A woman with six months of amenorrhoea also reports milky nipple discharge and headaches. Which assessment is most appropriate for the nurse to recommend?
Correct answer: A. Assessment for raised prolactin and pituitary disease
- A. Assessment for raised prolactin and pituitary disease
- B. Immediate treatment with vaginal antifungal medicine
- C. Routine pelvic floor exercises without further assessment
- D. Reassurance that these findings confirm menopause
Explanation
Amenorrhoea with galactorrhoea and headache may indicate hyperprolactinaemia, sometimes related to a pituitary lesion, so medical assessment is required. These findings do not establish menopause or indicate a vaginal infection.
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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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50 free Gynaecological Nursing MCQs from Midwifery and Obstetric Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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