Class 8 Reproductive System

Question 0

Describe monophasic oral contraceptives

Answer 0

Constant delivery dose of estrogen and progesterone

Question 1

Describe use of androgens

Answer 1

Treatment of hypergonadism

Replacement therapy

Question 2

Describe biphasic oral contraceptives

Answer 2

Equal estrogen dose in every tan but amount of progesterone is decreased until end of cycle (mimics cycle)

Question 3

Describe triphasic oral contraceptives

Answer 3

Both estrogen an progesterone concentration is varied throughout cycle

Question 4

Use of estrogen and progestin products

Answer 4

• prevention of fertilization by inhibiting ovulation
• treatment of menopausal signs and symptoms
• treatment of uterine dysfunction

Question 5

Female glands that secrete hormones

Answer 5

Hypothalamus
Pituitary gland
Ovaries

Question 6

Describe oral contraceptives

Answer 6

• Used to prevent pregnancy
• Combo and estrogen and progestin
• Prevents fertilization by inhibiting ovulation

Question 7

What does the hypothalamus secrete for females

Answer 7

Gonadotropin releasing hormone

Question 8

What does the pituitary gland secrete for females

Answer 8

Follicle stimulating hormone

Lutenizing hormone

Question 9

What do the ovaries secrete?

Answer 9

Progesterone

Question 10

Considerations of oral contraceptives

Answer 10

• Monitoring patient
• contraindicated with stroke, mi, CAD, estrogen dependant tumor patients
• pts older then 35 is t increased risk for strokes
• patient education

Question 11

Patient teachings

Answer 11

• Take as directed
• Follow instructions for missed dose
• Report caf redness or pain, dyspnea, chest pain
• avoid smoking (increases stoke risk)
• perform monthly breast exams

Question 12

Define HRT

Answer 12

Hormone replacement therapy of estrogen and progestin for treating symptoms of menopause

Question 13

Define ERT

Answer 13

Estrogen only replacement therapy used to treat symptoms of menopause

Question 14

Describe a uterine abnormality

Answer 14

Abnormal bleeding caused by imbalance of estrogen and progesterone

Question 15

Types of bleeding

Answer 15

Amenorrhea
Oligomenorrhea
Menorrhagia
Breakthrough bleeding 
Post menopausal bleeding

Question 16

Define amenorrhea

Answer 16

No bleeding

Question 17

Define oligomenorrhea

Answer 17

Infrequent bleeding

Question 18

Drug of choice for uterine abnormality treatment

Answer 18

Progestins

Question 19

Considerations for progestin therapy

Answer 19

Health history
Drug history
Cardiovascular status 
Lab assessment (CBC, liver functiom)
Monitor side effects
Can cause photosensitivity

Question 20

Contraindications for Progestins

Answer 20

Breast or genital cancer history
Thromboembolism disorders
Pregnancy or lactating

Question 21

What decreases effects of oral contraceptives

Answer 21

Antibiotics decrease effects of oral contraceptives which increase risk for pregnancy

Question 22

Male glands that regulate hormones

Answer 22

Hypothalmas
Pituitary
Gonads/ testes

Question 23

What does hypothalamus secrete for males?

Answer 23

Gonadotropin releasing hormone

Question 24

What does pituitary gland secrete for guys?

Answer 24

Lutenizing hormone | Follicle stimulating hormone

Question 25

Define benign prostatic hyper trophy

Answer 25

Enlargement Of prostate due to increased age

Question 26

Define androgens

Answer 26

Group of male sex hormones that mediate normal development and maintenance of primary make sex characteristics Mainly testosterone

Question 27

Define androgenic activity

Answer 27

Activity that's produced by testosterone that promotes development and maintenance of make reproductive system and make sex characteristics

Question 28

Define hypoganadism

Answer 28

Reduction or absence of hormone secretion or other physiological activity of the gonads (testes)

Question 29

Availability of testosterone

Answer 29

Intramuscular shots Pellets Patches Buccel tablets

Question 30

UTI side effects other then abnormalities in urine

Answer 30

Change in cognition or behaviour Abdominal pain Flank pain

Question 31

Describe anabolic steroids

Answer 31

Testosterone like compounds | Considered schedual 3 due to potential abuse risk

Question 32

Adverse effects of anabolic steroids

Answer 32

``` Decreased sperm count Increased cholesterol levels Causes impotence Permanent liver damage Behavioural changes ```

Question 33

Nursing considerations

Answer 33

``` Monitor condition of patient Educate patient Physical assessment - needle marks, muscles Emotional assessment - sexuality, aggression Monitor lab results Monitor side effects ```

Question 34

Characteristics of BPH

Answer 34

``` Urinary retention Pain and distension Dribbling Force of stream delayed/less powerful Hesitancy Dysuria ```

Question 35

Action of reductase inhibitors

Answer 35

Inhibits enzyme responsible for converting testosterone to DHT

Question 36

Effects if reductase inhibitors

Answer 36

Decreases growth of prostate gland | Promotors hair growth in men

Question 37

What does DHT stand for an what does it do

Answer 37

Dihydrotestosterone Principal androgen responsible for stimulating prostate growth and secondary sex characteristics

Question 38

Action of alpha 1 adrenergic blockers

Answer 38

Relax smooth muscle in bladder, prostate and urethra to decrease constriction to ease urinary obstruction

Question 39

Adverse effects of alpha 1 adrenergic blockers

Answer 39

- Fatigue - Dizziness - Headache - Tachycardia (from stimulating baroreceptors)

Question 40

Nursing considerations for alpha 1 adrenergic blockers

Answer 40

- Monitor patients condition - Physical exam - Changes in urinary elimination - Vital signs - Alert to hypotension - Used w/ caution in pts w/ asthma and heart failure d/t bronchi constriction and bradycardia - pregnant nurses avoid touching crushed due to teratogenic effects

Question 41

Name a drug classified as reductive inhibitor

Answer 41

Finasteride

Question 42

Name an androgen

Answer 42

Testosterone

Question 43

Name an anabolic steroid

Answer 43

Nandrolone

Question 44

Name three a adrenergic blockers

Answer 44

Doxazosin Tamaulosin Terazosin