Based on a client's recent history, a nurse suspects that a client is beginning menopause.

Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause?

"Do you sleep well at night?"

"Have you experienced increased hair growth?"

"Have you been experiencing chills?"

"When did you begin your menses?"

Answer and Explanation

The Correct Answer is A

A.   "Do you sleep well at night?" Sleep disturbances, including insomnia and night sweats, are common symptoms of menopause.
B.   "Have you experienced increased hair growth?" Increased hair growth is not typically associated with menopause; rather, menopause is often associated with hair thinning or loss.
C.   "Have you been experiencing chills?" Chills are not a common symptom of menopause; hot flashes and night sweats are more typical.
D.   "When did you begin your menses?" This question is not relevant to confirming menopause symptoms, as it focuses on the onset of menstruation rather than menopausal changes.

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Correct Answer is C

Explanation

A. Menopause is the cessation of menstruation and marks the end of the reproductive years.
B. Menarche is the onset of menstruation and does not describe a phase of the menstrual cycle.
C. The follicular phase begins at the end of menses and ends at ovulation. During this phase, follicles in the ovaries mature, and one dominant follicle is selected for ovulation.
D. The luteal phase follows ovulation and ends with the start of menses. During this phase, the ruptured follicle transforms into the corpus luteum, which secretes progesterone to prepare the uterus for potential implantation of a fertilized egg.

A. "My doctor will perform pelvic exams to detect for ovarian cancer." B. "I will develop ovarian cancer If I have the BRCA1 gene." C. "I will have regular Pap tests to monitor for ovarian cancer." D. "A decreased CA125 level places me at greater risk for ovarian cancer."

Correct Answer is A

Explanation

A. "My doctor will perform pelvic exams to detect for ovarian cancer.": Pelvic exams can help detect ovarian cancer or abnormalities in the pelvic region, although they are not always definitive.
B. "I will develop ovarian cancer If I have the BRCA1 gene.": While having the BRCA1 gene mutation increases the risk of ovarian cancer, not everyone with this gene mutation will develop the disease.
C. "I will have regular Pap tests to monitor for ovarian cancer.": Pap tests are used to screen for cervical cancer, not ovarian cancer.
D. "A decreased CA125 level places me at greater risk for ovarian cancer.": An elevated CA125 level is associated with ovarian cancer, not a decreased level.

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Based on a client's recent history, a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause?

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Based on a client's recent history, a nurse suspects that a client is beginning menopause.

Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause?