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Nurs 590 Exam 1 Questions And Answers
100% Guaranteed Pass.
What would be considered abnormal uterine bleeding? - Answer✔- acute: sudden and intense
- Chronic: if greater than 6 months
- intermenstrual bleeding
- bleeding more frequently then every 24 days
- bleeding for more than 8 days
- bleeding more than 80mL/cycle
- remember "abnormal" can also mean less frequent in addition to more frequent bleeding
How long is a normal menstrual cycle? - Answer✔24 to 38 days
What is the average length of bleeding? - Answer✔4 to 8 days
How much blood loss is normal during a period? - Answer✔5 to 80mLs
If an older woman presents with abnormal uterine bleeding, what could it be related to? -
Answer✔Older women may have vaginal atrophy due to low estrogen which can lead to the
development of fissures that bleed.
What is the acronym for abnormal uterine bleeding? - Answer✔PALM-COEIN
What does the acronym for PALM-COEIN stand for? - Answer✔P - polyp
A - adenomyosis
L - Leiomyoma
M - malignancy
C - coagulopathy
O - ovulatory dysfunction
E - endometrial
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I - iatrogenic
N - not otherwise classified
How common are uterine polyps? - Answer✔Up to 35% of women will have this at sometime in
their life.
As a woman ages, they are at greater risk for getting polyps.
Presentation of uterine polyp: - Answer✔- intermenstrual bleeding
- bleeding after sexual intercourse
- Can sometimes see with speculum exam if it has prolapsed through the cervix
What do you do if you are performing a speculum exam and see a polyp popping through the
cervix? - Answer✔You take some ring forceps and just remove it. They remove pretty easily and
then you will want to send it to pathology just to make sure that it's nothing to be alarmed
about.
What is adenomyosis? - Answer✔endometrial tissue in the myometrium
What is the myometrium? - Answer✔the muscular outer layer of the uterus
Presentation of adenomyosis: - Answer✔- many are asymptomatic
- painful, heavy menses (sometimes prolonged bleeding)
What are leiomyomas? - Answer✔uterine fibroids - small benign growths of uterine tissue,
painful
- increased incidence with age
Presentation of uterine fibroids: - Answer✔- many are asymptomatic but others have heavy,
prolonged bleeding
- may complain of pelvic pressure or discomfort (if really large)
- bimanual exam: uterus will feel enlarged and irregular
What are risk factors for endometrial cancer? - Answer✔- obesity
- nullparity
- PCOS
- history of infertility
- late menopause
- type II DM
2|Page
Nurs 590 Exam 1 Questions And Answers
100% Guaranteed Pass.
What would be considered abnormal uterine bleeding? - Answer✔- acute: sudden and intense
- Chronic: if greater than 6 months
- intermenstrual bleeding
- bleeding more frequently then every 24 days
- bleeding for more than 8 days
- bleeding more than 80mL/cycle
- remember "abnormal" can also mean less frequent in addition to more frequent bleeding
How long is a normal menstrual cycle? - Answer✔24 to 38 days
What is the average length of bleeding? - Answer✔4 to 8 days
How much blood loss is normal during a period? - Answer✔5 to 80mLs
If an older woman presents with abnormal uterine bleeding, what could it be related to? -
Answer✔Older women may have vaginal atrophy due to low estrogen which can lead to the
development of fissures that bleed.
What is the acronym for abnormal uterine bleeding? - Answer✔PALM-COEIN
What does the acronym for PALM-COEIN stand for? - Answer✔P - polyp
A - adenomyosis
L - Leiomyoma
M - malignancy
C - coagulopathy
O - ovulatory dysfunction
E - endometrial
1|Page
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED.
I - iatrogenic
N - not otherwise classified
How common are uterine polyps? - Answer✔Up to 35% of women will have this at sometime in
their life.
As a woman ages, they are at greater risk for getting polyps.
Presentation of uterine polyp: - Answer✔- intermenstrual bleeding
- bleeding after sexual intercourse
- Can sometimes see with speculum exam if it has prolapsed through the cervix
What do you do if you are performing a speculum exam and see a polyp popping through the
cervix? - Answer✔You take some ring forceps and just remove it. They remove pretty easily and
then you will want to send it to pathology just to make sure that it's nothing to be alarmed
about.
What is adenomyosis? - Answer✔endometrial tissue in the myometrium
What is the myometrium? - Answer✔the muscular outer layer of the uterus
Presentation of adenomyosis: - Answer✔- many are asymptomatic
- painful, heavy menses (sometimes prolonged bleeding)
What are leiomyomas? - Answer✔uterine fibroids - small benign growths of uterine tissue,
painful
- increased incidence with age
Presentation of uterine fibroids: - Answer✔- many are asymptomatic but others have heavy,
prolonged bleeding
- may complain of pelvic pressure or discomfort (if really large)
- bimanual exam: uterus will feel enlarged and irregular
What are risk factors for endometrial cancer? - Answer✔- obesity
- nullparity
- PCOS
- history of infertility
- late menopause
- type II DM
2|Page
