genetic conditions
9. S&S of an eating hypothermia, bradycardia, hypotension, decreased subcutaneous fat
disorder
10. S&S of androgen acne, oily skin, coarse hair growth on face or chest, irregular menstrual periods
excess
11. nursing manage- -provide counseling and education
ment of amenor- -educate patient on risk of osteoporosis
rhea -educate on connection between eating disorders and menstrual dysfunction
12. dysmenorrhea painful menstruation starting 1-2 days before menses that decreases over 12-72
hours after bleeding starts
13. risk factors for younger age, smoking, psychosical stress
dysmenorrhea
14. primary dysmen- painful menstruation that is caused by an increase in endometrial prostaglandin
orrhea production, leading to uterine vasoconstriction and intense rhythmic contractions
15. secondary dys- painful menstruation that results from pelvic or uterine pathology, such as en-
menorrhea dometriosis and fibroids, and typically develops after years of less painful menses
16. causes of sec- endometriosis, adenomyosis, fibroids, pelvic adhesions, PID, cervical stenosis,
ondary dysmen- intrauterine systems, congenital uterine or vaginal abnormalities
orrhea
17. therapeutic supportive measures
treatment of -NSAIDs
dysmenorrhea -hormonal contraceptives
-hormonal therapies
-complementary therapies
, Common Women's Health Issues
Study online at https://quizlet.com/_jteodb
-transcutaneous electrical nerve stimulation (TENS_
-gonadotropin-releasing interventions
18. nursing assess- -encourage monthly tracking
ment of dysmen- -educate patients about risk factors
orrhea -educate on medication teaching; NSAIDs can be used prophylactically
-administer low-dose contraceptives
-promote nonpharm interventions
19. abnormal uter- umbrella term describing any deviation from normal menstrual volume, regularity,
ine bleeding timing, duration, or frequency lasting 6+mos; it is typically painless
(AUB)
pathophysiology may involve structural uterine abnormalities, coag disorders,
or hormonal or dysfunction, and persistent heavy bleeding that may lead to
iron-deficiency anemia
20. PALM-COEIN categorization for AUB
PALM:
Polyp
Adenomyosis
Leiomyoma
Malignancy and hyperplasia
COEIN:
Coagulopathy
Ovulatory dysfunction
Endometrial
Iatrogenic
Not yet classified
21. therapeutic man- -med management once malignancy and pathology is ruled out
agement of AUB -estrogens, progestins, oral contraceptives, NSAIDs, levonorgestrel IUDs, andro-
