A 48-year-old woman tells the nurse, "I missed my period last month. Am I in menopause?" The nurse knows that at which point is a woman considered to be menopausal?
Her periods have been irregular and light for 12 months.
She experiences symptoms of decreased estrogen, such as dyspareunia.
Her periods have stopped for 1 year.
She has symptoms of vasomotor instability.
The Correct Answer is C
A. Her periods have been irregular and light for 12 months: Irregularity and lighter flow are features of perimenopause but do not by themselves meet the definition of menopause.
B. She experiences symptoms of decreased estrogen, such as dyspareunia: Symptoms such as vaginal dryness or dyspareunia suggest decreased estrogen but are not diagnostic of menopause without the 12-month amenorrhea criterion.
C. Her periods have stopped for 1 year: Menopause is defined clinically as 12 consecutive months of amenorrhea (absence of menses) not due to other causes.
D. She has symptoms of vasomotor instability: Hot flashes and night sweats are common during menopause but their presence alone does not establish the diagnosis without the period of amenorrhea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Worrying is normal for this age group.": Some worry is developmentally common, but new or worsening anxiety, especially over a year, merits assessment rather than being dismissed as simply normal.
B. "All children with ASD have mood disorders.": There is an increased risk of mood and anxiety disorders in children with congenital heart disease, but not every child will develop a mood disorder.
C. "Children with ASD are at greater risk for experiencing anxiety.": Children with atrial septal defect and other congenital heart conditions have a higher risk for anxiety and mood problems; caregivers should monitor and seek evaluation if concerns arise.
D. "Children may become anxious when they have to be in a health care setting.": Health-care–setting anxiety can occur in many children, but this statement does not address the condition-specific increased risk for anxiety associated with congenital heart disease.
Correct Answer is C
Explanation
A. Her periods have been irregular and light for 12 months: Irregularity and lighter flow are features of perimenopause but do not by themselves meet the definition of menopause.
B. She experiences symptoms of decreased estrogen, such as dyspareunia: Symptoms such as vaginal dryness or dyspareunia suggest decreased estrogen but are not diagnostic of menopause without the 12-month amenorrhea criterion.
C. Her periods have stopped for 1 year: Menopause is defined clinically as 12 consecutive months of amenorrhea (absence of menses) not due to other causes.
D. She has symptoms of vasomotor instability: Hot flashes and night sweats are common during menopause but their presence alone does not establish the diagnosis without the period of amenorrhea.
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