Question 1

A client taking oral contraceptives tells the nurse she is experiencing nausea and breast tenderness and is afraid she might be pregnant. Which information should the nurse provide the client?&#10;A) Instruct the client to take an at-home pregnancy test.&#10;B) Instruct the client to come to the clinic to evaluate their birth control prescription.&#10;C) Reassure the client that these symptoms can be a side effect of oral contraceptives.&#10;D) Ask the client if she is premenstrual.

Accepted Answer

Nausea and breast tenderness are common side effects of oral contraceptives and do not necessarily indicate pregnancy. The nurse should reassure the client that these symptoms can be expected with this form of birth control. If the client is concerned, the nurse can also review proper use of the pill and discuss other forms of contraception if desired. An at-home pregnancy test would not be necessary if the client is still taking her oral contraceptives correctly. Coming to the clinic to evaluate their birth control prescription may be an option, but not necessarily needed for these common side effects. Asking about premenstrual symptoms is not relevant to the client's current concern about pregnancy.

Question 2

The nurse has provided a postpartum client education about oxytocin (Pitocin). Which statement made by the client indicates an understanding of the information?&#10;A) &#34;Oxytocin will increase my uterine contractions.&#34;&#10;B) &#34;Oxytocin will promote fluid loss.&#34;&#10;C) &#34;Oxytocin will stimulate milk production.&#34;&#10;D) &#34;Oxytocin will increase the amount of milk I produce.&#34;

Accepted Answer

The correct statement about oxytocin is that it will increase uterine contractions, which can help control bleeding and assist with the delivery of the placenta. Choice B is incorrect because oxytocin does not promote fluid loss. Choice C is partially correct, as oxytocin can stimulate milk production, but this is not its primary effect. Choice D is incorrect because oxytocin does not increase the amount of milk a mother produces, but rather helps to release already produced milk during breastfeeding.

Question 3

The nurse is preparing to obtain a history from a client suspected of experiencing the early stage of menopause. Which statements made by the client support the condition? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "I have experienced bouts of depression."
B) "I have a great deal of trouble sleeping."
C) "I have lost interest in having sex."
D) "I have been experiencing headaches."
E) "I have been leaking urine when I cough and sneeze."

"I have experienced bouts of depression."
"I have a great deal of trouble sleeping."
"I have been experiencing headaches."

Accepted Answer

&#34;I have experienced bouts of depression.&#34;&#10;&#34;I have a great deal of trouble sleeping.&#34;&#10;&#34;I have been experiencing headaches.&#34;&#10;

Question 4

The nurse is preparing to provide education for a client prescribed an estrogen-progestin combination oral contraceptive. Which information should the nurse include in the teaching?&#10;A) Inhibit ovulation&#10;B) Inhibit the luteinizing hormone&#10;C) Suppress the follicle-stimulating hormone&#10;D) Suppress the growth of the follicle

Accepted Answer

Estrogen-progestin combination oral contraceptives mainly work by inhibiting ovulation.

Question 5

Which describes the action of oxytocics?&#10;A) Slow down uterine contractions&#10;B) Increase the level of luteinizing hormones&#10;C) Increase ovarian secretion&#10;D) Stimulate uterine contractions

Accepted Answer

Oxytocics stimulate uterine contractions, which can be useful in inducing labor, managing postpartum hemorrhage, and other obstetric and gynecologic interventions.

Question 6

A client asks the nurse for emergency contraception. Which question should the nurse ask the client?&#10;A) &#34;How long ago did you have unprotected sex?&#34;&#10;B) &#34;Did you use a condom during intercourse?&#34;&#10;C) &#34;What kind of birth control have you used in the past?&#34;&#10;D) &#34;Where are you in your monthly cycle?&#34;

Accepted Answer

The nurse should ask how long ago the unprotected sex occurred to determine if emergency contraception is still an option. It is most effective if taken within 72 hours of unprotected sex.

Question 7

Which client behavior should the nurse be most concerned about for the client prescribed an estrogen/progestin oral contraceptive?&#10;A) Multiple sexual partners&#10;B) Pharmacological treatment for bipolar disorder&#10;C) Smoking one-half pack of cigarettes per day&#10;D) Drinking two glasses of wine a day

Accepted Answer

Smoking while taking an estrogen/progestin oral contraceptive increases the risk of serious health complications such as blood clots, stroke, and heart attack. The nurse should educate the client on the importance of quitting smoking while taking the medication.

Question 8

Which is responsible for the secretion of progestins?&#10;A) Anterior pituitary&#10;B) Corpus luteum&#10;C) Ovarian follicles&#10;D) Hypothalamus

Accepted Answer

The corpus luteum is responsible for the secretion of progestins.

Question 9

A client receiving Depo-Provera as a method of birth control asks the nurse how long the prescription will be effective. Which response should the nurse provide the client?&#10;A) 2 months&#10;B) 6 months&#10;C) 1 year&#10;D) 3 months

Accepted Answer

Depo-Provera is an injectable contraceptive that is effective for three months. The client will need to return for a repeat injection every three months to maintain effectiveness.

Question 10

Which should the nurse include in the plan of care for a client receiving Ortho-Novum experiencing vaginal bleeding?&#10;A) Ask the client if she has been having sexual intercourse recently.&#10;B) Tell the client to go to the emergency department for medical treatment.&#10;C) Ask the client if she is bleeding between cycles or if this is her regular period.&#10;D) Tell the client not to worry if the bleeding resembles her monthly flow.

Accepted Answer

Asking the client if she is bleeding between cycles or if this is her regular period can help determine if the bleeding is abnormal and potentially related to the Ortho-Novum. This information can guide the nurse in providing appropriate care and communicating with the healthcare provider. Option A may also be appropriate, but it is not the best choice as sexual activity may not be related to the bleeding. Option B is not appropriate unless the bleeding is severe or accompanied by other concerning symptoms. Option D is not appropriate as any vaginal bleeding while taking hormonal birth control should be evaluated by a healthcare provider.

Question 11

The educator has reviewed the action of the biphasic estrogen-progestin oral contraceptive with the nurse. Which statement made by the nurse indicates an understanding of the information?&#10;A) &#34;The amounts of both estrogen and progestin in each pill vary in 3 distinct phases during the treatment cycle.&#34;&#10;B) &#34;The oral contraceptive contains estradiol valerate, a synthetic estrogen, and dienogest, a progestin.&#34;&#10;C) &#34;The amount of estrogen in each pill remains constant, but the amount of progestin is increased toward the end of the treatment cycle to better nourish the uterine lining.&#34;&#10;D) &#34;The oral contraceptive delivers a constant dose of estrogen and progestin throughout the 21-day treatment cycle.&#34;

Accepted Answer

The answer of The educator has reviewed the action of...

Question 12

Which is progestin primarily prescribed to treat?&#10;A) Breast cancer&#10;B) Amenorrhea&#10;C) Dysfunctional uterine bleeding&#10;D) Menopause

Accepted Answer

The answer of Which is progestin primarily prescribed to treat?&#10;A)...

Question 13

The nurse has completed the education for a client prescribed clomiphene (Clomid). Which statement made by the client indicates an understanding of the information?&#10;A) &#34;This medication increases my estrogen levels so I can ovulate.&#34;&#10;B) &#34;This medication stimulates LH (luteinizing hormone).&#34;&#10;C) &#34;This medication stimulates FSH (follicle-stimulating hormone).&#34;&#10;D) &#34;This medication stimulates gonadotropin-releasing hormone.&#34;

Accepted Answer

The answer of The nurse has completed the education for...

Question 14

Which is responsible for the secretion of estrogen?&#10;A) Corpus luteum&#10;B) Anterior pituitary&#10;C) Ovarian follicles&#10;D) Endometrium

Accepted Answer

The answer of Which is responsible for the secretion of...

Question 15

The nurse teaches a class for clients in their first trimester of pregnancy. The nurse evaluates that learning has occurred when the clients make which statements? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "Ovulation occurs on approximately Day 21 of the ovarian cycle."
B) "Ovulation is caused by a surge of luteinizing hormone."
C) "Ovulation is caused by a surge of human chorionic gonadotropin."
D) "Follicle-stimulating hormone causes ovarian follicles to develop."
E) "The pituitary gland secretes gonadotropin-releasing hormone."

Accepted Answer

The answer of The nurse teaches a class for clients...

Question 16

A client calls the clinic and tells the nurse that she has missed taking several of her contraceptive pills during the current cycle. What is the best instruction for the nurse to give the client?&#10;A) &#34;Please come into the clinic immediately to have a pregnancy test done.&#34;&#10;B) &#34;You might consider another form of birth control if you keep missing your pills.&#34;&#10;C) &#34;If you have missed fewer than three of your pills, you do not need to worry.&#34;&#10;D) &#34;You should use an alternative form of birth control for the rest of this cycle.&#34;

Accepted Answer

The answer of A client calls the clinic and tells...

Question 17

When caring for a laboring client, which assessment finding indicates the oxytocin (Pitocin) infusion should be discontinued?&#10;A) Uterine contractions that are continuous and sustained.&#10;B) The vaginal exam reveals that the client is entering transition.&#10;C) The client reports that the uterine contractions are strong in intensity.&#10;D) Uterine contractions occur every 2 to 3 minutes and last 40 to 60 seconds.

Accepted Answer

The answer of When caring for a laboring client, which...

Question 18

A male client prescribed estrogen for prostate cancer asks the nurse why they are receiving a female hormone. Which response should the nurse provide?&#10;A) &#34;It shrinks your cancer by causing the cells to die at a faster rate.&#34;&#10;B) &#34;It eliminates the testosterone that encourages the growth of the cancer cells&#34;&#10;C) &#34;It suppresses secretion of the androgens that make your cancer grow.&#34;&#10;D) &#34;It keeps the cancer cells from receiving nutrients.&#34;

Accepted Answer

The answer of A male client prescribed estrogen for prostate...

Question 19

The nurse has provided education for a client prescribed a transdermal patch for contraception. Which statement made by the client indicates an understanding of the teaching?
1) "I will change the patch every 4 weeks."
2) "I will change the patch every 7 days for the first 3 weeks."
3) "I will change the patch every 3 weeks and be patch free week
4) "I will change the patch every 7 days for the 4 weeks."
4)"

Accepted Answer

The answer of The nurse has provided education for a...

Question 20

Which should the nurse monitor the client for who is receiving hormone replacement therapy (HRT)?&#10;A) Thrombophlebitis&#10;B) Night sweats&#10;C) Colorectal cancer&#10;D) Fractures

Accepted Answer

The answer of Which should the nurse monitor the client...

Question 21

The nurse has provided education for a client prescribed a transdermal patch for contraception. Which statement made by the client indicates an understanding of the teaching?
1) "I will change the patch every 4 weeks."
2) "I will change the patch every 7 days for the first 3 weeks."
3) "I will change the patch every 3 weeks and be patch free week
4) "I will change the patch every 7 days for the 4 weeks."
4)"

Accepted Answer

The answer of The nurse has provided education for a...

Question 22

Which education should the nurse include in the teaching for a client prescribed a NuvaRing? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "This ring should be inserted into your uterus."
B) "Once inserted, this ring will provide contraception for 6 months."
C) "You should expect to replace the ring every 3 weeks."
D) "Contraceptive protection is provided for 3 weeks."
E) "The ring uses estrogen and progestin to provide contraception."

Accepted Answer

The answer of Which education should the nurse include in...

Question 23

Which information should the nurse include in the teaching for a client prescribed a progestin only oral contraceptive? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "Progestin oral contraceptives have a higher failure rate."
B) "Progestin oral contraceptives inhibit plantation of a fertilized egg."
C) "Works primarily by producing a thick viscous mucus that discourages the sperms entrance to the uterus."
D) "You have an increased risk of a thromboembolism."
E) "You may notice your menstrual cycle will be more regular."

Accepted Answer

The answer of Which information should the nurse include in...

Question 24

Which information should the nurse provide a client that has stopped taking oral contraceptives so that she can become pregnant?&#10;A) &#34;It may take several months for ovulation to return to normal.&#34;&#10;B) &#34;The incidence of miscarriage is slightly increased.&#34;&#10;C) &#34;It may take several months for your menstrual periods to become regular.&#34;&#10;D) &#34;The length of use can affect your fertility.&#34;&#10;E) &#34;If you are not pregnant within a year your healthcare provider will refer you to an infertility specialist.&#34;

Accepted Answer

The answer of Which information should the nurse provide a...

Question 25

A nurse is teaching a patient about the possible adverse effects of oral contraceptives. The nurse evaluates that the patient understands this teaching if which statements are made? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "I may experience increased acne while on oral contraceptives."
B) "If I experience chest pain, I will call the clinic immediately."
C) "If I begin to lose more hair than is normal, my dose may need to be adjusted."
D) "Any blurry vision or loss of vision should be reported immediately."
E) "If I notice swelling in my feet, hands, or face, I will notify the clinic."

Accepted Answer

The answer of A nurse is teaching a patient about...

Question 26

Which information should the nurse include in the teaching for a client prescribed a progestin only oral contraceptive? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "Progestin oral contraceptives have a higher failure rate."
B) "Progestin oral contraceptives inhibit plantation of a fertilized egg."
C) "Works primarily by producing a thick viscous mucus that discourages the sperms entrance to the uterus."
D) "You have an increased risk of a thromboembolism."
E) "You may notice your menstrual cycle will be more regular."

Accepted Answer

The answer of Which information should the nurse include in...

Question 27

A client calls the family planning clinic and states, "I had unprotected sex, and now I am afraid I will get pregnant." Which information about Plan B should the nurse provide to the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "You can purchase Plan B without a prescription."
B) "You cannot purchase Plan B until you have been examined at the family planning clinic."
C) "You may take two separate doses of Plan B."
D) "If you are already pregnant, Plan B will end the pregnancy."
E) "Plan B will prevent ovulation and implantation."

Accepted Answer

The answer of A client calls the family planning clinic...

Question 28

Which prescription information should the nurse provide the client prescribed Premarin? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "You may notice a decrease in your libido while on this prescription."
B) "You may experience depression while taking the prescription."
C) "Do not become pregnant while on this prescription."
D) "If you add the herbal black cohosh to this therapy, the results will be better."
E) "This prescription will help prevent cardiovascular disease."

Accepted Answer

The answer of Which prescription information should the nurse provide...

Question 29

Which initial step occurs in the process of the formation of the corpus luteum?&#10;A) A surge of luteinizing hormone (LH) occurs.&#10;B) Ovarian follicles mature.&#10;C) Follicle-stimulating hormone (FSH) and luteinizing hormone (LH) are secreted.&#10;D) Gonadotropin-releasing hormone (GnRH) is secreted.

Accepted Answer

The answer of Which initial step occurs in the process...

Question 30

Which statement made by an older female client prescribed medroxyprogesterone (Provera) should the nurse be most concerned about?&#10;A) &#34;I have gained a bit of weight.&#34;&#10;B) &#34;I have had periods of feeling very sad.&#34;&#10;C) &#34;I have experienced moments of confusion.&#34;&#10;D) &#34;I have been experiencing bouts of nausea.&#34;

Accepted Answer

The answer of Which statement made by an older female...

Deck 46: Drugs for Disorders and Conditions of the Female Reproductive System