A nurse is teaching a class on the different types of uterine bleeding. Abnormal uterine bleeding accounts for 5% to 10% of the cases in an outpatient setting. The nurse explains the abnormal uterine bleeding can be caused by:
1. Iron-deficiency anemia.
2. A disruption in the normal cyclic hormonal pattern of ovulation to the lining of the uterus.
3. Heavy periods every 2 months.
4. Spotting between periods.
2
Rationale 1: Iron-deficiency anemia is a symptom of abnormal uterine bleeding, not a cause.
Rationale 2: Disruption in the normal cyclic hormonal pattern of ovulation to the lining of the uterus is one of the main causes of abnormal uterine bleeding.
Rationale 3: Heavy periods every 2 months could be one of the symptoms of abnormal uterine bleeding, not a cause.
Rationale 4: Spotting between periods is a symptom of abnormal uterine bleeding, not a cause.
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