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 her teaching?
1. The ovaries remain small after puberty, but they increase in size following menopause.
2. Ovarian secretion of estrogen decreases between the ages of 45 to 55, after which point ovulatory activity ceases.
3. Due to changes in estrogen levels, the labia minora increase in size after menopause.
4. After menopause, the endometrium continues to undergo monthly degeneration and renewal.
Correct Answer: 2
Rationale 1: The ovaries of girls are small, but they become larger after puberty and then decrease in size following menopause.
Rationale 2: Between the ages of 45 and 55, a woman's ovaries secrete decreasing amounts of estrogen. Eventually, ovulatory activity ceases and menopause occurs.
Rationale 3: The labia minora decrease in size after menopause because of changes in estrogen levels.
Rationale 4: From menarche to menopause, the endometrium undergoes monthly degeneration and renewal in the absence of pregnancy.
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