Chapter 34: Women's Health Flashcards
The nurse is providing teaching for a patient who is to receive estrogen replacement 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 is 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.”
C
The nurse recognizes that use of estrogen drugs is contraindicated in which patient?
A. patient with atrophic vaginitis
B. patient who has inoperable prostate cancer
C. women who has just given birth and wants to prevent postpartum lactation
D. women with a history of thrombophlebitis
D (atrophic vaginitis and inoperable prostate cancer are indications and estrogen is NOT used to prevent lactation)
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)
D (most commonly used for secondary amenorrhea)
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. HA
B. drowsiness
C. dysmenorrhea
D. HTN
A (one of the possible adverse effects of fertility drugs; can also cause vomiting, restlessness, and urticaria)
A patient is receiving oxytocin (pitocin) to induce labor. During admin of this med, the nurse will also implement which action?
A. giving magnesium sulfate along with oxytocin
B. administering med in an IV bolus
C. administering med with an IV infusion pump
D. monitoring fetal HR and maternal vital signs every 6 hours
C (infused via infusion pump, NOT IV bolus. Fetal HR and maternal vitals should be monitored CONTINUOUSLY)
The nurse is reviewing the use of uterine tocolytics, such as indomethacin (indocin). Which statement best described the indication for these drugs?
A. prevention of preterm labor in the 15th wk of pregnancy
B. prevention of preterm labor in the 22nd wk of pregnancy
C. stimulation of contractions in prolonged labor
D. stimulation of ovulation as part of infertility treatments
B (tocolytics relax uterine smooth muscles and stop uterus from contracting and are used along c nonpharm measures to prevent preterm labor between 20 and 37 weeks)
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
D (DVT, PE, or HX of those disorders)
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 mensturation
B (adds risk for thrombosis formation)
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
C
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
D (medications can be harmful to the fetus, they are classified as pregnancy category X)
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 before bedtime”
B. “I will take it in the morning with an 8-ounze 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”
B (to prevent esophageal erosion- must sit upright for 30 minutes after taking them)
A women who lives in Seattle is preparing to take a plane trip to London. She has been taking the SERM reloxifene (Evista) for 6 months. The nurse will provide which instructions to this patient?
A. She needs to stop taking this drug at least 72 hours before the trip
B. She must remember to take this med 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
A (to prevent the development of a thrombosis due to prolonged immobility)
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. Hx of participation in active sports
D. Obesity
A (white or asian decent, slender body build, early estrogren deficiency, smoking, alcohol consumption, low-calcium diet, sedentary lifestyle, and family hx of osteoporosis
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 med with breakfast
D. she will stop taking the medication 72 hours before her surgery
B (requires remaining upright in standing or sitting position for approx. 30 min; since she cannot do that, provider will need to be notified)
The nurse is preparing to administer the contraceptive form of medroxyprogesterone (DepoProvera). What route is appropriate?
A. SQ
B. IM
C. Vaginal
D. Transdermal
B (progestin-only injectable that is given IM)
