page 1 | page 2 | page 3 | page 4 | page 5 | page 6 page 7 | page 8 | page 9 | page 10 | page 11 | page 12 page 13 | page 14 | page 15 | page 16 page 17 | page 18 | page 19 | page 20 references | nursing assessment | patient handout table of contents | test Menopausal and Midlife Nursing Assessment   YES NO PATIENT HAS QUESTIONS Change in appetite Weight gain Change in hair pattern Hot flushes Mood swings Periods of sadness Difficulty concentrating Memory loss Problems sleeping Pelvic pain Back pain Nocturnal incontinence Increased frequency of urination Burning with urination Vaginal dryness Painful intercourse Family History: reproductive cancers, CVD, Alzheimer's disease Physical Exam: height, weight, genital tract changes Lab and Diagnostic Values: FSH, LH, TSH, pregnancy test, mammogram (see Figure 15) Medical History: breast cancer, fractures Social History: sexual activity, alcohol consumption, smoking, exercise

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