A woman with premenstrual syndrome reports irritability, breast tenderness and bloating during the week before menstruation. Which advice is most appropriate?

Correct answer: B. Keep a symptom diary and use regular exercise

  • A. Increase caffeine intake during the premenstrual week
  • B. Keep a symptom diary and use regular exercise
  • C. Remain on bed rest until menstruation begins
  • D. Take antibiotics whenever symptoms develop

Explanation

Recording symptoms helps confirm their cyclical pattern, while regular exercise may reduce premenstrual symptoms. Caffeine may worsen breast tenderness and irritability, and antibiotics have no role unless an infection is diagnosed.

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About Gynaecological Nursing

Gynaecological nursing covers assessment and care for menstrual disorders, vaginal infections, pelvic inflammatory disease, infertility, endometriosis, fibroids, uterine prolapse and reproductive tract cancers. It includes pelvic examination, specimen collection, preoperative and postoperative care, medication support, privacy and counselling, and distinguishes gynaecological conditions from normal pregnancy-related changes.

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