Page 380 - Critical Maternity & Newborn Health Nursing

Scenario III:

A 39-year-old woman visits your clinic because she has had episodes

of heavy menstrual bleeding that began 5 months ago. Her menses last

longer and there is more blood flow compared with previous years.

She had a tubal ligation 6 years ago, smokes half a pack of cigarettes

a day, and is being treated with amlodipine for hypertension. She has

mild renal insufficiency. Her BMI is 31.6. Her pelvic examination is

normal.

Questions from 1 to 4 based on the previous scenario:

1. Which treatment option would be most appropriate for this patient?

a. Three months of a combination oral hormonal contraceptive.

b. Mefenamic acid capsule during each period for 3 months.

c. Insertion of a progesterone intrauterine device (IUD).

d. Total hysterectomy (including cervix and ovaries).

2. According to her complain which type of menstrual disorder she

had?

a. Menorrhagia

b. Polymenorrhea

c. Metrorrhagia

d. Dysmenorrhea

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