Homework answers / question archive /  University of North Carolina, Wilmington - CLR 440 Chapter 52: Women’s Reproductive Health McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 9th Edition MULTIPLE CHOICE 1)A woman is taking a combination oral contraceptive and asks the nurse why progestin is necessary

 University of North Carolina, Wilmington - CLR 440 Chapter 52: Women’s Reproductive Health McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 9th Edition MULTIPLE CHOICE 1)A woman is taking a combination oral contraceptive and asks the nurse why progestin is necessary

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 University of North Carolina, Wilmington - CLR 440

Chapter 52: Women’s Reproductive Health

McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 9th Edition

MULTIPLE CHOICE

1)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?

1. 1. Altering the quantity and viscosity of cervical mucus
   2. Inhibiting proliferative and secretory changes in the endometrium
   3. Increasing motility of muscles and cilia in the fallopian tubes
   4. Stimulating a surge in luteinizing hormone (LH)
2. 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)?
   1. Cyclic breast changes and chloasma
   2. Decreased dysmenorrhea and menorrhagia
   3. Decreased libido
   4. Weight gain and fatigue
3. A woman who has recently begun taking a combination oral contraceptive calls the clinic to report breakthrough bleeding. The nurse will
   1. advise her to use a back-up method of contraception.
   2. counsel her to continue taking the contraceptive as prescribed.
   3. recommend discussing an alternative contraceptive with her provider.
   4. suggest that she perform a home pregnancy test to rule out pregnancy.
4. 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

1. high in progestin.
2. low in androgenic activity.
3. low in estrogen.
4. triphasic.

5. 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?
   1. Counsel the patient to use a back-up method of contraception while taking ibuprofen.
   2. Notify the provider to discuss an alternate combination oral contraceptive.
   3. Suggest a COX-2 inhibitor instead of ibuprofen for arthritis pain.
   4. Tell the patient to use a lower dose of ibuprofen to prevent adverse effects.
6. 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
   1. counsel her to take ibuprofen to counter these side effects.
   2. notify her provider to discuss these adverse effects.
   3. recommend a Loestrin Fe product.
   4. suggest she ask her provider about Mircette.
7. 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
   1. abstain from sexual intercourse for 24 h.
   2. replace it with a new ring as soon as possible.
   3. take an oral contraceptive product for 2 weeks.
   4. use a back-up method of contraception for 7 days.
8. 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
   1. discuss a progestin-only oral contraceptive with her provider.
   2. may want to consider having a tubal ligation.
   3. use a transdermal contraceptive product.
   4. will not be a candidate for oral contraceptive products.
9. 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?
   1. Administer Depo-Provera 150 mg IM
   2. Give Depo-Provera 300 mg IM
   3. Perform a pregnancy test
   4. Suggest she wait until she has had a period.
10. 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
    1. that she may discontinue using contraception.
    2. that she most likely has premature ovarian failure.
    3. to begin hormone therapy to prevent menopausal symptoms.
    4. to continue using contraception for at least 6 more months.
11. 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
    1. is very safe and may be used freely to treat menopausal symptoms.
    2. may be used indefinitely to treat menopausal symptoms.
    3. should be used at the lowest dose possible for less than 5 years.
    4. will be necessary to prevent osteoporosis caused by estrogen depletion.
12. The parent of a 16-year-old female tells the nurse that the child has not had a menstrual period in spite of having breast and pubic hair development. The nurse recognizes this as characteristic of which condition?
    1. Dysmenorrhea
    2. Hypothyroidism
    3. Primary amenorrhea
    4. Secondary amenorrhea
13. A young woman reports not having a period for 7 months. Which test will the provider likely order first to evaluate the cause of amenorrhea in this patient?
    1. Pelvic ultrasound
    2. Pregnancy test
    3. Progestational challenge test
    4. Serum insulin levels
14. A woman is diagnosed with polycystic ovarian disease (PCOS) after being unable to conceive. Her provider has ordered metformin (Glucophage) and clomiphene citrate ( Clomid). The nurse will explain that metformin is given for which purpose?
    1. To increase androgen levels
    2. To induce ovulation
    3. To promote a dominant follicle
    4. To regulate menstrual periods
15. A 30-year-old woman describes having periods every 30 days, lasting 8 days, with heavy bleeding. The nurse understands that these are signs of which condition?
    1. Menometrorrhagia
    2. Menorrhagia
    3. Menorrhea
    4. Metrorrhagia
16. A woman who has menorrhagia is prescribed ibuprofen, and she asks the nurse how a pain medication can decrease uterine bleeding. The nurse will explain that this is most likely explained by ibuprofen’s effects on
    1. estrogen levels.
    2. platelet aggregation.
    3. prostaglandin production.
    4. uterine endometrium.
17. A woman who is infertile has taken 50 mg of clomiphene citrate (Clomid) from days 5 through 9 of a cycle and has not ovulated. The nurse will anticipate that the provider will perform which action?
    1. Begin recombinant follicle-stimulating hormone therapy.
    2. Increase the dose to 100 mg on days 5 through 9 of her next cycle.
    3. Order clomiphene citrate to be given throughout her next cycle.
    4. Repeat the 50 mg of clomiphene citrate for 2 more cycles.