Dysfunctional of Menstrual Cycle (Menorrhagia, Metrorrhagia, Meno-Metrorrhagia) A. Dysfunctional of Menstrual Cycle (Menorrhagia, Metrorrhagia, MenoMetrorrhagia) 1.

Which one of the possible causes mentioned below is not the cause of menorrhagia a. Hormonal imbalance b. Pelvic inflammatory disease c. Abnormal pregnancy d. Infection e. Heavy bleeding 2. What is the main characteristic of menorrhagia? a. Activities become interrupted b. Irregular menstrual cycle c. Heavy and prolonged menstrual bleeding d. Bleeding between menstrual periods e. Abnormal uterine bleeding Mrs. Y came to the hospital and told the nurse that she had a bleeding in her nonperiod time. It happens usually a week after she has finished having her period. She also told the nurse that she often had a spotting after having intercourse with her husband. After assessment, nurse found out that Mrs. Y had an anemic syndrome such as pale, cool and clammy skin. 3. Mrs. Y had a syndrome of abnormal uterine bleeding which is called a. Menorrhagia b. Postmenopausal bleeding c. Oligomenorrhea d. Metrorrhagia e. Polymenorrhea 4. What is the diagnostic test that nurse may suggest to Mrs. Y? a. Widal test b. CT Scan c. Papanicolaou smear d. MRI e. Mantoux test 5. What are the other assessment data that nurse should obtain? 1. Recent emotional stress 2. The using of birth control method 3. Previous abortion or recent termination of pregnancy 4. The number of children that she had a. 1, 4 b. 2, 4 c. 4 Mid-Semester Test/English in Nursing/STIKES Istara Nusantara/ Ns.Chalida Hayulani, S.Kep

Dysfunctional of Menstrual Cycle (Menorrhagia, Metrorrhagia, Meno-Metrorrhagia) d. 1, 2, 3, and 4 e. 1, 2, and 3 6. What should the nurse do to handle Mrs. Y condition? 1. Monitor the patient's vital signs 2. Estimate uterine blood loss by recording the number of sanitary napkins or tampons used during an abnormal menses and comparing this with usage during a normal menses 3. Encourage bed rest to reduce bleeding 4. Observe closely for signs of hypovolemic a. b. c. d. e. 1, 3 2, 4 1, 2, 3 4 1, 2, 3, and 4

7. IUDs is the abbreviation of a. Inter Urinal Dysfunctional b. Intra Uterine Devices c. In Displacement Diagnosis d. Inter Uterine Devices e. Infarction Ultra Devices 8. High level of prostaglandins is one of the etiologies of menorrhagia. Prostaglandins are responsible to a. Control the muscle contractions of the uterus b. Dilate the blood vessels in the body c. Stimulate changes of glucose into glycogen d. Indication of embryo growth in the uterus e. Stimulates the maturation of ovarian cells 9. The differences between FSH (Follicle Stimulating Hormone) and LH (Luteinizing Hormone) are a. FSH releases adrenalin, LH releases prolactin b. FSH releases endothelia, LH releases oxytocin c. FSH releases estrogen, LH releases progesterone d. FSH releases insulin, LH releases prostaglandins e. FSH releases progesterone, LH releases estrogen 10. What kind of condition that we can conclude a woman has a menorrhagia symptom? 1. Losing 5 1/2 tablespoons (80 ml) or more of blood during the menstrual cycle 2. Menstrual flow that soaks through one or more sanitary pads or tampons every hour for several consecutive hours. 3. Menstrual periods lasting longer than seven days. Mid-Semester Test/English in Nursing/STIKES Istara Nusantara/ Ns.Chalida Hayulani, S.Kep

Dysfunctional of Menstrual Cycle (Menorrhagia, Metrorrhagia, Meno-Metrorrhagia) 4. Changing of pads or tampons only 3 times a day a. b. c. d. e. 1, 3 2, 4 1, 2, 3 4 1, 2, 3, and 4

11. A condition, in which excessive uterine bleeding both at the usual time of menstrual periods and at other irregular intervals, is called a. Menorrhagia b. Metrorrhagia c. Amenorrhea d. Dysmenorrhea e. Menometrorrhagia 12. This condition in number 13 may be a sign of a. Lung cancer b. Hyper salivation c. Abortion d. Urogenital malignancy e. Gastrointestinal malignancy 13. Specific treatment for menorrhagia will be determined based on 1. Age 2. Overall health 3. Cause of the condition 4. Tolerance for specific medications, procedures, or therapies a. b. c. d. e. 1, 3 2, 4 1, 2, 3 4 1, 2, 3, and 4

14. What kind of health education that a nurse should give to client with menorrhagia/metrorrhagia/menometrorrhagia condition? 1. Brand of tampons or pads which are good for womens health 2. The need to rest and to avoid strenuous activities until bleeding subsides 3. The dangerous of breast cancer 4. The importance of regular gynaecologic examinations and Pap smears a. 1, 3 b. 2, 4 c. 1, 2, 3 Mid-Semester Test/English in Nursing/STIKES Istara Nusantara/ Ns.Chalida Hayulani, S.Kep

Dysfunctional of Menstrual Cycle (Menorrhagia, Metrorrhagia, Meno-Metrorrhagia) d. 4 e. 1, 2, 3, and 4 15. What is the possible nursing diagnosis for client with menorrhagia/metrorrhagia/menometrorrhagia condition? 1. Deficient knowledge related to diagnosis and treatment options 2. Chronic pain related to stone in gallbladder 3. Body fluids deficiency (hypovolemic) related to excessive and/or irregular bleeding 4. Anxiety related to effect of endometriosis on fertility a. b. c. d. e. 1, 3 2, 4 1, 2, 3 4 1, 2, 3, and 4

Answer Key Mid-Semester Test/English in Nursing/STIKES Istara Nusantara/ Ns.Chalida Hayulani, S.Kep

Dysfunctional of Menstrual Cycle (Menorrhagia, Metrorrhagia, Meno-Metrorrhagia)

1. E 2. C 3. D 4. C 5. E 6. E 7. B 8. A 9. C 10.C 11.E 12.D 13.E 14.B 15.A

Mid-Semester Test/English in Nursing/STIKES Istara Nusantara/ Ns.Chalida Hayulani, S.Kep