Oregon Certified Nursing Assistant State Practice Exam

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Which of the following changes occurs in the female reproductive system with aging?

  1. Continuation of regular menstruation

  2. Increased moisture in the vaginal area

  3. Decrease in bone density

  4. A more pronounced voice

The correct answer is: Decrease in bone density

As women age, particularly during and after the transition into menopause, one of the most significant physiological changes is a decrease in estrogen levels. This hormonal shift can lead to various changes throughout the body, including a decrease in bone density. Estrogen plays a crucial role in maintaining bone health; its decline can accelerate bone loss and increase the risk of osteoporosis, making this choice the correct answer. The continuation of regular menstruation, increased moisture in the vaginal area, and a more pronounced voice do not typically occur with aging in the female reproductive system. Instead, women often experience the cessation of menstruation after menopause, decreased moisture due to lower estrogen levels, and no significant change in the tone of voice related to aging in this context. Understanding these changes helps in recognizing the broader implications of aging on women's health, particularly regarding bone health and the importance of preventive measures.