Reproductive System Concerns (Final)

This set of flashcards covers critical concepts from the Reproductive System lecture, including amenorrhea, menstrual disorders, menopause, and reproductive cancers.

A client presents with the absence of menstrual flow. The nurse would document this condition as:

Amenorrhea.

A 14-year-old female presents with no menses and no secondary sexual characteristics. Which of the following conditions is most likely?

Primary amenorrhea.

A client who previously had regular menstrual cycles reports experiencing an absence of menses for the past five months. This condition is best described as:

Secondary amenorrhea.

When educating a nursing student about the causes of amenorrhea, which two primary factors should be included?

Endocrine dysfunction, chronic disease.

A nurse is preparing to assess a client for amenorrhea. Which diagnostic tests are commonly ordered by the healthcare provider to evaluate for amenorrhea?

HCG, FSH, Estradiol, Prolactin, TSH.

The nurse is describing abnormal uterine bleeding (AUB) to a student. Which statement best defines AUB?

Bleeding that is longer than usual or that occurs at an irregular time.

A client reports experiencing menstrual periods that occur every 40 days. The nurse recognizes this as a sign of:

Oligomenorrhea.

A client presents with symptoms of excessively heavy menstrual bleeding. The nurse would document this condition as:

Menorrhagia.

The primary physiological cause of dysmenorrhea is:

Excessive release of prostaglandins causing pain.

A nurse is educating a client about Premenstrual Syndrome (PMS). Which explanation best describes PMS?

A cluster of physical, psychologic, and behavioral symptoms related to the luteal phase of the menstrual cycle.

A client is diagnosed with endometriosis. The nurse anticipates which of the following signs and symptoms?

Dysmenorrhea, dyspareunia, infertility.

A nurse is explaining menopause to a client. The nurse states that menopause is officially defined as:

Cessation of menses for 12 months.

When assessing a client suspected to be in perimenopause, the nurse expects to find which common changes?

Abnormal uterine bleeding (AUB), oligomenorrhea, vasomotor instability.

A client experiencing menopausal symptoms asks about the purpose of hormone replacement therapy (HRT). The nurse best explains that HRT is used to:

Provide symptom relief.

When discussing osteoporosis risk factors with a group of older adult women, the nurse identifies which as a common risk factor?

Age, with 1 in 2 women over 50 at risk.

The nurse is educating a client with osteoporosis about preventing fractures. Which sites are most commonly affected by osteoporotic fractures?

Hip, vertebrae, and radius.

The nurse is reviewing screening guidelines for osteoporosis. What is the recommended age for women to have their initial DEXA scan?

65 years old.

A client with osteoporosis is prescribed a medication that inhibits osteoclastic activity. The nurse identifies this medication as belonging to which class?

Bisphosphonates.

The nurse is developing a teaching plan for a client with osteoporosis regarding non-pharmacological interventions. Which interventions should be included?

Weight-bearing exercises and nutrition high in calcium and vitamin D.

A client is diagnosed with leiomyomas. The nurse understands these are best described as:

Benign tumors arising from the muscle tissue of the uterus.

A nurse is assessing a postmenopausal client who reports new-onset vaginal bleeding. The nurse recognizes this as the cardinal sign of which gynecological cancer?

Endometrial cancer.

A client is diagnosed with ovarian cancer. The nurse understands that this type of cancer is often diagnosed in advanced stages primarily due to which characteristic?

The symptoms are vague and non-specific.

The primary screening method used for early detection of cervical cancer is the:

Pap test.

A client newly diagnosed with cervical cancer is discussing treatment options with the nurse. Which of the following is a potential treatment option?

Radiation therapy.

When assessing a client for ovarian cancer, which symptom is commonly reported?

Abdominal pain and bloating.

A parent asks the nurse about the purpose of the Gardasil vaccine. The nurse explains that Gardasil's role is to:

Help prevent cervical cancer.

When managing cancer during pregnancy, the healthcare team must carefully consider which primary risks?

Timing of therapy and ethical considerations.

Which two types of cancer are observed to occur commonly during pregnancy?

Breast cancer and cervical cancer.

A client is diagnosed with Premenstrual Dysphoric Disorder (PMDD). The nurse understands that PMDD is best described as a:

Severe variant of premenstrual syndrome (PMS).

For a client experiencing dysmenorrhea, the nurse might suggest which non-pharmacological interventions?

Exercise and heat therapy.

The nurse understands that the development and characteristics of ovarian cysts are significantly influenced by which factor?

Hormonal influences associated with the menstrual cycle.

A menopausal client presents with symptoms requiring management. Which of the following symptoms might be present requiring management?

Abnormal uterine bleeding (AUB), mood/behavior changes.

A client with uterine fibroids is scheduled for a myomectomy. The nurse explains the purpose of this procedure is to:

Surgically remove fibroid tumors from the uterus.

The nurse is educating a client about the importance of osteoporosis management. What is a potential major complication of untreated osteoporosis?

Fractures.

When counseling a client on dietary interventions to help prevent osteoporosis, the nurse would emphasize which of the following?

High calcium and vitamin D intake.

A client is scheduled for a colposcopy. The nurse explains that the purpose of this procedure is to:

Closely examine the cervix for abnormalities.

The nurse is educating a pregnant client about factors that increase the risk of breast cancer during pregnancy. Which factors should be highlighted?

Family history and previous breast cancer.

When discussing benign ovarian neoplasms, the nurse identifies which as a common example?

Dermoid cysts.

A client with leiomyomas asks what happens to them after menopause. The nurse explains that leiomyomas typically:

Spontaneously shrink.

The nurse is educating a client about risk factors for endometrial cancer. Which is considered the most significant risk factor?

Hormone imbalance.