NURS6551 / NURS 6551 Exam 1 Study Guide (Latest): Primary Care of Women - Walden

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NURS 6551 - Primary Care of Women Exam 1 Study Guide Amenorrhea definition - Absence of menstruation Primary Amenorrhea - No menstruation by age 13 without secondary sexual characteristics or... by age 15 with secondary sexual characteristics Secondary Amenorrhea - Previously menstruating woman with no menses for 6 months Oligomenorrhea - Infrequent, usually irregular cycles - >35 days between periods or since last period but <6 months Four causes of Amenorrhea 1. Pregnancy!! 2. HPO axis dysfunction - Weight loss, marijuana (increase testosterone), medications, tumors, psychological, excess exercise, medical conditions 3. Ovarian dysfunction 4. Genitourinary tract dysfunction/abnormality Progesterone Challenge ◦ _____ (or _____) progesterone ◦ Goal: ______ _____ within a few days - Bleeding occurs → _____ or _____ ___ - No bleeding → ____ ____ or ____ ____ - Oral, injectable; Withdrawal bleeding; anovulatory or oligo-ovulatory cycles; anatomic condition or low estrogen Treatment for amenorrhea ◦ Depends upon patient's need - Pharmacologic - Surgical Abnormal Uterine Bleeding definition - Uterine bleeding that is excessive or occurs outside of normal cyclic pattern. Metorrhagia Menstrual bleeding with irregular cycles ('t' for timing) Menorrhagia "Heavy" menstrual bleeding (volume) with regular cycles Menometorrhagia "Heavy" menstrual bleeding (volume) with irregular cycles Hypomenorrhea Decreased menstrual flow or decreased days of flow Abnormal Uterine bleeding predominantly occurs in _____ and _____ women (90%) - adolescents and perimenopausal women Adolescent Abnormal Uterine Bleeding -Most common in the first _____ months after ______ → immature ________ _________, _____ ______ -> unopposed _______ stimulation of the _______ → ______ and then ______ ______ - 24 months, menarche; HPO axis, anovulatory cycle; estrogen, endometrium; hyperplasia, unpredictable sloughing [Show More]

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