Fibroid uterus is associated with all of the following except?

Appeared in: NHM UP Staff Nurse - 2017

Explanation

Multiple pregnancy (e.g., twins) is not caused by or associated with uterine fibroids.
The development of multiple fetuses is related to the fertilization of more than one egg or the division of a single fertilized egg.
Uterine fibroids are benign tumors of the uterine muscle and do not influence ovulation or fertilization processes.
Conversely, fibroids can negatively impact pregnancy by increasing risks of miscarriage, preterm labor, and fetal malpresentation.

Option A: Menorrhagia, or heavy menstrual bleeding, is the most common symptom associated with uterine fibroids.
Option B: Infertility or subfertility is a known complication of uterine fibroids, particularly submucosal types that distort the uterine cavity.
Option D: Dysmenorrhoea, or painful menstruation, is a common symptom reported by women with fibroids.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Clinical manifestations and complications of uterine fibroids (leiomyomas) as background academic context rather than a clinical decision trigger.
Nurses must be able to recognize the classic triad of symptoms for uterine fibroids: heavy menstrual bleeding, pelvic pain/pressure, and reproductive issues.
Patient education is crucial, as many women may not realize their symptoms are due to fibroids and may delay seeking care, leading to complications like severe anemia from chronic blood loss.
When caring for a pregnant patient with known fibroids, nurses must be vigilant for signs of complications such as preterm labor, vaginal bleeding (placental abruption), and severe pain (red degeneration).

How to Approach the Question

First, carefully read the question and note the keyword 'except'. This means you are looking for the option that does NOT fit with the condition mentioned.
Identify the core concept: 'Fibroid uterus'.
Recall or look up the common signs, symptoms, and complications associated with uterine fibroids.
Evaluate each option one by one:
Is Menorrhagia associated with fibroids? Yes, it's the most common symptom.
Is Infertility associated with fibroids? Yes, it's a known complication.

Concept Tested & Keywords

Concept Tested: Clinical manifestations and complications of uterine fibroids (leiomyomas).
Stem keywords: Fibroid uterus, associated with
Lead-in keywords: except
Negative lead-in flag: The question asks for the exception among the given options.

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E6 Gynecology Williams p. 216-260

E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 67-81

Practise the full NHM UP Staff Nurse - 2017

Attempt every question from this paper in a timed mock, then review the full solution for each one.