Question 1

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 can suppress the secretion of androgens, which are male hormones that can cause prostate cancer to grow. By suppressing androgen secretion, estrogen can help to slow or shrink the cancer. Options A, B, and D are not as accurate or complete explanations for why the client is receiving estrogen.

Question 2

20A client has been prescribed an estrogen-progestin combination oral contraceptive.How should the nurse explain the mechanism of action of this pill? Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The estrogen-progestin combination pill primarily works by preventing ovulation and also thickens cervical mucus, making it harder for sperm to reach the egg, and alters the uterine lining to reduce the likelihood of implantation.

Question 3

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

Nausea and breast tenderness are common side effects of oral contraceptives and are not necessarily indicative of pregnancy. It is important for the nurse to reassure the client that these symptoms are normal and expected but it is still best to verify that the client has taken all her pills just as prescribed. A home pregnancy test may provide some reassurance, but it may not be accurate if taken too early in pregnancy. The client may also be advised to come in for evaluation if these symptoms persist or if she has other concerns about her contraceptive method.

Question 4

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 an FDA-approved medication used to induce and/or augment labor. Its primary action is to increase uterine contractions, which helps to progress labor. Options B, C, and D are incorrect because they do not accurately describe the action of oxytocin. While oxytocin may cause some fluid loss and can assist with milk let-down, these are not the primary actions of the medication. Additionally, oxytocin does not directly affect vaginal muscle tone.

Question 5

Oxytocics are different from tocolytics in that oxytocics

Accepted Answer

Oxytocics are medications that stimulate uterine contractions. In contrast, tocolytics are medications used to slow or stop uterine contractions.

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

Asking the client if she is bleeding between cycles or if this is her regular period will help determine if the bleeding is a normal side effect of taking Ortho-Novum or if further medical treatment is needed. The other options are not relevant at this point in time.

Question 7

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

The correct duration of effectiveness for Depo-Provera is three months. Therefore, the best response by the nurse would be option D, "Three months."

Question 8

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 for the nurse to ask?

Accepted Answer

The nurse should first assess how long ago the unprotected sex occurred, as emergency contraception is most effective when taken within a certain time frame. Timing is crucial as emergency contraception pills work best when taken soon after unprotected sex.

Answer: B
 Asking if a condom was used can help the nurse determine if the client is at risk of contracting sexually transmitted infections (STIs) which, if contracted, can have possible adverse health outcomes.

Answer: D
 The nurse should ask where the client is in her cycle because emergency contraception may be less effective depending on what part of the menstrual cycle a woman is in. If the client is closer to ovulation, EC may not be effective.

Question 9

Progestins are secreted by the

Accepted Answer

Progestins, specifically progesterone, are primarily secreted by the corpus luteum, which is formed from the remnants of the ruptured ovarian follicle after ovulation. Progesterone helps to prepare and maintain the endometrium for implantation in case of fertilization. Other sources of progestins include the adrenal gland and placenta during pregnancy. The anterior pituitary secretes luteinizing hormone (LH), which stimulates ovulation and the formation of the corpus luteum, but does not directly secrete progestins. The ovarian follicles primarily secrete estrogen, although small amounts of progestins may be produced during the luteal phase of the menstrual cycle. The hypothalamus produces gonadotropin-releasing hormone (GnRH), which stimulates the pituitary to release LH and follicle-stimulating hormone (FSH).

Question 10

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

The nurse should advise the client to use an alternative form of birth control for the rest of the cycle to prevent pregnancy, as missing several pills can reduce the effectiveness of oral contraceptives.

Question 11

A female client has been unable to conceive a child for five 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 12

The nurse explains to a client who is taking oral contraceptives that these drugs can cause

Accepted Answer

Oral contraceptives can cause thrombophlebitis, which is a blood clot that forms in a vein. This is a potential risk due to the hormonal changes caused by the medication.

Question 13

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? Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

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

Question 14

The client is pre-menopausal 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 nurse's best plan would be to discuss alternative methods of dealing with pre-menopausal symptoms as HRT is not appropriate for everyone and can have potential risks and side effects. The nurse can provide education on lifestyle modifications, dietary changes, and non-pharmacological interventions that may be helpful. It is important to individualize the plan of care based on the client's needs and preferences.

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 orders...

Question 16

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

Oxytocin can cause serious side effects, including severe headaches, which can indicate a serious complication such as hypertensive disorder. In this case, the nurse should stop the oxytocin infusion and notify the healthcare provider immediately. The other options are expected outcomes of labor induction with oxytocin and would not necessarily require the nurse to stop the infusion.

Question 17

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 is a priority assessment because it could indicate a potential blood clot, which is a serious side effect of HRT. The other options listed are common side effects of HRT but are not as urgent as assessing for a blood clot.

Question 18

Estrogens are secreted by the

Accepted Answer

Estrogens are primarily secreted by the ovarian follicles, specifically the granulosa cells.

Question 19

Progestins are primarily used in the treatment of

Accepted Answer

Progestins, also known as progestogens, are most commonly used in the treatment of dysfunctional uterine bleeding. They can also be used in combination with estrogen for hormone replacement therapy during menopause. Progestins are not typically used for breast cancer or amenorrhea.

Question 20

The client plans to use oral contraceptives for birth control.Which client behavior would the nurse be most concerned about?

Accepted Answer

Smoking while taking oral contraceptives increases the risk of serious cardiovascular side effects, including stroke and blood clots. Therefore, the nurse should be most concerned about the client who smokes while planning to use oral contraceptives. The other behaviors mentioned may require additional education or consideration, but are not contraindications for the use of oral contraceptives.

Quiz 45: Drugs for Disorders and Conditions of the Female Reproductive System Ma