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?

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?

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.

Accepted Answer

A,B,D

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?

Accepted Answer

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

Question 5

Which describes the action of oxytocics?

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?

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?

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?

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?

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?

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?

Accepted Answer

Biphasic estrogen-progestin oral contraceptives are characterized by a two-phase dosage regimen where the amount of estrogen remains constant throughout the cycle, but the amount of progestin is increased in the second half of the cycle. This adjustment in progestin levels is designed to mimic the natural menstrual cycle more closely and prepare the uterine lining for a potential pregnancy, should fertilization occur.

Question 12

Which is progestin primarily prescribed to treat?

Accepted Answer

Progestin is primarily prescribed to treat dysfunctional uterine bleeding, which occurs when there is irregular or heavy bleeding from the uterus. Progestin helps to regulate the menstrual cycle and reduce bleeding. It is also prescribed for other conditions such as endometriosis and contraception.

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?

Accepted Answer

Clomiphene works by stimulating the release of luteinizing hormone (LH) and follicle-stimulating hormone (FSH), which in turn stimulates ovulation.

Question 14

Which is responsible for the secretion of estrogen?

Accepted Answer

Estrogen is primarily secreted by ovarian follicles, specifically the granulosa cells within the follicles. The corpus luteum also produces estrogen, but only after ovulation occurs. The anterior pituitary is responsible for secreting follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which stimulate the ovarian follicles to produce estrogen. The endometrium is the lining of the uterus and does not secrete estrogen.

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.

Accepted Answer

The statements that indicate learning has occurred are those that accurately describe the role of hormones in the ovarian cycle. Ovulation is caused by a surge of luteinizing hormone (B), which triggers the release of the mature egg from the ovary. Follicle-stimulating hormone (D) helps the ovarian follicles to develop and mature, preparing them for ovulation. Statements A, C, and E are incorrect and do not indicate learning has occurred.

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?

Accepted Answer

Missing several contraceptive pills during the current cycle increases the risk of pregnancy. It is recommended that the client use an alternative form of birth control for the rest of the cycle to prevent unintended pregnancy. While missing fewer than three pills may not require immediate action, the nurse should still discuss the importance of taking the pills consistently and provide guidance on what to do if a pill is missed in the future. A pregnancy test is not necessary at this point as it is too early to detect a pregnancy, and suggesting a different form of birth control without addressing the missed pills may not adequately address the client's concerns.

Question 17

When caring for a laboring client, which assessment finding indicates the oxytocin (Pitocin) infusion should be discontinued?

Accepted Answer

Continuous and sustained uterine contractions (without relaxation in between) can lead to uterine hyperstimulation and fetal distress, which is a contraindication for oxytocin administration. The other options are expected findings during labor and oxytocin administration.

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?

Accepted Answer

Estrogen can suppress the production of androgens, which are male hormones that can stimulate the growth of prostate cancer cells.

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?

Accepted Answer

The correct understanding of using a transdermal contraceptive patch involves changing the patch every 7 days for the first 3 weeks, followed by a patch-free week (week 4) to allow for a menstrual period. This cycle is then repeated. Option B accurately reflects this regimen.

Question 20

Which should the nurse monitor the client for who is receiving hormone replacement therapy (HRT)?

Accepted Answer

Hormone replacement therapy (HRT) increases the risk of thrombophlebitis due to its effects on blood coagulation and circulation.

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