Question 1

A client calls the clinic and tells the nurse she has nausea and breast tenderness and is afraid she might be pregnant. She is taking oral contraceptives and has taken them exactly as prescribed. What is the best response by the nurse?

Accepted Answer

These symptoms can indeed be side effects of oral contraceptives, and it's important to reassure the client of this possibility.

Question 2

The nurse teaches a class on pregnancy to clients in their first trimester. The nurse evaluates that learning has occurred when the clients make which statements?

Accepted Answer

Ovulation is triggered by a surge in luteinizing hormone, and follicle-stimulating hormone stimulates the development of ovarian follicles.

Question 3

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

If the client has missed several contraceptive pills during the current cycle, the best instruction for the nurse to give is to use an alternative form of birth control for the rest of this cycle. This will help to decrease the risk of pregnancy. It is important to note that missing contraceptive pills can decrease the effectiveness of the contraceptive method and increase the risk of pregnancy. The client should also be advised to follow the instructions provided with the contraceptive pills and to contact the clinic if they have any questions or concerns.

Question 4

The nurse manages care for several clients receiving hormone replacement therapy (HRT). What will the priority assessment by the nurse include as related to side effects?

Accepted Answer

Pain in the calf can indicate a potential deep vein thrombosis (DVT), which is a serious side effect of hormone replacement therapy.

Question 5

The client is premenopausal and asks the nurse if she should be taking hormone replacement therapy (HRT). What will the best plan by the nurse include?

Accepted Answer

The answer of The client is premenopausal and asks the...

Question 6

The client takes Ortho-Novum for 3 months and calls the clinic to report she is having vaginal bleeding. What is the best plan by the nurse at this time?

Accepted Answer

The nurse should first assess the situation by asking if the bleeding is between cycles or if it is the regular period, as this information will help determine the appropriate course of action.

Question 7

The client is receiving oxytocin (Pitocin) for induction of labor. Which assessment finding will most likely result in the nurse stopping the infusion?

Accepted Answer

Continuous and sustained uterine contractions can lead to uterine hyperstimulation, which can compromise fetal oxygenation and increase the risk of uterine rupture. Therefore, the nurse would stop the oxytocin infusion to prevent these complications.

Question 8

A client has been prescribed an estrogen-progestin combination oral contraceptive. How should the nurse explain the mechanism of action of this pill?

Accepted Answer

The answer of A client has been prescribed an estrogen-progestin...

Question 9

A female client has been unable to conceive a child for 5 years. She asks the nurse about medications to treat her infertility. What is the best response by the nurse?

Accepted Answer

The answer of A female client has been unable to...

Question 10

Progestins are primarily used in the treatment of

Accepted Answer

Progestins are primarily used in the treatment of dysfunctional uterine bleeding.

Question 11

Estrogens are secreted by the

Accepted Answer

Estrogens are secreted by the ovarian follicles.

Question 12

The client plans to use an estrogen/progestin oral contraceptive for birth control. Which client behavior would the nurse be most concerned about?

Accepted Answer

Smoking while using estrogen/progestin oral contraceptives increases the risk of cardiovascular side effects, especially in women over 35.

Question 13

An adolescent client will receive Depo-Provera as a method of birth control. She asks the nurse how long the drug will be effective. What is the best response by the nurse?

Accepted Answer

Depo-Provera is an injectable form of birth control that is effective for 3 months per dose.

Question 14

Oxytocics are different from tocolytics in that oxytocics

Accepted Answer

Oxytocics are medications that stimulate uterine contractions, often used to induce labor, whereas tocolytics are used to suppress premature labor by slowing uterine contractions.

Question 15

The client is considered infertile. The physician orders clomiphene (Clomid). The nurse teaches the client about the medication and evaluates that learning has occurred when the client makes which statement?

Accepted Answer

The answer of The client is considered infertile. The physician...

Question 16

The client receives estrogen for prostate cancer. He asks the nurse why he is receiving a female hormone. What is the best response by the nurse?

Accepted Answer

Estrogen therapy for prostate cancer works by suppressing the secretion of androgens, which are male hormones that can promote the growth of prostate cancer cells.

Question 17

Progestins are secreted by the

Accepted Answer

Progestins, such as progesterone, are primarily secreted by the corpus luteum in the ovary after ovulation.

Question 18

A client comes to the women's center and tells the nurse she has had unprotected sex. She asks for emergency contraception. What is the best assessment question for the nurse to ask?

Accepted Answer

The timing of unprotected sex is crucial for the effectiveness of emergency contraception, which is most effective when taken as soon as possible after intercourse.

Question 19

The nurse teaches the postpartum client about oxytocin (Pitocin). The nurse evaluates that learning has occurred when the client makes which statement?

Accepted Answer

Oxytocin (Pitocin) is a hormone that stimulates uterine contractions, which is why it is often used to induce or augment labor.

Question 20

The nurse explains to a client who is taking oral contraceptives that these drugs can increase risk for

Accepted Answer

Oral contraceptives can increase the risk of thrombophlebitis due to their effect on blood clotting factors, which can lead to an increased risk of blood clots.

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