Question 1

The nurse is teaching a class to a group of teenagers on various types of contraception available and how they work. What statement by a student indicates understanding of the content taught?&#10;A) &#34;The pill signals the brain to stop producing hormones necessary for ovulation to occur.&#34;&#10;B) &#34; The pill is made up of both estrogen and progesterone.&#34;&#10;C) &#34; The pill inhibits the action of progesterone and estrogen in the uterus to prevent ovulation.&#10;D) &#34; The pill prevents a fertilized egg form being implanted in the uterus.&#10;E) &#34; The pill is the most effective form of birth control if taken as directed.&#34;&#10;

Accepted Answer

Rationale 1. This is a correct statement. Through a negative feedback mechanism, the estrogen and progesterone in the pill prevent LH and FSH from being released by the pituitary, preventing ovulation from occurring.
Rationale 2. Not all birth control pills are made up of both these hormones, there are some that are just progesterone based.
Rationale 3. The pill does not inhibit the action of these hormones. Through a negative feedback mechanism, the estrogen and progesterone in the pill prevent LH and FSH from being released by the pituitary, preventing ovulation from occurring.
Rationale 4. This is the action of some contraceptives but not the pill.
Rationale 5. When used appropriately, oral contraceptives are nearly 100% effective.

Question 2

What health teaching does the nurse provide a client newly started on oral contraceptive therapy?&#10;A) Notify physician if you experience pain in your calf muscles.&#10;B) Contact your health care provider if you experience abdominal pain&#10;C) If more than one dose missed, use alternative birth control.&#10;D) Do not take with aloe or ginseng&#10;E) Encourage client not to smoke&#10;

Accepted Answer

Rationale 1. Thromboembolism is an adverse effect of taking oral contraceptives.
Rationale 2. Abdominal pain is not an adverse effect of the pill.
Rationale 3. If more than 1 dose is forgotten in a month, alternative methods of birth control are recommended to decrease incidence of pregnancy.
Rationale 4 There is no contraindication for taking aloe or ginseng with birth control.
Rationale 5. Clients should be encouraged not to smoke as it increases their incidence of heart disease.

Question 3

A young woman is seen in the clinic the morning after having unprotected sex. She is crying and states, " I can't get pregnant, please help." After a conversation with the young woman, the health care provider suggests taking Preven. How does the nurse explain the action of this drug to the client.

A) Preven will abort the embryo.
B) Preven will act as a spermicide within the uterus.
C) Preven will prevent ovulation or implantation form taking place.
D) Preven acts by slowing the motility of the sperm.

Preven will prevent ovulation or implantation form taking place.

Accepted Answer

Rationale 1 Preven is not a drug used to abort an embryo.
Rationale 2 Preven does not act as a spermicide.
Rationale 3 Preven acts by preventing ovulation or implantation; it does not induce abortion.
Rationale 4 Slowing the motility of the sperm would not be an effective contraception at this time. The only action at this time that would act as an emergency contraceptive is preventing ovulation from taking place or preventing implantation.

Question 4

A client is seen at the women's health centre for advise on terminating a pregnancy. The client is 6 weeks pregnant and wants to avoid a surgical abortion. In providing the client with information to help her make her decision, what does the nurse tell her is the most serious adverse effect of drugs used to terminate pregnancies?

A) Infertility
B) Severe bleeding
C) Increased risk of uterine cancer
D) Increased risk for pelvic inflammatory disease.

Accepted Answer

Rationale 1 Infertility is not an adverse effect of pharmacological termination of pregnancy.
Rationale 2 Bleeding that can last up to 2 weeks after the termination of the pregnancy is the most serious adverse effect of this drug.
Rationale 3 Risk of uterine cancer is not an adverse effect of pharmacological termination of pregnancy.
Rationale 4 Risk of pelvic inflammatory disease is not an adverse effect of pharmacological termination of pregnancy.

Question 5

A client with infertility is being treated with treated with clomiphene (Clomid) Clomiphene stimulates the release of LH, resulting in the maturation of more ovarian follicles than would normally occur. Twins occur in _______% of clients taking Clomiphene.

Accepted Answer

Rationale 1: The pregnancy rate of clients taking clomiphene is high, and twins occur in about 5% of treated clients.

Question 6

An adolescent client is experiencing oligomenorrhea with infrequent periods over the last year. What is the most likely cause of this client's problem?&#10;A) Anovulatory cycles&#10;B) Abnormal uterine lining&#10;C) Polycystic ovarian syndrome&#10;D) Pregnancy&#10;

Accepted Answer

Rationale 1: Dysfunctional uterine bleeding is common in adolescents and menopausal women and is often associated with anovulatory cycles.
Rationale 2: Abnormal uterine lining would cause dysfunctional uterine bleeding but is not often seen in adolescents.
Rationale 3: Polycystic ovarian syndrome does not cause oligomenorrhea.
Rationale 4: Pregnancy would cause a cessation of periods, not infrequent periods.

Question 7

During a health history, a client who is taking Premarin tells the nurse about using a variety of herbal supplements. Which of the following are contraindicated on estrogen therapy?&#10;A) Aloe&#10;B) Red clover&#10;C) Black cohosh&#10;D) Ginseng&#10;E) Garlic&#10;

Accepted Answer

Rationale 1: Aloe does not interfere with estrogen therapy.
Rationale 2: Red clover may interfere with estrogen therapy.
Rationale 3: Black cohosh may interfere with estrogen therapy.
Rationale 4: Ginseng may enhance the effects of estrogen.
Rationale 5: Garlic has no effect on estrogen.

Question 8

Why would the nurse administer a high dose of androgen to a female client?&#10;A) To improve athletic performance&#10;B) To treat brain cancer&#10;C) To treat breast cancer&#10;D) As preparation for sexual reassignment surgery&#10;

Accepted Answer

Rationale 1: Androgens have serious side effects and are not recommended for enhancement of athletic performance.
Rationale 2: Androgens would not have any effect on brain cancer.
Rationale 3: High doses of androgens are occasionally used as a palliative measure to treat certain types of breast cancer.
Rationale 4: Androgens are not administered before sexual reassignment surgery.

Question 9

The nurse has completed medication education for a client who is prescribed testosterone. The nurse evaluates that learning has been effective when the client makes which statements?&#10;A) &#34;I will weigh myself twice weekly and report any sudden weight gain.&#34;&#10;B) &#34;I need to have my serum cholesterol levels checked frequently.&#34;&#10;C) &#34;I need check my blood pressure weekly while on this medication.&#34;&#10;D) &#34;I don't need to use birth control while taking this medication.&#34;&#10;E) &#34;My blood glucose may go up while on this medication.&#34;&#10;

Accepted Answer

Rationale 1: Testosterone can cause sodium retention, leading to water retention, so weight should be checked twice weekly.
Rationale 2: Testosterone therapy can increase cholesterol levels and lead to cardiovascular disease, so serum cholesterol levels must be monitored during therapy.
Rationale 3: The patient should monitor blood pressure frequently.
Rationale 4: Testosterone is not a contraceptive, so birth control should be used.
Rationale 5: Testosterone therapy can increase blood glucose.

Question 10

Nursing students have completed their module on disorders of the male reproductive system. Their instructor ask them to list classification of drugs used for the treatment of benign prostatic hyperplasia. Which Answer provided by the students indicate understanding of the content?

A) Alpha adrenergic blockers
B) 5-alphareductase enhancers
C) Phosphodiesterase-5.
D) Androgens

Accepted Answer

Rationale 1 Alpha adrenergic blockers are one classification of drugs used to treat BPH
Rationale 2 5-alphareductase inhibitors are used to treat BPH
Rationale 3 Phosphodiesterase-5 inhibitors are used to treat erectile dysfunction.
Rationale 4. Androgens are not used to treat BPH, but are useful in hypogonadism.

Deck 13: Pharmacotherapy of Disorders of the Female Reproductive System