Deck 56: Drugs for Womens Reproductive Health and Menopause

Question 1

A young woman who is taking Ortho-Tri-Cyclen for contraception tells the nurse that her provider has told her it will help to treat her acne.The nurse explains that this is because this product is

A)high in progestin.
B)low in androgenic activity.
C)low in estrogen.
D)triphasic.

Answer 1

low in androgenic activity.

Question 2

A woman comes to the clinic for a Depo-Provera injection.The nurse reviews her medical record and notes that it has been 100 days since her last injection.What action will the nurse perform?

A)Administer Depo-Provera 150 mg IM.
B)Give Depo-Provera 300 mg IM.
C)Perform a pregnancy test.
D)Suggest she wait until she has had a period.

Answer 2

Perform a pregnancy test.

Question 3

A 45-year-old woman reports cessation of menses for the past 6 months and asks the nurse if she needs to continue using contraception.The nurse will tell her

A)that she may discontinue using contraception.
B)that she most likely has premature ovarian failure.
C)to begin hormone therapy to prevent menopausal symptoms.
D)to continue using contraception for at least 6 more months.

Answer 3

to continue using contraception for at least 6 more months.

Question 4

A woman who has recently begun taking a combination oral contraceptive calls the clinic to report breakthrough bleeding.The nurse will

A)advise her to use a backup method of contraception.
B)counsel her to continue taking the contraceptive as prescribed.
C)recommend discussing an alternative contraceptive with her provider.
D)suggest that she perform a home pregnancy test to rule out pregnancy.

Question 5

A 35-year-old woman asks the nurse about oral contraceptives.The nurse learns that the patient smokes and has a family history of venous thromboembolism (VTE).The nurse will suggest that the patient

A)discuss a progestin-only oral contraceptive with her provider.
B)may want to consider having a tubal ligation.
C)use a transdermal contraceptive product.
D)will not be a candidate for oral contraceptive products.

Question 6

A 45-year-old woman who has not had a period for 15 months reports severe hot flashes and poor sleep.The nurse reviews information about hormone replacement therapy and tells this woman that hormone therapy

A)is very safe and may be used freely to treat menopausal symptoms.
B)may be used indefinitely to treat menopausal symptoms.
C)should be used at the lowest dose possible for less than 5 years.
D)will be necessary to prevent osteoporosis caused by estrogen depletion.

Question 7

A woman is taking a combination oral contraceptive and asks the nurse why progestin is necessary.The nurse will explain that progestin helps prevent pregnancy by which method?

A)Altering the quantity and viscosity of cervical mucus
B)Inhibiting proliferative and secretory changes in the endometrium
C)Increasing motility of muscles and cilia in the fallopian tubes
D)Stimulating a surge in luteinizing hormone

Question 8

A woman will begin taking a combination oral contraceptive (COC)that has a higher estrogenic activity than her previous COC.When teaching this woman about the new product,the nurse will explain that she may experience which effect(s)?

A)Cyclic breast changes and chloasma
B)Decreased dysmenorrhea and menorrhagia
C)Decreased libido
D)Weight gain and fatigue

Question 9

A woman who is using a NuvaRing transvaginal contraceptive product calls to report that the ring has slipped out while sleeping.The nurse will instruct the patient to rinse the ring with lukewarm water,reinsert the ring,and

A)abstain from sexual intercourse for 24 hours.
B)replace it with a new ring as soon as possible.
C)take an oral contraceptive product for 2 weeks.
D)use a backup method of contraception for 7 days.

Question 10

The nurse is caring for a woman who will begin taking ibuprofen to treat arthritis.The woman tells the nurse that she takes Yasmin for contraception.The nurse will perform which action?

A)Counsel the patient to use a backup method of contraception while taking ibuprofen.
B)Notify the provider to discuss an alternate combination oral contraceptive.
C)Suggest a COX-2 inhibitor instead of ibuprofen for arthritis pain.
D)Tell the patient to use a lower dose of ibuprofen to prevent adverse effects.

Question 11

A woman who is taking a combined oral contraceptive (COC)that contains 21 days of active pills and 7 days of inert pills reports having headaches accompanying withdrawal bleeding every month.The nurse will

A)counsel her to take ibuprofen to counter these side effects.
B)notify her provider to discuss these adverse effects.
C)recommend a Loestrin Fe product.
D)suggest she ask her provider about Mircette.