Question 1

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

C

Question 2

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 3

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, and estrogen helps to keep the 'good' cholesterol high and the 'bad' cholesterol low, as well as protect the heart.

Question 4

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 the client's knowledge and timing of ovulation as well as timing of intercourse is essential in assessing for infertility. It allows for any misconceptions to be cleared and provides the opportunity to educate the client on potential barriers to conception. Height and weight, job status and preferred position during sexual intercourse are not as essential in assessing for infertility.

Question 5

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

Postmenopausal women are at an increased risk for osteoporosis due to decreased estrogen levels. A bone density test can detect early signs of osteoporosis and help prevent fractures. It is important to educate the client on why this test is necessary in order to promote good health practices. Options A, C, and D are not accurate or informative responses.

Question 6

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

Accepted Answer

Nausea and shoulder pain can be symptoms of a possible blood clot, which is a serious side effect of hormone replacement therapy. This requires immediate intervention and evaluation by a healthcare provider. The other options may be side effects of HRT but are not as urgent as the potential for a blood clot.

Question 7

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 a temporary endocrine gland that forms from the collapsed ovarian follicle after ovulation. It secretes the majority of progesterone during the menstrual cycle.

Question 8

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

Accepted Answer

The desired outcome for treatment with conjugated estrogen for severe and frequent hot flashes is a reduction in the frequency and severity of hot flashes. Therefore, option B is the correct choice as it indicates that the client has experienced a reduction in the frequency of hot flashes. Options A, C, and D are not specific to the desired outcome of treatment for hot flashes.

Question 9

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 (Cervidil) is the most commonly used medication for induction of labor in cases of fetal demise. It is a prostaglandin E2 analogue that helps to ripen the cervix and stimulate uterine contractions. Methylergonovine (Ergotrate) is not used for induction of labor as it is a uterotonic agent used for postpartum hemorrhage. Parenteral oxytocin (Pitocin) may be used in conjunction with Dinoprostone after the cervix has ripened. Carboprost (Hemabate) is also used for postpartum hemorrhage and not for induction of labor.

Question 10

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

Accepted Answer

The answer of Which nursing diagnosis would be most appropriate...

Question 11

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 does not guarantee fertility and further education is necessary for the client to understand the potential impact of the medication on their fertility.

Question 12

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

Accepted Answer

Hormone replacement therapy (HRT) is often used to alleviate the symptoms of menopause, including hot flashes and night sweats. Therefore, the client who is unable to sleep because of these symptoms would benefit the most from HRT. HRT is not typically used for pain during sexual intercourse, preventing osteoporosis, or family history of colorectal cancer.

Question 13

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 blood clots, which can be life-threatening. Clients with a history of asthma may still be candidates for progestin therapy, but their respiratory status should be monitored closely. Clients with a history of glaucoma and hepatitis may also still be candidates for progestin therapy, but their respective conditions should also be monitored closely.

Question 14

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 begins when the levels of estrogen and progesterone drop, which is a signal from the brain that the uterine lining can be shed. This shedding of the uterine lining is what causes menstruation. Option A is incorrect as the uterus does not contract to start menstruation. Option C is incorrect as the menstrual cycle can vary in length and still be considered normal. Option D is incorrect as ovulation is a separate process from menstruation.

Question 15

The nurse is reviewing the labor and delivery plan for a pregnant client who is scheduled to receive oxytocin (Pitocin)for induction of labor contractions.Which client statement indicates the need for additional instruction from the nurse?

Accepted Answer

Oxytocin (Pitocin) administration for labor induction typically requires the patient to be monitored closely, which includes continuous fetal monitoring and frequent checks of the mother's vital signs. This makes walking around extensively impractical or not recommended, as it could interfere with the necessary monitoring.

Question 16

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 a tocolytic agent used to relax the uterus and decrease the frequency and intensity of contractions. This helps to delay the onset of preterm labor and provides time for the baby's lungs to mature. It does not promote weight gain in the fetus, decrease stress levels, or allow for monitoring from home.

Question 17

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

Anovulatory cycles are common in adolescents due to the immaturity of the hypothalamic-pituitary-ovarian axis, leading to irregular and infrequent periods.

Question 18

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 can be a sign of a serious allergic reaction or respiratory issue, which requires immediate intervention by the healthcare provider. The other statements may indicate potential side effects of the medication, but they do not require immediate intervention.

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 is prescribed for men with prostate cancer because it can block the production of hormones that promote the growth of prostate cancer cells. This therapy is not related to restoring sexual drive, reducing hot flashes, or lifting mood.

Question 20

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 anterior pituitary gland secretes hormones like follicle-stimulating hormone (FSH) and luteinizing hormone (LH) that are necessary for ovulation and pregnancy. Without these hormones, the client might have trouble getting pregnant. The other answer choices are incorrect, as the client's ovaries and uterus alone do not guarantee fertility, and the posterior pituitary gland does not secrete the hormones necessary for ovulation and pregnancy.

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

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) ?

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