In preparation for teaching a women's community center class about physiologic changes during menopause, the nurse is preparing a handout for students. Which information should the nurse include in this teaching?

1. Due to changes in estrogen levels, the labia minora increase in size after menopause.
2. The ovaries remain small after puberty, but they increase in size following menopause.
3. After menopause, the endometrium continues to undergo monthly degeneration and renewal.
4. Ovarian secretion of estrogen decreases between the ages of 45 and 55, after which point ovulatory activity ceases.


4
Explanation:
1. The labia minora decrease in size after menopause because of changes in estrogen levels.
2. The ovaries of girls are small, but they become larger after puberty and then decrease in size following menopause.
3. From menarche to menopause, the endometrium undergoes monthly degeneration and renewal in the absence of pregnancy.
4. Between the ages of 45 and 55, a woman's ovaries secrete decreasing amounts of estrogen. Eventually, ovulatory activity ceases and menopause occurs.

Nursing

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The nurse is providing care of a client who ignores the urge to defecate when at work. The client states, "I don't like to have a bowel movement anywhere but at home." Which response by the nurse is the most appropriate?

A) "This is a common practice, and it will strengthen the reflex later." B) "You will get the urge later, so you should not worry about it." C) "If you continue to ignore the urge to defecate, it can lead to problems." D) "It is better to suppress the urge than to suffer embarrassment at work."

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A method of reducing a person's risk of becoming infected with the West Nile virus would be to

a. wear shorts and short-sleeve shirts. b. apply baby lotion to all extremities. c. apply insect repellent that contains DEET. d. apply flea and tick repellent.

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The distraught wife of a terminally ill patient complains to the nurse, "My husband has not been shaved, and he has that miserable gown on instead of his own pajamas. Don't you people care about things like that?"

What would be the best response of the nurse? a. "I delayed his morning care because he was sleeping comfortably. I'll complete his care now that he's awake." b. "We're running late today and I have six other patients to care for. What do you want?" c. "Of course we care! Someone will come to do his care before lunch." d. "I'm sorry you feel we're doing such a poor job. I'm doing my best."

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On observation, the nurse documents that a male child's urethral meatus is located on the underside of his penis. What is the term for this structural abnormality?

A) Hypospadias B) Epispadias C) Cryptorchidism D) Phimosis

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