Women's health drugs Flashcards

1
Q

Medroxyprogesterone (provera): action

A

Induces favorable conditions for fetal growth and dev and maintain pregnancy

-Drop in progesterone levels results in menstruation

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2
Q

Medroxyprogesterone (provera): admin

A
  • Oral
  • IM
  • SQ
  • Transdermal
  • Intravaginal

*** Expect withdrawal bleeding 3-7 days after taking medication

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3
Q

Medroxyprogesterone (provera): adverse effects

A

Breast cancer

  • teach pt to perform regular self-breast exams
  • ** contraindicated in pt’s with breast cancer

thromboembolytic events (MI/PE/ stroke)
-encourage pt to quit smoking
monitor pain/swelling/warmth around lower legs
*** contraindicated in pt’s with dot/ thromboembolitic disease

Breakthrough bleeding
- encourage pt to report abnormal vaginal bleeding

edema
-monitor bp, i&o, and weight gain

Jaundice
-encourage pt to report yellowing of sclera, and skin
monitor liver enzymes

migraines

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4
Q
The nurse would question the order for estrogen replacement therapy in a patient with a history of which condition?
A) Deep vein thrombosis
B) Vaginal bleeding
C) Weight loss
D) Dysmenorrhea
A

A) Deep vein thrombosis

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5
Q
Which laboratory test would the nurse expect to be ordered to monitor a patient for adverse effects related to progestin medications?
A) Cardiac enzymes
B) Liver function tests
C) BUN and creatinine
D) Complete blood count
A

B) Liver function tests

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6
Q
A female patient arrives in the clinic for counseling and potential hormone replacement therapy. When taking the patient history, which finding should the nurse consider as a contraindication to use of hormone replacement therapy for the patient?
A) High cholesterol
B) History of thromboembolic events
C) Early menstrual onset
D) High number of pregnancies
A

B) History of thromboembolic events

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7
Q

When educating a patient on use of oral contraceptives, the nurse provides what explanation for the pills having different colors each week?
A) “They help you remember which week you are taking.”
B) “There isn’t a reason for the color, just the choice of the drug company.”
C) “The different color pills are due to different amounts of hormones in each week.”
D) “They are color coded for the weeks of the month.”

A

C) “The different color pills are due to different amounts of hormones in each week.”

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8
Q

A patient on oral contraceptives is being treated for a urinary tract infection with antibiotics. Which information should the nurse include as education related to the oral contraceptives?
A) “Use an alternative method of birth control this month during antibiotic use.”
B) “The urinary tract infection can be passed to your partner, so he should be screened.”
C) “Be sure to complete the full course of antibiotics.”
D) “There is no interaction of oral contraceptives and antibiotics.”

A

A) “Use an alternative method of birth control this month during antibiotic use.”

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9
Q
A woman being treated for osteoporosis with a selective estrogen receptor modulator (SERM) should be alerted to the potential for an increased risk of which condition?
A) Elevated blood pressure
B) Venous thromboembolism
C) Hot flashes
D) Skin color changes
A

B) Venous thromboembolism

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10
Q
Which is the most common drug used for induction of labor in pregnant women and is the hormone responsible for let-down of milk during lactation?
A) clomiphene
B) oxytocin
C) misoprostol
D) mifepristone
A

B) oxytocin

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11
Q

the nurse is cousnseling a woman who will be starting rifampin. The patient is on oral contraceptives. Which statement is true reguarding rifampin therapy for this patient?

A

c. Oral contraceptives are less effective

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12
Q
  1. 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? The patient should
    A. double-up on the medication if a dose is missed.
    B. not be concerned about breast lumps or bumps that occur.
    C. report any weight gain of more than 5 pounds per week.
    D. take the medication on an empty stomach to enhance absorption
A

D. take the medication on an empty stomach to enhance absorption

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13
Q

. The nurse recognizes that use of estrogen drugs is contraindicated in which of the following patients?
A. A patient who has atrophic vaginitis
B. A patient who has inoperable prostate cancer
C. A woman who has just given birth and wants to prevent postpartum lactation
D. A woman with a history of thrombophlebitis

A

D. A woman with a history of thrombophlebitis

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14
Q
A patient is being treated for primary amenorrhea. The nurse expects which drug to be used to treat this problem?
A. oxytocin (Pitocin)
B. estradiol transdermal (Estraderm)
C. raloxifene (Evista)
D. medroxyprogesterone (Provera)
A

D. medroxyprogesterone (Provera)

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15
Q
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. Dizziness
B. Drowsiness
C. Dysmenorrhea
D. Increased appetite
A

A. Dizziness

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16
Q

A patient is receiving oxytocin (Pitocin) to induce labor. During administration of this medication, the nurse will also implement which action?
A. Giving magnesium sulfate along with the oxytocin
B. Administering the medication in an intravenous bolus
C. Administering the medication with an IV infusion pump
D. Monitoring fetal heart rate and maternal vital signs every 6 hours

A

C. Administering the medication with an IV infusion pump

17
Q
A 51-year-old woman will be taking selective estrogen receptor modulators (SERMs) as part of the treatment for postmenopausal osteoporosis. The nurse reviews potential adverse effects with this patient, including the possible occurrence of
A. pregnancy.
B. breast cancer.
C. stress fractures.
D. venous thromboembolism.
A

D. venous thromboembolism.

18
Q

. 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. tendency to bleed during menstruation.
C. levels of triglycerides.
D. risk for thrombosis.

A

D. risk for thrombosis.

19
Q
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. Long-acting
A

C. Triphasic

20
Q
A woman visits a health center requesting oral contraception. Which lab test is most important for the nurse to assess before the patient begins oral contraception therapy?
A. Complete blood count
B. Urinalysis
C. Vaginal cultures
D. Pregnancy test
A

D. Pregnancy test

21
Q

The nurses in a clinic are discussing studies in hormone replacement therapy (HRT). After reading the Heart and Estrogen/Progestin Replacement Study (HERS), one nurse asks another, “What do you think the most important finding of HERS was?” The nurse would be correct to state that the most important finding was

a. HRT had no effect on the heart and the risk of MI.
b. the risk of a first MI was not affected by HRT, but secondary prevention was evident.
c. HRT prevented a first MI.
d. the risk of MI increased in the first few years of HRT.

A

D. the risk of MI increased in the first few years of HRT.

22
Q

The nurse is talking with a patient about the effectiveness of the medication dose of hormone therapy the patient has been taking. Which of the following would be the best indication that the patient is receiving a sufficient dose of hormone therapy?

a. Reduction in or cessation of hot flashes and night sweats
b. Increase in urogenital atrophy
c. Serum lipid profile
d. Depression screening test

A

A.Reduction in or cessation of hot flashes and night sweats

23
Q

The nurse is providing patient education about the application of transdermal estrogen. Which statement made by the patient best demonstrates understanding of the application of this medication? “I should apply this medication to my

A. Posterior thigh
B. waistline
c. breast
d. abdomen

A

D. ABDOMEN

24
Q

Nurses are discussing a plan of care for a female patient on estrogen therapy. Which of the following would be considered the major beneficial effect of hormone therapy with estrogen?

A. Decreased menopausal symptoms
B. Reduction of osteoporosis
C. Increased vitamin metabolism
D. Prevention of breast cancer

A

A. DECREASED MENOPAUSAL SYMPTOMS

25
Q

A nurse working in a family planning clinic is teaching a class on intrauterine devices (IUDs). Which patient should be advised against using an IUD for contraception?

A.A 45-year-old mother of four
B.A 30-year-old monogamous married woman
C.An 18-year-old with multiple sexual partners
D.A 35-year-old woman with a history of rosacea

A

An 18-year-old with multiple sexual partners

26
Q

The nurse is teaching a contraceptive class to a group of college students. Which of the following responses by a student best demonstrates understanding of the use of oral contraception? “Oral contraceptives should be avoided by women who

A. do not have monogamous relationships
B. have given birth
C. have had an IUD in the past
D. smoke heavily

A

D. SMOKE HEAViLY

27
Q

A nurse counsels a patient preparing for major abdominal surgery. She has been taking an oral contraceptive (OC) for 6 years. When discussing medication alterations, it is important that the nurse instruct the patient to

a. Stop the oral contraceptives 4 weeks before surgery
b. continue the oral contraceptives until the day prior to surgery.
c. continue the oral contraceptives through the surgical experience.
d. stop the oral contraceptives immediately after surgery.

A

A. Stop the oral contraceptives 4 weeks before surgery

28
Q

A college-age woman has been taking oral contraceptives for the past year. She visits the student health center with a strep throat and is placed on ampicillin. What instruction should the nurse provide to the patient?

a. Double the dose of ampicillin, because the pill can reduce the blood level of the antibiotic.
b. Use a back-up method of birth control for this cycle, because the antibiotic can reduce the effectiveness of the pill.
c. Stop the birth control pill, because using the two medications simultaneously can cause an allergic reaction
d. d. Use a vaginal lubricant while taking the antibiotic, because the interaction of the two drugs increases dryness.

A

B.

Use a back-up method of birth control for this cycle, because the antibiotic can reduce the effectiveness of the pill.

29
Q

if a women weighs more than ____, the patch birth control may not be effective.

where should you put the patch?

A

198lbs

usually on the trunk NOT on the breast

30
Q

you should take the depot provera shot every ___.

A

3 months

31
Q

how would you administer carboprost?

A

IM ONLY; cant iv push

  • doesnt cause problems with blood presssure
  • after the baby is out, to clamp the uterus down.
32
Q

An oral contraceptive user telephones to report that she missed her pill last evening and needs advice about how to proceed. Select the nurse’s best response.

A.“Continue taking your pills as prescribed.”
B. “Take two pills today at the regular time you take your oral contraceptive. Then continue taking one pill per day.”
C. “Stop the pills and wait to restart after the next period.”
D. “Use another form of contraception for the next month.”

A

B. “Take two pills today at the regular time you take your oral contraceptive. Then continue taking one pill per day.”

33
Q

A patient who has been taking an oral contraceptive asks about switching to a contraceptive patch. What finding would cause the nurse to discourage this change?

A. Withdrawal bleeding started earlier in the day.
B. The pill has not caused side effects.
C. The patient weighs more than 200 pounds (90 kg).
D. The patient wants more children in the future.

A

C. The patient weighs more than 200 pounds (90 kg).

34
Q

The nurse is teaching a community education class on contraceptives. The nurse tells the class that if spermicides containing nonoxynol-9 are used, the patient should take special precautions, because these spermicides have been linked to

a. human papillomavirus (HPV) infections.
b. spontaneous abortions.
c. endometrial cancer.
d. increased transmission of the human immunodeficiency virus (HIV).

A

D.

increased transmission of the human immunodeficiency virus (HIV).

35
Q

A woman requests information on medical abortion. The nurse advises the patient of the options. Which statement by the patient best demonstrates understanding? “Mifepristone with misoprostol is most effective if I use it

a. before the first missed menstrual period.”
b. the day after unprotected intercourse.”
c. within 7 weeks (49 days) of conception.”
d. immediately after ovulation.”

A

C. within 7 weeks (49 days) of conception.”