Chp.34
The nurse is teaching students about applying a transdermal estradiol patch. Which statement made by a student suggests effective learning?
"Apply the patch to the lower abdomen for better absorption."
A female patient is taking estrogen with progesterone. To facilitate monitoring of the risks associated with this therapy, what instruction should the nurse include in patient teaching?
"Have a yearly mammogram."
The nurse is teaching a group of students about the use of megestrol. Which statement by a student suggests the need for additional teaching?
"It is used for the prevention of pregnancy."
A patient with menopausal symptoms is seeking hormone replacement therapy. During the assessment, the nurse finds that the patient has a history of endometrial cancer and is a smoker. Which is the most important information for this patient?
"The therapy may cause thromboembolic events."
A 46-year-old female patient who complains of hot flashes, fatigue, and sleep disorders is unwilling to start hormonal therapy. Which is the best nursing intervention for this patient?
Ask the patient to include soy in her diet.
A patient who is 26 weeks pregnant and who has diabetes mellitus begins to experience preterm labor. Which treatment is the best initial therapy for the prevention of uterine contractions and complications in this patient's pregnancy?
Bed rest and hydration
How does an increased progesterone level promote pregnancy?
By suppressing uterine contractions
Which medication is most likely to promote follicular maturation in an infertile female patient?
Clomiphene
Ovulation commonly occurs at which day during the menstrual cycle?
Day 14
Which hormonal change directly causes the breakdown of the endometrium and resultant menstrual bleeding?
Decreased level of progesterone
Which type of oral contraceptive (OC) delivers hormones for more than 30 days?
Extended-cycle
What monitoring parameter should be evaluated for drug effectiveness for a patient in labor who is receiving oxytocin? Select all that apply.
Fetal heart rate The patient's blood pressure and pulse during administration of the oxytocic agent
Which hormone is responsible for initiating activity in the ovary?
Follicle-stimulating hormone (FSH)
Which adverse reaction may occur as a result of raloxifene use during perimenopause?
Hot flashes
A patient is receiving intravenous methylergonovine after a vaginal delivery. Which postpartum assessment is the nurse's priority to prevent complications of therapy?
Hypertension
Which of the following hormones promotes the formation of progesterone in women?
Luteinizing hormone
The nurse observes that a female patient is at risk for postpartum uterine hemorrhage. Which medication should the nurse discuss with the primary health care provider to initiate?
Methylergonovine
The obstetrics nurse reviews a postpartum patient's history. The patient is prescribed methylergonovine for control of postpartum hemorrhage. Which are essential nursing interventions for a patient receiving this medication? Select all that apply.
Monitor the patient for blurred vision. Monitor blood pressure during administration. Assess for liver disease or pelvic inflammatory disease. Question the prescription if the patient has liver disease.
A female patient using contraceptives complains of headaches. Which contraceptive is the patient most likely using?
Norethindrone and ethinyl estradiol
What condition is usually treated by administering menotropins?
Ovulatory dysfunction
During a postpartum assessment, the nurse notes a boggy uterus and increased uterine bleeding. Which drug should the nurse anticipate will be prescribed?
Oxytocin
The nurse is providing postpartum care for a female patient who is prescribed methylergonovine. Which aspect of the patient's medical history would be a contraindication for receiving this drug?
Pelvic inflammatory disease
If fertilization of an ovum does not occur during a menstrual cycle, which of the following structures responds to the increased levels of estrogen and progesterone?
Pituitary gland
The nurse is explaining the effects of estrogen therapy to a patient. Which effect mentioned by the patient indicates a need for additional teaching?
Prevention of breast cancer
Which medication is most likely to decrease the effectiveness of norethindrone and ethinyl estradiol?
Rifampin
The nurse administers diluted oxytocin solution to a female patient for labor induction and continuously The contractions can be fatal to the patient. monitors the maternal blood pressure and pulse rate, as well as the fetal heart rate. The nurse stops the oxytocin infusion when the contractions are more frequent than every 2 minutes. What is the purpose of this action?
The contractions can be fatal to the patient.
The nurse is assessing a female patient who has osteoporosis. The nurse finds that the patient is prescribed a bisphosphonate instead of calcitonin. What is the possible reason for this prescription?
The patient is allergic to salmon.
Which condition in a patient's history is a contraindication for the administration of estrogens?
Thrombophlebitis
What information should the nurse include when teaching about cancer risks in postmenopausal women?
Unopposed estrogen increases the risk of endometrial cancer.
The clinical reports of a patient taking fertility drugs indicate an increase in prolactin concentrations, which leads to impaired fertility. What should the nurse plan to assess in the patient?
Whether the patient is taking medications for depression
