Question 1

Which nursing diagnosis would be most appropriate for a client who is experiencing vaginal atrophy as a result of menopause?

Accepted Answer

A

Question 2

A client with infertility who was treated with clomiphene (Clomid)for 6 months without success will now be treated with a follitropin.Which statement by this client would require immediate intervention by the health care provider?

Accepted Answer

Wheezing is a potential side effect of follitropin and could signify a serious allergic reaction, which requires immediate intervention by the health care provider. The other options could be side effects of the medication, but they are not as concerning as wheezing. The provider should still monitor these symptoms and address them as necessary.

Question 3

A client at 35 weeks' gestation is having contractions caused by preterm labor.Which statement by the nurse best describes the rationale for giving this client magnesium sulfate?

Accepted Answer

Magnesium sulfate is used to relax the uterus and slow contractions, which gives the baby's lungs a few more days to develop. It does not cause the baby to gain weight quickly or decrease the client's stress level, and it does not allow for monitoring from home.

Question 4

The school nurse is teaching a group of middle-school students about the female reproductive system.Which statement by a student most accurately describes the reason menstruation begins?

Accepted Answer

Menstruation occurs when the levels of hormones estrogen and progesterone drop, causing the lining of the uterus to shed. Option A is incorrect because uterus contractions are part of the menstrual cycle, but they do not cause menstruation. Option C is incorrect because menstrual cycles can vary in length and still be considered normal. Option D is incorrect because ovulation is when an egg is released from the ovary, and menstruation occurs if that egg is not fertilized.

Question 5

Which client should not receive progestin therapy for the treatment of dysfunctional uterine bleeding?

Accepted Answer

Clients with a history of blood clots should not receive progestin therapy because it can increase the risk of clot formation.

Question 6

A postmenopausal client learns that her level of "good" cholesterol is decreasing and the level of "bad" cholesterol is rising.How should the nurse explain this physiologic mechanism to the client?

Accepted Answer

During menopause, the level of estrogen decreases dramatically. Estrogen helps to keep the "good" cholesterol high and the "bad" cholesterol low and also helps to protect the heart. Therefore, the decrease in estrogen during menopause is associated with a decrease in "good" cholesterol and an increase in "bad" cholesterol.

Question 7

Which client would not be a good candidate for induction of labor using parenteral oxytocin (Pitocin)?

Accepted Answer

Inducing labor for non-medical reasons such as having the baby on a specific date is generally not recommended. Medical indications for labor induction include gestational diabetes, abnormal fetal heart rate, and preeclampsia, making options A, B, and C appropriate candidates under certain conditions.

Question 8

The nurse is reviewing the menstrual cycle with a client who is experiencing menstrual irregularities.The nurse teaches that during the menstrual cycle,the majority of progesterone is secreted by the:

Accepted Answer

The corpus luteum is the structure that forms from the follicle after ovulation and is responsible for the majority of progesterone secretion in the menstrual cycle. The hypothalamus and pituitary gland are involved in regulating hormone production, but do not directly secrete progesterone. The ovarian follicle secretes estrogen, not progesterone.

Question 9

A client reports infertility in spite of trying to get pregnant for the last 18 months.A priority assessment in this client would be:

Accepted Answer

Understanding of ovulation and timing of intercourse is a priority assessment in a client reporting infertility as it helps to identify any knowledge gaps or misconceptions the client may have about the reproductive process and to provide education on effective methods for conception. Height and weight, job status, and preferred position during sexual intercourse may also be assessed, but they are not the priority in this situation.

Question 10

Which outcome statement indicates that a client has effectively been treated with conjugated estrogen (Premarin)for severe and frequent hot flashes?

Accepted Answer

Severe and frequent hot flashes are being treated with conjugated estrogen (Premarin). The best outcome statement is the client reporting one to two hot flashes per day, indicating significant improvement in symptoms. The other choices do not specifically address the effectiveness of the drug in treating hot flashes. The ability to sleep, improvement in mood, and experiencing headaches may be important outcomes but are not specific to the treatment of hot flashes with conjugated estrogen.

Question 11

An adolescent client is experiencing oligomenorrhea with infrequent periods over the last year.What is the most likely cause of this client's problem?

Accepted Answer

The answer of An adolescent client is experiencing oligomenorrhea with...

Question 12

Which statement by a menopausal client reflects an advantage of using estrogen/progesterone combination hormone replacement therapy (HRT)?

Accepted Answer

According to research, taking estrogen/progesterone combination HRT can lower the risk of heart attack in women until the age of 60. The use of HRT does not protect against breast or uterine cancer and its effect on Alzheimer's disease is still not fully understood.

Question 13

A postmenopausal client asks why she has been scheduled for a bone density test even though she has no history of fractures.What is the nurse's best response?

Accepted Answer

Bone density tests are recommended for postmenopausal women because they are at a higher risk for developing osteoporosis due to the decrease in estrogen levels. Early detection and management of osteoporosis can help prevent fractures and other complications. Option A is not a full explanation and Option C is not accurate. Option D is too general and not specific to the client's situation.

Question 14

Which statement by a client taking estrogen/progesterone combination hormone replacement therapy (HRT)requires immediate intervention by the nurse?

Accepted Answer

Nausea and right shoulder pain can be symptoms of a potential blood clot, which is a serious side effect associated with hormone replacement therapy. This requires immediate medical intervention to rule out a dangerous complication. The other statements may indicate side effects of HRT but are not as concerning as potential signs of a blood clot.

Question 15

Which client would benefit most from using hormone replacement therapy (HRT)?

Accepted Answer

Hormone replacement therapy is commonly used to relieve symptoms of menopause, such as hot flashes and night sweats, which the client in option A is experiencing. While HRT may also be used for other purposes, such as preventing osteoporosis or improving sexual function, those are not the primary concerns mentioned in the options given. HRT has also been associated with an increased risk of certain types of cancer, such as colorectal cancer, which is a concern for the client in option D. Therefore, option A would benefit most from using HRT.

Question 16

A client had an anterior pituitary tumor removed a few years ago and is curious if this will affect her future ability to become pregnant.What is the best response by the nurse to this client?

Accepted Answer

The hormones necessary for stimulating the ovaries to release an egg (follicle-stimulating hormone and luteinizing hormone) are secreted by the anterior pituitary. Removal of an anterior pituitary tumor may affect the levels of these hormones, potentially leading to difficulties getting pregnant. It is important to discuss any concerns with an endocrinologist or reproductive specialist.

Question 17

A client is being treated pharmacologically for endometriosis.Which statement by the client indicates a need for further instruction?

Accepted Answer

Pharmacological treatment for endometriosis can often cause infertility or make it more difficult to conceive. The client should be informed that getting pregnant immediately after treatment is not guaranteed and may require additional fertility interventions.

Question 18

The nurse is taking a medication history from a client who is seeking information about infertility treatments.Which drug taken by this client could potentially contraindicate the use of clomiphene (Clomid)?

Accepted Answer

The answer of The nurse is taking a medication history...

Question 19

An older male client has been prescribed estrogen therapy for prostate cancer and is confused because "it is a medication for women." How can the nurse best explain this use of estrogen to the client?

Accepted Answer

Estrogen therapy for prostate cancer works by blocking the hormones that allow the cancer cells to grow.

Question 20

A client at 25 weeks' gestation has experienced a fetal demise.What medication is most likely to be used first to induce labor in this client?

Accepted Answer

Dinoprostone is a prostaglandin medication that is typically used to ripen or soften the cervix before labor induction. In the case of fetal demise, the cervix may not be sufficiently dilated or effaced for labor to start on its own, so Dinoprostone can be used to prepare the cervix for induction. Methylergonovine is not typically used for induction of labor, but rather for postpartum hemorrhage. Oxytocin is typically used after the cervix is dilated to induce or augment labor contractions. Carboprost is also typically used for postpartum hemorrhage and is not a first-line option for labor induction.

Quiz 69: Estrogens,progestins,and Drugs Modifying Uterine Function

Which nursing diagnosis would be most appropriate for a client who is experiencing vaginal atrophy as a result of menopause?

A client with infertility who was treated with clomiphene (Clomid) for 6 months without success will now be treated with a follitropin.Which statement by this client would require immediate intervention by the health care provider?

A client at 35 weeks' gestation is having contractions caused by preterm labor.Which statement by the nurse best describes the rationale for giving this client magnesium sulfate?

The school nurse is teaching a group of middle-school students about the female reproductive system.Which statement by a student most accurately describes the reason menstruation begins?

Which client should not receive progestin therapy for the treatment of dysfunctional uterine bleeding?

A postmenopausal client learns that her level of "good" cholesterol is decreasing and the level of "bad" cholesterol is rising.How should the nurse explain this physiologic mechanism to the client?

Which client would not be a good candidate for induction of labor using parenteral oxytocin (Pitocin) ?

The nurse is reviewing the menstrual cycle with a client who is experiencing menstrual irregularities.The nurse teaches that during the menstrual cycle,the majority of progesterone is secreted by the:

A client reports infertility in spite of trying to get pregnant for the last 18 months.A priority assessment in this client would be:

Which outcome statement indicates that a client has effectively been treated with conjugated estrogen (Premarin) for severe and frequent hot flashes?

An adolescent client is experiencing oligomenorrhea with infrequent periods over the last year.What is the most likely cause of this client's problem?

Which statement by a menopausal client reflects an advantage of using estrogen/progesterone combination hormone replacement therapy (HRT) ?

A postmenopausal client asks why she has been scheduled for a bone density test even though she has no history of fractures.What is the nurse's best response?

Which statement by a client taking estrogen/progesterone combination hormone replacement therapy (HRT) requires immediate intervention by the nurse?

Which client would benefit most from using hormone replacement therapy (HRT) ?

A client had an anterior pituitary tumor removed a few years ago and is curious if this will affect her future ability to become pregnant.What is the best response by the nurse to this client?

A client is being treated pharmacologically for endometriosis.Which statement by the client indicates a need for further instruction?

The nurse is taking a medication history from a client who is seeking information about infertility treatments.Which drug taken by this client could potentially contraindicate the use of clomiphene (Clomid) ?

An older male client has been prescribed estrogen therapy for prostate cancer and is confused because "it is a medication for women." How can the nurse best explain this use of estrogen to the client?

A client at 25 weeks' gestation has experienced a fetal demise.What medication is most likely to be used first to induce labor in this client?