FNP Family Nurse Practitioner Exam Prep

Category - Women's Health Nurse Practitioner

Which procedure is initially indicated for a woman over age 35 with intermenstrual bleeding?
  1. Dilation and curettage (D&C)
  2. Endometrial biopsy
  3. MRI
Explanation
Answer: B - An endometrial biopsy is initially indicated for women over age 35 with intermenstrual bleeding in order to identify potential endometrial hyperplasia and cancer. An MRI is not useful for the initial evaluation of intermenstrual bleeding. A dilation and curettage (D&C) is not initially indicated for the evaluation of intermenstrual bleeding due to surgical risks, expense, pain and the need for anesthesia.
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