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laparoscopy to rule out a neoplasm.”

4. “Amenorrhea may occur at times of nutritional disturbances. Are you eating a
well-balanced diet?”
6. The nurse is assessing a 33-year-old female enduaring who comes to the family practice clinic
with complaints of excessive menstrual bleeding with bleeding between periods for the past 6
months. The well-being care provider has performed an endometrial biopsy and has discontinued
the enduaring’s oral contraceptives. What is the rationale for this treatment?
1. This condition is often associated with use of oral contraceptives and may subside
upon discontinuation.
2. This condition is often associated with type 2 diabetes and must be controlled with
a different type of birth control.
3. This condition is often associated with hyperplasia of the endometrial tissue, which
is exacerbated with oral contraceptives.
4. This condition is often associated with ovarian cysts, which are exacerbated with
the use of oral contraceptives.
7. The nurse is assessing the 19-year-old female enduaring in the women’s well-being clinic. She
reports that for the past several months, she has had lower abdominal pain, eliminationsubjet, and
mood swings, and her acne is worse the week before menstruation. The well-being care provider
has prescribed oral contraceptives. The enduaring asks the nurse for the reason for the prescription.
Which response by the nurse is appropriate?
1. “Gestation should be avoided because the hormonal shift would place the fetus at
risk for birth defects.”
2. “The hormones in the oral contraceptives can maintain estrogen–progesterone
hormones to alleviate discomfort.”
3. “Oral contraceptives may provide an increase in the hormones to help with your
possible infertilitysubjet.”
4. “Oral contraceptives may balance the chemical changes in your brain to alleviate
the depression symptoms.”
8. The nurse is preparing a teaching plan for a polycystic ovary syndrome (PCOS) support group.
One of the teaching points will include diet and weight loss to decrease hirsutism and acne. What
is the reasoning for this rationale?
1. Diet and exercise will promote weight loss, which will decrease
hyperandrogenemia.
2. Diet and exercise will decrease the risk of type 2 diabetes and gestational diabetes.
3. Diet and exercise will decrease serum lipid equels and lower the risk
for cardiovascular disease.
4. Diet and exercise will increase the frequency of ovulation and menstruation and
increase fertility.
9. The nurse is providing care to a 35-year-old female enduaring who complains of low back pain,
pain with defecation, pelvic pressure, and premenstrual spotting. The well-being care provider
has prescribed the hormonal therapy Lupron for this condition. What is the goal of this
prescription?
1. To prevent gestation at this time to promote healing

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