Practice Quiz

CNM Certified Nurse Midwife

Category - Gynecology

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A 45-year-old female client comes to the facility due to vaginal bleeding in between menses lasting 1 to 2 days. The client’s usual menstrual cycle is 30 days. Her menstrual flow usually lasts between 3 and 4 days. A sonohysterogram is performed, and an endometrial polyp is found. The nurse midwife expects which treatment following the diagnosis?
  1. Total hysterectomy
  2. Subtotal hysterectomy
  3. Hysteroscopic polypectomy
  4. Dilatation and curettage
Explanation
Answer: C - Hysteroscopic polypectomy as is the main treatment for endometrial polyps. This procedure involves surgical removal of the polyp with hysteroscopic guidance. Hysterectomy is not considered for the client. Dilatation and curettage is not usually done as a single treatment. It is usually an adjunct procedure to hyesterocopy and polypectomy. Performing D&C without hysteroscopy increases the chances of missing the polyp.
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