Deck 34: Womens Health Drugs

Question 1

The nurse recognizes that use of estrogen drugs is contraindicated in which patient?

A) A patient who has atrophic vaginitis
B) A patient who has inoperable prostate cancer
C) A woman who has just given birth and wants to prevent postpartum lactation
D) A woman with a history of thrombophlebitis

Answer 1

A woman with a history of thrombophlebitis

Question 2

The nurse recognizes that the risk of osteoporosis is higher in an individual with which risk factor?

A) White or Asian race
B) African-American race
C) History of participation in active sports
D) Obesity

Answer 2

White or Asian race

Question 3

The nurse is preparing to administer the contraceptive form of medroxyprogesterone (Depo-Provera). What route is appropriate?

A) Subcutaneous
B) Intramuscular
C) Vaginal
D) Transdermal

Answer 3

Intramuscular

Question 4

The nurse is providing patient teaching about the oral bisphosphonate alendronate (Fosamax). Which statement by the patient indicates a good understanding of when this drug should be taken?

A) "I will take it in the evening just before bedtime."
B) "I will take it in the morning with an 8-ounce glass of water."
C) "I will take it with the first bite of the morning meal."
D) "I will take it between meals on an empty stomach."

Question 5

During a follow-up visit, a patient who has been on estrogen therapy admits that she has continued to smoke cigarettes. The nurse will remind the patient that smoking while on estrogen may lead to increased:

A) incidence of nausea.
B) risk for thrombosis.
C) levels of triglycerides.
D) tendency to bleed during menstruation.

Question 6

An older adult female patient is receiving the progestin drug megestrol (Megace). Which is the most likely reason megestrol is ordered for this patient?

A) Migraine headaches
B) Osteoporosis
C) Appetite stimulant
D) Reduction of hot flashes

Question 7

A patient who is taking the bisphosphonate alendronate (Fosamax) has been instructed to lie flat in bed for 2 days after having ophthalmic surgery. Which intervention is appropriate at this time?

A) She will continue to take the alendronate with water.
B) She cannot take the alendronate until she can sit up for 30 minutes.
C) She can take the medication with breakfast.
D) She will stop taking the medication 72 hours before her surgery.

Question 8

A woman is preparing for a 10 hour trans-Atlantic flight. She has been taking the SERM raloxifene (Evista) for 6 months. The nurse will provide which instructions to this patient?

A) She needs to stop taking the drug at least 72 hours before the trip.
B) She must remember to take this drug with a full glass of water each morning.
C) She will not take the drug while traveling on the plane.
D) No change in how the drug is taken will be needed.

Question 9

The nurse is reviewing the use of uterine tocolytics, such as indomethacin (Indocin). Which statement best describes the indication for these drugs?

A) Prevention of preterm labor in the 15th week of pregnancy
B) Prevention of preterm labor in the 22nd week of pregnancy
C) Stimulation of contractions in prolonged labor
D) Stimulation of ovulation as part of infertility treatments

Question 10

A patient wants to try an oral soy product to relieve perimenopausal symptoms. The nurse will assess the patient's medication history for which potential drug interaction?

A) Thyroid replacement therapy
B) Oral anticoagulant therapy
C) Nonsteroidal anti-inflammatory drugs
D) Beta blockers

Question 11

A patient is being treated for secondary amenorrhea. The nurse expects which drug to be used to treat this problem?

A) Methylergonovine (Methergine)
B) Estradiol transdermal (Estraderm)
C) Raloxifene (Evista)
D) Medroxyprogesterone (Provera)

Question 12

The nurse is providing patient education for a patient taking an oral contraceptive. Which drugs may cause interactions with oral contraceptives?

A) Cephalexin (Keflex)
B) Guaifenesin (Robitussin)
C) Warfarin (Coumadin)
D) Ibuprofen (Motrin)
E) Theophylline (Uniphyl)

Question 13

The nurse is administering oxytocin (Pitocin). Which situation is an indication for the use of oxytocin?

A) Decreased fetal heart rate and movements
B) Stimulation of contractions during labor
C) Cervical ripening near term in pregnant patients
D) To reverse premature onset of labor

Question 14

A patient is to receive medroxyprogesterone (Depo-Provera) 700 mg weekly, intramuscularly, as part of palliative therapy for endometrial cancer. The medication is available in vials of 400 mg/mL. Identify how many milliliters will the nurse draw up and administer with each injection. (record answer using one decimal place) _______

Question 15

A 51-year-old woman will be taking selective estrogen receptor modulators (SERMs) as part of treatment for postmenopausal osteoporosis. The nurse reviews potential contraindications, including which condition?

A) Hypocalcemia
B) Breast cancer
C) Stress fractures
D) Venous thromboembolism

Question 16

The nurse is teaching a patient about the adverse effects of fertility drugs such as clomiphene (Clomid). Which is a potential adverse effect of this drug?

A) Headache
B) Drowsiness
C) Dysmenorrhea
D) Hypertension

Question 17

The nurse is providing teaching for a patient who is to receive progestin therapy. Which statement is correct to include in the teaching session?

A) "If you miss a dose, double-up on the next dose."
B) "There's no need to be concerned about breast lumps or bumps that occur."
C) "Be sure to report any weight gain of 5 pounds or more per week."
D) "Take the medication on an empty stomach to enhance absorption."

Question 18

A patient is receiving oxytocin (Pitocin) to induce labor. During administration of this medication, the nurse will also implement which action?

A) Giving magnesium sulfate along with the oxytocin
B) Administering the medication in an intravenous (IV) bolus
C) Administering the medication with an IV infusion pump
D) Monitoring fetal heart rate and maternal vital signs every 2 hours

Question 19

A woman visits a health center requesting oral contraceptives. Which laboratory test is most important for the nurse to assess before the patient begins oral contraceptive therapy?

A) Complete blood count
B) Serum potassium level
C) Vaginal cultures
D) Pregnancy test

Question 20

When considering the various types of contraceptive drugs, the nurse is aware that which type most closely duplicates the normal hormonal levels of the female menstrual cycle?

A) Monophasic
B) Biphasic
C) Triphasic
D) Short acting