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

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?

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

Answer 1

Tell the client that these symptoms can be side effects of oral contraceptives.

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?

A) "Ovulation occurs on approximately Day 21 of the ovarian cycle."
B) "Ovulation is caused by a surge of luteinizing hormone."
C) "Ovulation is caused by a surge of human chorionic gonadotropin."
D) "Follicle-stimulating hormone causes ovarian follicles to develop."
E) "The pituitary gland secretes gonadotropin-releasing hormone."

Answer 2

"Ovulation is caused by a surge of luteinizing hormone."
"Follicle-stimulating hormone causes ovarian follicles to develop."

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?

A) "Please come into the clinic immediately to have a pregnancy test done."
B) "You might consider another form of birth control if you keep missing your pills."
C) "If you have missed fewer than three of your pills, you do not need to worry."
D) "You should use an alternative form of birth control for the rest of this cycle."

Answer 3

"You should use an alternative form of birth control for the rest of this cycle."

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?

A) Pain in the calf
B) Decreased libido
C) Low-back pain
D) Chronic fatigue

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?

A) Discuss alternative methods of dealing with premenopausal symptoms.
B) Schedule an appointment with the physician to begin hormone replacement therapy (HRT).
C) Determine if the client has risk factors that would contraindicate hormone replacement therapy (HRT).
D) Tell the client to schedule an appointment when she is having menopause.

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?

A) Ask the client if she has been having sexual intercourse recently.
B) Tell the client to go to the emergency department for medical treatment.
C) Ask the client if she is bleeding between cycles or if this is her regular period.
D) Tell the client not to worry if the bleeding resembles her monthly flow.

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?

A) Uterine contractions are continuous and sustained.
B) The vaginal exam reveals that the client is entering transition.
C) The client reports that the uterine contractions are strong in intensity.
D) Uterine contractions occur every 2 to 3 minutes and last 40 to 60 seconds.

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?

A) "This pill will prevent you from ovulating."
B) "This pill makes it less likely that an embryo will implant."
C) "The spermicide in this pill will kill sperm before fertilization."
D) "The progestin in the pill will kill the egg before fertilization."
E) "The estrogen-progestin combination causes irritability of the uterine lining so implanted embryos are expelled."

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?

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

Question 10

Progestins are primarily used in the treatment of

A) breast cancer.
B) amenorrhea.
C) dysfunctional uterine bleeding.
D) menopause.

Question 11

Estrogens are secreted by the

A) corpus luteum.
B) anterior pituitary.
C) ovarian follicles.
D) endometrium.

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?

A) The client has several sexual partners.
B) The client is being treated for bipolar disorder.
C) The client smokes one-half pack of cigarettes per day.
D) The client drinks two glasses of wine a day.

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?

A) 2 months
B) 6 months
C) 1 year
D) 3 months

Question 14

Oxytocics are different from tocolytics in that oxytocics

A) slow uterine contractions.
B) raise the level of luteinizing hormones.
C) increase ovarian secretion.
D) stimulate 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?

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

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?

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

Question 17

Progestins are secreted by the

A) anterior pituitary.
B) corpus luteum.
C) ovarian follicles.
D) hypothalamus.

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?

A) "How long ago did you have unprotected sex?"
B) "Did you use a condom?"
C) "What kind of birth control have you used in the past?"
D) "Where are you in your monthly cycle?"

Question 19

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

A) "It will increase my uterine contractions."
B) "It will increase my volume of fluid loss."
C) "It will increase my vaginal muscle tone."
D) "It will increase my milk production."

Question 20

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

A) thrombophlebitis.
B) hypotension.
C) weight loss.
D) respiratory infection.

Question 21

A woman has decided to stop taking contraceptives so that she can become pregnant. Which information would the nurse provide?

A) "If you are not pregnant within the first month after discontinuing your contraceptive, it is likely that it will take several months to conceive."
B) "You should use a barrier method of contraception for 6 months to let your body clear the extra hormones before you try to conceive."
C) "It may take several months for your menstrual periods to become regular."
D) "Since you have taken contraceptives for several years, you may have difficulty conceiving."
E) "Your risk for miscarriage is no higher because you took contraceptives."

Question 22

A client has been prescribed Premarin. What medication information should the nurse provide?

A) "You may notice a decrease in your libido while on this medication."
B) "If you notice pain in your abdomen that goes through to your back, be certain to notify the clinic."
C) "Do not become pregnant while on this drug."
D) "If you add the herbal black cohosh to this therapy, the results will be better."
E) "This medication will help prevent cardiovascular disease."

Question 23

A woman has been prescribed flibanserin (Addyi) for the treatment of sexual desire disorder. The nurse would provide which information?

A) "Do not drink alcohol while taking the medication."
B) "You must complete a class about this drug before your pharmacy will fill your prescription."
C) "Your pharmacy must be part of a special program to dispense this medication."
D) "Abstain from dairy products while taking this medication."
E) "This medication increases desire by increasing endogenous estrogen production."

Question 24

A client has been taking low-dose oral contraceptives. She calls the clinic and reports that she is mid-cycle and has noticed some slight spotting. What information should the nurse provide?

A) "Slight spotting may occur, especially with low-dose oral contraceptives."
B) "You may be pregnant; please stop taking these pills and come to the clinic."
C) "Monitor the bleeding and contact us again if it becomes continuous or heavy."
D) "This is an adverse reaction; stop using the pills."
E) "You must have gotten the wrong pills at the pharmacy."

Question 25

The nurse educator is reviewing the process of regulation of the female reproductive system. The nurse would arrange these steps in which order beginning with the initial step?

A) A surge of luteinizing hormone (LH) occurs
B) Ovarian follicles mature
C) Secretion of follicle-stimulating hormone (FSH) and luteinizing hormone (LH)
D) Secretion of gonadotropin-releasing hormone (GnRH)
E) The corpus luteum is formed
Standard Text: Click and drag the options below to move them up or down.

Question 26

A client has been prescribed NuvaRing. What medication education should the nurse provide to this client?

A) "This ring should be inserted into your uterus."
B) "Once inserted, this ring will provide contraception for 6 months."
C) "You should expect to replace the ring every 3 weeks."
D) "Contraceptive protection is provided for 3 weeks."
E) "The ring uses estrogen and progestin to provide contraception."

Question 27

A nurse is teaching a patient about the possible adverse effects of oral contraceptives. The nurse evaluates that the patient understands this teaching if which statement is made?

A) "I may experience increased acne while on oral contraceptives."
B) "If I experience chest pain, I will call the clinic immediately."
C) "If I begin to lose more hair than is normal, my dose may need to be adjusted."
D) "Any blurry vision or loss of vision should be reported immediately."
E) "If I notice swelling in my feet, hands, or face, I will notify the clinic."

Question 28

A patient has been prescribed Seasonique for contraceptive. The nurse evaluates that the patient understands the use of this medication when which statement is made?

A) "After I have taken 21 pills, I will not take pills for 7 days."
B) "I will remove the ring at the end of 3 weeks."
C) "After I have taken pills for 84 days, I will not take pills for 7 days."
D) "I will change the patch each week."

Question 29

A 75-year-old woman is taking medroxyprogesterone (Provera) for treatment of inoperable metastatic uterine carcinoma. The nurse would immediately collaborate with the prescriber if the patient's family made which statement?

A) "Mom seems much more depressed today."
B) "Mom's heart rate is faster today."
C) "Mom has a runny nose."
D) "Mom is more confused today."
E) "Mom has diarrhea today."

Question 30

A college student calls the family planning clinic and states, "I had unprotected sex, and now I am afraid I will get pregnant." The nurse would provide which information about Plan B?

A) "You can purchase Plan B without a prescription."
B) "You cannot purchase Plan B until you have been examined at the family planning clinic."
C) "You may take two separate doses of Plan B."
D) "If you are already pregnant, Plan B will end the pregnancy."
E) "Plan B will prevent ovulation and implantation."