Deck 34: Menopause

Question 1

Which of the following most accurately characterizes the way Western societies view menopause?

A) A hormone deficiency disease
B) A celebrated rite of passage
C) A nonentity
D) A milestone in a spiritual journey

Answer 1

A

Question 2

Postmenopausal women are at increased risk for which of the following? (Select all that apply.)

A) Heart disease
B) Lupus
C) Osteoporosis
D) Diabetes
E) Turner syndrome

Answer 2

A, C, D

Question 3

What is the average age of menopause?

A) 45 years
B) 48 years
C) 51 years
D) 54 years

Answer 3

C

Question 4

Which of the following is the correct definition of perimenopause?

A) The period of time between menarche and menopause
B) The period of time from the onset of menopause-related symptoms to 12 months following the last menstrual period
C) The point in time following 12 months of amenorrhea
D) A 5-year period of time following a menopause

Question 5

Which of the following changes typically occur in perimenopause? (Select all that apply.)

A) Increased production of follicles
B) Decreased estrogen levels
C) Decreased progesterone levels
D) Decreased testosterone levels
E) Increased blood glucose levels

Question 6

What effect does smoking have on the timing of the onset of menopause?

A) 3-year earlier onset
B) 1.5-year earlier onset
C) 1.5-year later onset
D) 3-year later onset

Question 7

Which ethnicity has been associated with a later onset of menopause?

A) Hispanic
B) African American
C) White
D) Japanese

Question 8

What percentage of women in perimenopause experience minimal to no menopause-related symptoms?

A) 3%
B) 13%
C) 23%
D) 33%

Question 9

What is the single most common menopause-related symptom among postmenopausal women?

A) Irritability
B) Sleep disturbances
C) Hot flashes
D) Fatigue

Question 10

Kayla, a 47-year-old client, has been diagnosed with genitourinary syndrome. On the basis of this diagnosis, the nurse recognizes that Kayla most likely experiences which of the following symptoms, associated with this syndrome? (Select all that apply.)

A) Heavier menstrual flow
B) Vaginal dryness
C) Vulvovaginal atrophy
D) Hot flashes
E) Dyspareunia

Question 11

A nurse practitioner is preparing to perform a physical examination on a client displaying menopause-associated symptoms. What should the nurse include in the examination? (Select all that apply.)

A) Vital signs
B) Height and weight measurements
C) Endoscopic examination
D) Clinical breast examination
E) Pelvic examination

Question 12

Daphne is a 49-year-old perimenopausal client who has been experiencing severe hot flashes in recent months. To help Daphne alleviate this symptom, the nurse should recommend that she avoid which of the following? (Select all that apply.)

A) Caffeine
B) Alcohol
C) Dairy products
D) Spicy foods
E) Meats

Question 13

Nova, a 47-year-old perimenopausal client, has heard that isoflavones can help reduce the severity of hot flashes. Which foods should the nurse mention as containing isoflavones? (Select all that apply.)

A) Ginger
B) Red clover
C) Ginseng
D) Soy
E) Alfalfa

Question 14

Lyla, a 45-year-old client who recently entered perimenopause, tells her nurse that she has seen "natural" hormones advertised and asks about them. Which of the following should the nurse tell Lyla about these products? (Select all that apply.)

A) Unlike bioidentical hormones, they are derived from all-natural sources
B) They cause fewer side effects than do pharmaceutically manufactured hormones
C) They are identical to the hormones produced in a woman's body
D) They are not as effective as bioidentical hormones
E) They are safer than pharmaceutically manufactured hormones

Question 15

The nurse is providing counseling to Renee, a 37-year-old client who has entered perimenopause prematurely. Which of the following should the nurse tell Renee to expect as a result of this condition, compared with women who enter perimenopause at the typical time? (Select all that apply.)

A) Less severe menopause-related symptoms
B) Early loss of fertility
C) Increased risk for osteoporosis
D) Decreased risk for cardiovascular disease
E) Increased life expectancy