Deck 9: Midlife Womens Health

Question 1

Midlife is commonly defined by which of the following ways? (Select all that apply.)

A) Age
B) Proximity to menopause
C) Degree of children's independence
D) Level of cognitive function
E) Women's self-perception of age

Answer 1

A, B, C, E

Question 2

Vivian is an 80-year-old patient who is reminiscing about her own midlife with her nurse, who has just entered midlife. Given her age, Vivian is most likely to identify which of the following as having been a primary source of meaning during her midlife?

A) Her career
B) Her family
C) Her friends
D) Her artistic accomplishments

Answer 2

B

Question 3

Which of the following is the definition of menopause currently used in the health sciences?

A) The date of onset of menopause-related symptoms
B) The cessation of menses, defined as the end of the final menstrual period
C) The cessation of menses, defined as 1 year after the final menstrual period
D) The date of the last menopause-related symptom

Answer 3

C

Question 4

Women of which U.S. ethnic group are most likely to describe menopause as "something you have to go through" and to view it as a time to reorient and restructure their lives?

A) African Americans
B) Japanese Americans
C) European Americans
D) Urban Latinas

Question 5

Which of the following endocrine changes are typical during the last 2 years before the final menstrual period? (Select all that apply.)

A) Increased testosterone levels
B) Decreased antral follicle count
C) Increased follicle-stimulating hormone levels
D) Decreased progesterone levels
E) Increased estradiol levels

Question 6

Sleep disruption, a common symptom during the menopausal transition, is most often associated with which other perimenopausal symptom?

A) Hot flashes
B) Decline in memory
C) Back pain
D) Depressed mood

Question 7

Which of the following are common symptoms during the menopausal transition? (Select all that apply.)

A) Difficulty concentrating
B) Urinary incontinence
C) Vaginal dryness
D) Increased sexual desire
E) Nausea and vomiting

Question 8

Which of the following statements is most accurate concerning symptoms of the menopausal transition?

A) Almost all women experience the same set of symptoms, known as menopausal syndrome.
B) Almost all women experience hot flashes, but other symptoms are too variable to predict.
C) Symptoms experienced appear to vary from culture to culture, and thus may be culture bound.
D) Symptoms are completely random, demonstrating no predictable patterns.

Question 9

Which of the following accurately describes metabolic changes in bone, muscle, and fat that typically occur in the menopausal transition?

A) Increases in bone, muscle, and fat mass
B) Decreases in bone, muscle, and fat mass
C) Increases in muscle and fat mass but a decrease in bone mass
D) Decreases in bone and muscle mass but an increase in fat mass

Question 10

Which of the following are characteristics of metabolic syndrome? (Select all that apply.)

A) Increased lipid levels
B) Insulin resistance
C) Decreased inflammatory response
D) Increased risk of thrombosis
E) Increased blood pressure

Question 11

The nurse is reviewing assessment and lab results of a patient at risk for metabolic syndrome. Which of the following findings are consistent with metabolic syndrome? (Select all that apply.)

A) Waist circumference of 37 inches
B) Body mass index (BMI) of 23
C) Blood pressure of 138/86 mmHg
D) Fasting blood glucose level of 99 mg/dL
E) Triglycerides level of 161 mg/dL

Question 12

Patricia is a 50-year-old woman with a body mass index (BMI) of 31 and elevated lipid levels. Which of the following changes would you recommend to promote Patricia's health?

A) Exercise 60 to 90 minutes per day at moderate intensity, most days
B) Limit alcohol intake to no more than two drinks per day
C) Take omega-3 fatty acid supplements
D) No smoking or use of tobacco
E) Reduce waist circumference to less than 40 inches

Question 13

Lorraine is a 46-year-old woman who has a body mass index (BMI) of 21 and who is generally healthy. Based on current recommendations by the National Institutes of Health (NIH), what exercise program would you suggest to Lorraine to maintain her current level of fitness?

A) None-she is already maintaining her fitness level
B) 20 minutes of light-intensity exercise per day, 3 days per week
C) 30 minutes of moderate-intensity exercise per day, 5 days per week
D) 60 minutes of heavy-intensity exercise per day, 6 days per week

Question 14

Isadora is a 49-year-old woman with a body mass index (BMI) of 18 and a family history of osteoporosis. Which of the following health promotion recommendations specifically related to preventing osteoporosis should the nurse give to Isadora? (Select all that apply.)

A) Take aspirin daily
B) Include plenty of calcium in the diet
C) Consume foods fortified with vitamin D
D) Limit sodium intake
E) Engage in weight-bearing exercise

Question 15

How much more likely are women to be diagnosed with depression in their lifetime than men?

A) 60%
B) 70%
C) 80%
D) 90%