Question 1

A couple is being treated for infertility with ovulation-inducing drugs.The nurse should instruct the couple about the increased likelihood of which of the following?

Accepted Answer

Multiple births are a possible consequence of treatment for infertility with ovulation-inducing drugs.

Question 2

The nurse is preparing to administer the contraceptive form of medroxyprogesterone (Depo-Provera).What route should be planned?

Accepted Answer

Medroxyprogesterone is a progestin-only injectable contraceptive that is given by the intramuscular (IM)route.

Question 3

The patient who is on estrogen therapy should be counselled that smoking may cause which of the following?

Accepted Answer

Smoking should be avoided during estrogen therapy because it adds to the risk for thrombosis formation.

Question 4

A 48-year-old female patient has been started on estrogen hormone therapy after experiencing the symptoms of menopause.Which of the following is a contraindication to the administration of estrogen drugs for this patient?

Accepted Answer

The most serious adverse effects of the estrogens are thromboembolic events;therefore,thrombophlebitis is a contraindication to the use of estrogens.
Osteoporosis,uterine bleeding,and atrophic vaginitis are indications for the use of estrogen.

Question 5

A patient is to receive estrogen replacement therapy.What important information should the nurse tell the patient about this medication?

Accepted Answer

When a patient is taking oral estrogen therapy,a weight gain of more than 2 kg per week should be reported to the physician.
The statements "Double up on the medication if a dose is missed," "Do not be concerned about breast lumps or bumps that occur," and "Take the medication on an empty stomach to enhance absorption" are not true for estrogen replacement therapy.

Question 6

A patient who is taking the bisphosphonate alendronate (Fosamax)has been instructed to lie flat in bed for 2 days after having plastic surgery.What important information should the nurse emphasize to the patient at this time?

Accepted Answer

The nurse must emphasize that the patient should remain upright in either a standing or sitting position for approximately 30 minutes after taking a bisphosphonate to help prevent esophageal erosion or irritation.

Question 7

Which of the following is an effect of a tocolytic drug?

Accepted Answer

Tocolytics relax uterine smooth muscles and stop the uterus from contracting.

Question 8

A 51-year-old female will be starting raloxifene (Evista)as part of the treatment for postmenopausal osteoporosis.The nurse should inform this patient about which of the following possible occurrences?

Accepted Answer

Selective estrogen receptor modulators (SERMs),such as raloxifene,increase the risk of venous thromboembolism.

Question 9

Which of the following adverse effects may be experienced by patients receiving fertility drugs,such as clomiphene (Clomid)?

Accepted Answer

Dizziness is one of the possible adverse effects of fertility drugs.

Question 10

The patient taking an oral contraceptive should be aware of potential drug interactions with which of the following medications? Select all that apply.

Accepted Answer

Antibiotics and isoniazid have interactions with oral contraceptives;?-blockers,oral anticoagulants,and theophylline may have reduced effectiveness when taken with oral contraceptives.

Question 11

A patient will be taking bisphosphonate alendronate (Fosamax).The nurse should instruct the patient to take this medication at which time?

Accepted Answer

Bisphosphonates must be taken in the morning,with 175 to 250 ml of plain water,to prevent esophageal erosion.In addition,the patient must sit upright for 30 minutes.

Question 12

Which of the following drugs is used to treat primary or secondary amenorrhea and to alleviate the symptoms of endometriosis?

Accepted Answer

Medroxyprogesterone,a progestin,is one of the most commonly used drugs to treat primary or secondary amenorrhea and to alleviate the symptoms of endometriosis.

Question 13

A woman visits a health centre requesting oral contraception.Which laboratory test is most important for the nurse to assess before the patient begins oral contraception therapy?

Accepted Answer

Pregnancy should be ruled out before beginning oral contraceptive therapy because the medications,which are pregnancy category X,can be harmful to the fetus.

Question 14

A female patient lives in Toronto and is preparing to take a plane trip to Australia.She has been taking the selective estrogen receptor modulator (SERM)raloxifene (Evista).Which of the following instructions is appropriate for this patient?

Accepted Answer

The patient taking a SERM should be informed that the drug needs to be discontinued 72 hours before and during prolonged immobility to prevent the development of a thrombosis.

Question 15

In which of the following situations is the use of the estrogens contraindicated?

Accepted Answer

Estrogenic drugs are contraindicated in the presence of breast cancer.

Question 16

Which type of contraceptive drug most closely duplicates the normal hormonal levels of the female menstrual cycle?

Accepted Answer

The triphasic oral contraceptive products most closely duplicate the normal hormonal levels of the female menstrual cycle.

Question 17

A patient is receiving oxytocin (Pitocin)to induce labour.During administration of this medication,which of the following is an appropriate nursing measure?

Accepted Answer

Oxytocin is infused via an infusion pump,not via IV bolus.
Magnesium sulfate should be kept at the bedside for emergency use,and fetal heart rate and maternal vital signs should be monitored frequently.

Question 18

The nurse is reviewing the risk factors for osteoporosis.Which of the following is considered a risk factor for osteoporosis?

Accepted Answer

Risk factors for postmenopausal osteoporosis include white or Asian descent,slender body build,early estrogen deficiency,smoking,alcohol consumption,low-calcium diet,sedentary lifestyle,and family history of osteoporosis.

Quiz 34: Womens Health Drugs

A couple is being treated for infertility with ovulation-inducing drugs.The nurse should instruct the couple about the increased likelihood of which of the following?

The nurse is preparing to administer the contraceptive form of medroxyprogesterone (Depo-Provera) .What route should be planned?

The patient who is on estrogen therapy should be counselled that smoking may cause which of the following?

A 48-year-old female patient has been started on estrogen hormone therapy after experiencing the symptoms of menopause.Which of the following is a contraindication to the administration of estrogen drugs for this patient?

A patient is to receive estrogen replacement therapy.What important information should the nurse tell the patient about this medication?

A patient who is taking the bisphosphonate alendronate (Fosamax) has been instructed to lie flat in bed for 2 days after having plastic surgery.What important information should the nurse emphasize to the patient at this time?

Which of the following is an effect of a tocolytic drug?

A 51-year-old female will be starting raloxifene (Evista) as part of the treatment for postmenopausal osteoporosis.The nurse should inform this patient about which of the following possible occurrences?

Which of the following adverse effects may be experienced by patients receiving fertility drugs,such as clomiphene (Clomid) ?

The patient taking an oral contraceptive should be aware of potential drug interactions with which of the following medications? Select all that apply.

A patient will be taking bisphosphonate alendronate (Fosamax) .The nurse should instruct the patient to take this medication at which time?

Which of the following drugs is used to treat primary or secondary amenorrhea and to alleviate the symptoms of endometriosis?

A woman visits a health centre requesting oral contraception.Which laboratory test is most important for the nurse to assess before the patient begins oral contraception therapy?

A female patient lives in Toronto and is preparing to take a plane trip to Australia.She has been taking the selective estrogen receptor modulator (SERM) raloxifene (Evista) .Which of the following instructions is appropriate for this patient?

In which of the following situations is the use of the estrogens contraindicated?

Which type of contraceptive drug most closely duplicates the normal hormonal levels of the female menstrual cycle?

A patient is receiving oxytocin (Pitocin) to induce labour.During administration of this medication,which of the following is an appropriate nursing measure?

The nurse is reviewing the risk factors for osteoporosis.Which of the following is considered a risk factor for osteoporosis?