Question 1

The 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?

A) Tell the client to come in for an evaluation and to discuss birth control.
B) Verify with the client that she has taken all her pills just as prescribed.
C) Tell the client that these symptoms are side effects of oral contraceptives.
D) Tell the client to purchase an at -home pregnancy test to determine pregnancy.

Accepted Answer

Missing several contraceptive pills in a cycle can significantly reduce their effectiveness in preventing pregnancy. The best immediate advice is to use an alternative form of birth control for the remainder of the cycle to ensure protection against unintended pregnancy.

Question 2

The nurse teaches the postpartum client about oxytocin (Pitocin). The nurse evaluates learning has occurred when the client makes which statement?&#10;A) &#34;It will increase my milk production.&#34;&#10;B) &#34;It will increase my vaginal muscle tone.&#34;&#10;C) &#34;It will increase my volume of fluid loss.&#34;&#10;D) &#34;It will increase my uterine contractions.&#34;

Accepted Answer

Oxytocin (Pitocin) is a medication that stimulates uterine contractions, which helps to control bleeding and reduce the risk of hemorrhage. It is commonly used after delivery to help the uterus return to its pre-pregnancy size and tone. It does not affect milk production or vaginal muscle tone, and although there may be some fluid loss during postpartum, oxytocin does not directly increase the volume of fluid loss.

Question 3

The nurse manages care for several clients receiving hormone replacement therapy (HRT). What will the priority assessment of the nurse include as relates to side effects?&#10;A) pain in the calf&#10;B) decreased libido&#10;C) chronic fatigue&#10;D) low -back pain

Accepted Answer

Pain in the calf is a potential symptom of deep vein thrombosis, which is a serious side effect of hormone replacement therapy. It is important for the nurse to assess for this potential complication first and foremost. Decreased libido, chronic fatigue, and low-back pain are all possible side effects of HRT but are not as urgent as assessing for DVT.

Question 4

The client plans to use oral contraceptives for birth control. Which client behaviour would the nurse be most concerned about?&#10;A) The client smokes one -half pack of cigarettes/day.&#10;B) The client is being treated for bipolar disorder.&#10;C) The client drinks two glasses of wine a day.&#10;D) The client has several sexual partners.

Accepted Answer

Smoking increases the risk of blood clots, stroke, and heart attack. Women who use oral contraceptives and smoke are at a higher risk of these complications. Therefore, smoking is an important concern when using oral contraceptives.

Question 5

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?&#10;A) &#34;It shrinks your cancer by making the cells die at a faster rate.&#34;&#10;B) &#34;It decreases the testosterone that feeds your cancer.&#34;&#10;C) &#34;It keeps nutrients from getting to, and feeding, your cancer.&#34;&#10;D) &#34;It suppresses secretion of the androgens that make your cancer grow.&#34;

Accepted Answer

Estrogen suppresses secretion of androgens, such as testosterone, which are known to stimulate growth in prostate cancer cells. By inhibiting the production of androgens, estrogen can slow or even stop the growth of these cancer cells.

Question 6

The nurse teaches a class on pregnancy to clients in their first trimester. The nurse evaluates learning has occurred when the clients make which statement(s)? Select all that apply.&#10;A) &#34;Ovulation is caused by a surge of human chorionic gonadotropin.&#34;&#10;B) &#34;The pituitary gland secretes gonadotropin -releasing hormone.&#34;&#10;C) &#34;Ovulation is caused by a surge of leuteinizing hormone.&#34;&#10;D) &#34;Follicle -stimulating hormone causes ovarian follicles to develop.&#34;&#10;E) &#34;Ovulation occurs on approximately Day 21 of the ovarian cycle.&#34;

Accepted Answer

These statements correctly describe some of the hormonal processes involved in ovulation. A is incorrect as ovulation is actually what triggers the release of human chorionic gonadotropin (hCG) from the developing placenta. B is incorrect as gonadotropin-releasing hormone (GnRH) is produced by the hypothalamus, not the pituitary gland. E is incorrect as ovulation typically occurs around Day 14 of the menstrual cycle (not Day 21).

Question 7

The client is receiving oxytocin (Pitocin) for induction of labour. Which assessment finding will most likely result in the nurse stopping the infusion?&#10;A) The client reports that the uterine contractions are strong in intensity.&#10;B) The client tells the nurse she has a serious headache.&#10;C) Uterine contractions that occur every 2 to 3 minutes and last 40 to 60 seconds.&#10;D) The vaginal exam reveals that the client is entering transition.

Accepted Answer

Headache is a sign of potentially dangerous and life-threatening hypertensive crisis. The nurse should stop the infusion of Pitocin and notify the healthcare provider immediately. Strong contractions, frequent contractions, or entering transition are expected outcomes of induction of labor with oxytocin and would not necessarily require stopping the infusion unless there are additional concerns such as fetal distress or uterine hyperstimulation.

Question 8

The client takes Ortho -Novum 1/35 for 3 months and calls the clinic to report she is having vaginal bleeding. What is the best plan of the nurse at this time?&#10;A) Ask the client if she is bleeding between cycles or if this is her regular period.&#10;B) Ask the client if she has been having sexual intercourse recently.&#10;C) Tell the client not to worry if the bleeding resembles her monthly flow.&#10;D) Tell the client to go to the emergency department for medical treatment.

Accepted Answer

The nurse should first assess the nature of the bleeding by asking the client if she is bleeding between cycles or if this is her regular period. This information will help the nurse determine the appropriate next steps for the client's care. Asking about recent sexual intercourse (option B) is also important, but secondary to determining the nature of the bleeding. Option C is not appropriate as the nurse should not dismiss the client's concerns without further assessment. Option D is not necessary unless there are other symptoms or concerns that would warrant emergency care.

Question 9

The client comes to the woman's centre 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?&#10;A) &#34;What kind of birth control have you used in the past?&#34;&#10;B) &#34;Did you use a condom?&#34;&#10;C) &#34;Where are you in your monthly cycle?&#34;&#10;D) &#34;How long ago did you have unprotected sex?&#34;

Accepted Answer

The most important information for the nurse to know in order to provide emergency contraception is how long ago the unprotected sex occurred. Different types of emergency contraception are effective for different lengths of time after sex, so this information is critical in determining the appropriate treatment. Asking about the type of birth control used in the past is not as helpful in this situation, and asking about condom use and menstrual cycle are important but not as critical as knowing the timing of the unprotected sex.

Question 10

The 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?

A) Tell the client to come in for an evaluation and to discuss birth control.
B) Verify with the client that she has taken all her pills just as prescribed.
C) Tell the client that these symptoms are side effects of oral contraceptives.
D) Tell the client to purchase an at -home pregnancy test to determine pregnancy.

Accepted Answer

These symptoms are common side effects of oral contraceptives, indicating that the nurse's response acknowledging this is appropriate and informative for the client.

Question 11

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

A) "This medication stimulates gonadotropin -releasing hormone."
B) "This medication increases my estrogen levels so I can ovulate."
C) "This medication stimulates FSH (follicle stimulating hormone)."
D) "This medication stimulates LH (leuteinizing hormone)."

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Accepted Answer

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

Question 12

The client is pre -menopausal and asks the nurse if she should be taking hormone replacement therapy (HRT). What will the best plan of the nurse include?&#10;A) Schedule an appointment with the physician to begin hormone replacement therapy (HRT).&#10;B) Tell the client to schedule an appointment when she is having menopause.&#10;C) Discuss alternative methods of dealing with pre -menopausal symptoms.&#10;D) Determine if the client has risk factors for hormone replacement therapy (HRT).

Accepted Answer

The answer of The client is pre -menopausal and asks...

Question 13

The 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?&#10;A) two months&#10;B) one year&#10;C) six months&#10;D) three months

Accepted Answer

The answer of The adolescent client will receive Depo -Provera...

Question 14

The 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?&#10;A) &#34;Medications will only help if your infertility is related to an endocrine problem.&#34;&#10;B) &#34;Have you considered adopting children; many need a good home.&#34;&#10;C) &#34;That is a good question; I will refer you to a specialist in infertility.&#34;&#10;D) &#34;There are many new drugs available; one should be able to help you.&#34;

Accepted Answer

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

Question 15

The client has dysfunctional uterine bleeding (DUB) and reports it is excessive. What will the nurse document on the nursing assessment form? Select all that apply.&#10;A) The type of birth control used.&#10;B) Client has dyspareunia.&#10;C) The number of pads used.&#10;D) Brown clots are present.&#10;E) Client has menorrhea.

Accepted Answer

The answer of The client has dysfunctional uterine bleeding (DUB)...

Deck 41: Drugs for Disorders and Conditions of the Female Reproductive System