Reproductive System Medications

Question 1

Estrogens such as conjugated estrogen and estradiol (Estrace) are indicated for

Answer 1

• contraception
• post-menopausal osteoporosis
• dymenorrhea
• prostate cancer

Question 2

Side effects of estrogens

Answer 2

Embolic events (DVT, PE, MI, stroke), hypertension, weight gain, edema, increased risk of some cancers

Question 3

Estrogens are contraindicated in patients who

Answer 3

Smoke, have hypertension, have a high risk for embolic events, or have estrogen-dependent cancer (breast)

Question 4

Examples of progesterones

Answer 4

Medroxyprogesterone (Depo-Provera) and norethindrone

Question 5

Side effects of progesterones

Answer 5

Embolic events, menstrual changes, edema, increased risk of breast cancer

Question 6

Key side effect of medroxyprogesterone (Depo-Provera)

Answer 6

Bone loss

Question 7

Progesterones are contraindicated in patients who

Answer 7

Are at high risk for embolic events

Question 8

With injectable medroxyprogesterone (Depo-Provera), advise patient to take _________ and _________ to reduce bone loss

Answer 8

Calcium; vitamin D

Question 9

Oxytocin (Pitocin) and methylergonovine (Methergine) are examples of

Answer 9

Uterine stimulants

Question 10

Uterine stimulants are indicated for

Answer 10

Induction/enhancement of labor, placenta delivery, postpartum hemorrhage

Question 11

Oxytocin (Pitocin) side effects

Answer 11

Painful contractions, uterine rupture, water intoxication

Question 12

Oxytocin (Pitocin) nursing consideration

Answer 12

Closely monitor contractions (should be 60-90 seconds in duration, every 2-3 min) and maternal/fetal BP and pulse

Question 13

Medication that can be used to relax the uterus

Answer 13

Magnesium sulfate

Question 14

Methylergonovine (Methergine) side effects

Answer 14

Hypertension, abdominal pain, N/V

Question 15

Tocolytic indicated for preterm labor

Answer 15

Terbutaline (Bricanyl)

Question 16

Terbutaline (Bricanyl) side effects

Answer 16

Tachycardia, angina, hypokalemia, dysrhythmias, restlessness, tremor

Question 17

Terbutaline (Bricanyl) should only be for short-term use, so it should not be used beyond ___-___ hours due to risk for significant maternal and fetal distress

Answer 17

48-72

Question 18

Terbutaline (Bricanyl) is used for pregnancies <___ weeks gestation

Answer 18

37

Question 19

Besides terbutaline (Bricanyl), other tocolytics include

Answer 19

Magnesium sulfate, nifedipine

Question 20

Testosterone is an example of an

Answer 20

Androgen

Question 21

Side effects of testosterone

Answer 21

Acne, edema, liver dysfunction, polycythemia (too many RBCs), premature epiphyseal closure

Question 22

Side effects of testosterone in women

Answer 22

Deepening of voice, baldness, hirsutism

Question 23

Testosterone is contraindicated in patients with

Answer 23

Prostate cancer

Question 24

T or F: Testosterone has a high abuse potential

Answer 24

True

Question 25

Finasteride (Propecia, Proscar) is an androgen inhibitor indicated for

Answer 25

BPH, baldness

Question 26

Finasteride (Propecia, Proscar) side effects

Answer 26

Erectile dysfunction, gynecomastia

Question 27

Tamsulosin (Flomax) and doxazosin (Cardura) are peripherally acting antiadrinergic agents indicated for

Answer 27

BPH, baldness, hypertension (doxazosin)

Question 28

Side effects of peripherally acting antiadrenergics

Answer 28

Hypotension, dizziness, headache, issues with ejaculation

Question 29

Sildenafil (Viagra) and tadalafil (Cialis) are medications indicated for

Answer 29

Erectile dysfunction, pulmonary hypertension

Question 30

Side effects of sildenafil (Viagra) and tadalafil (Cialis)

Answer 30

Priapism (prolonged erection), MI

Question 31

Sildenafil (Viagra) and tadalafil (Cialis) patient education

Answer 31

DO NOT take with other nitrates (such as nitroglycerin) — increases risk for MI

Question 32

Medications such as sildenafil (Viagra) and tadalafil (Cialis) should be used cautiously in men with

Answer 32

Cardiovascular disease