MyLab Chapter 46
A client calls the clinic and tells the nurse that she has missed taking several of her contraceptive pills during the current cycle. What is the best instruction for the nurse to give the client? You should use an alternative form of birth control for the rest of this cycle If you have missed fewer than three of your pills, you do not need to worry You might consider another form of birth control if you keep missing our pills Please come into the clinic immediately to have a pregnancy test done
A
A client taking oral contraceptives tells the nurse she is experiencing nausea and breast tenderness and is afraid she might be pregnant. Which information should the nurse provide the client? Reassure the client that these are symptoms that can be a side effect of oral contraceptives Instruct the client to come to the clinic to evaluate their birth control prescription Instruct the client to take an at-home pregnancy test Ask the client if she is premenstrual
A
The nurse has completed the education for a client prescribed clomiphene (Clomid). Which statement made by the client indicates an understanding of the information? This medication stimulates LH (luteinizing hormone) This medication increases my estrogen levels so I can ovulate This medication stimulates gonadotropin-releasing hormone This medication stimulates FSH (follicle-stimulating hormone)
A
The nurse is preparing to provide education for a client prescribed an estrogen progestin combination oral contraceptive. Which information should the nurse include in the teaching? Inhibit ovulation Suppress the follicle stimulating hormone Suppress the growth of the follicle Inhibit the luteinizing hormone
A
Which client behavior should the nurse be most concerned about for the client prescribed an estrogen/progestin oral contraceptive? Smoking one-half pack of cigarettes per day Drinking two glasses of wine a day Pharmacological treatment for bipolar disorder Multiple several sexual partners
A
Which information should the nurse include in the education for a client prescribed fibanserin (addyi) for the treatment of sexual desire disorder? Do not drink alcohol while taking this medication You may experience insomnia while taking this prescription Abstain from dairy products while taking this medication This medication increases desire by increasing endogenous estrogen production
A
Which is progestin primarily prescribed to treat? Dysfunctional uterine bleeding Menopause Breast cancer Amenorrhea
A
Which information should the nurse include in the teaching for a client prescribed a progestin only oral contraceptive? Progestin oral contraceptives have a higher failure rate Progestin oral contraceptives inhibit plantation of a fertilized egg Works primarily by producing a thick viscous mucus that discourages the sperms entrance to the uterus You have an increased risk of a thromboembolism You may notice your menstrual cycle will be more regular
A B C
A nurse is teaching a patient about the possible adverse effects of oral contraceptives. The nurse evaluates that the patient understands this teaching if which statement is made? Select all that apply. I may experience increased acne while on oral contraceptives. If I experience chest pain, I will call the clinic immediately. If i begin to lose more hair than is normal, my dose may need to be adjusted. If I notice swelling in my feet, hands, or face I will notify the clinic.
A B D and E
Which prescription information should the nurse provide the client prescribed Premarin? Select all that apply. You may notice a decrease in your libido while on this prescription You may experience depression while taking the prescription Do not become pregnant while on this prescription If you add he herbal black tea it helps The prescription will help prevent ....
A B and C
A client calls the family planning clinic and states "I had unprotected sex, and I am now afraid I will get pregnant." Which information about Plan B should the nurse provide the client? You can purchase Plan B without a prescription You cannot purchase Plan B until you have been examined by the clinic You may take two separate doses of Plan B If you are already pregnant, Plan B will end the pregnancy Plan B will prevent ovulation and implantation
A C and E
Which information should the nurse provide a client that has stopped taking oral contraceptives so that she can become pregnant? Select all that apply. It may take several months for ovulation to return to normal The incidence of miscarriage is slightly increased It may take several months for your menstrual periods to become regular The length of use can affect your ability to conceive If you are not pregnant within a year you should consult a doctor
A and C
A client asks the nurse for emergency contraception. Which question should the nurse ask the client? Where are you in your monthly cycle? How long ago did you have unprotected sex? What kind of birth control have you used in the past? Did you have a condom during intercourse?
B
A male client prescribed estrogen for prostate cancer asks the nurse why they are receiving a female hormone. Which response should the nurse provide? It shrinks your cancer by causing the cells to die at a faster rate It suppresses secretion of the androgens that make your cancer grow It eliminates the testosterone that encourages the growth of the cancer cells It keeps the cancer cells from receiving nutrients
B
Which describes the action of oxytocics? Increase ovarian secretion Stimulate uterine contractions Increase the level of luteinizing hormones Slow down uterine contractions
B
Which statement made by an older female client prescribed medroxyprogesterone (Provera) should the nurse be most concerned about? I have been experiencing bouts of nausea I have experienced moments of confusion I have had periods of feeling very sad I have gained a bit of weight.
B
The nurse teaches a class for clients in their first trimester of pregnancy. The nurse evaluates that learning has occurred when the clients make which statements? Select all that apply. Ovulation occurs on approximately Day 21 of the ovarian cycle Ovulation is caused by a surge of luteinizing hormone Ovulation is caused by a surge of human chorionic gonadotropin Follicle stimulating hormone causes ovarian follicles to develop The pituitary gland secretes gonadotropin
B and D
A client receiving Depo-Provera as a method of birth control asks the nurse how long the prescription will be effective. Which response should the nurse provide the client? 2 months 1 year 3 months 6 months
C
Which is responsible for the secretion of progestins? Hypothalamus Ovarian follicles Corpus luteum Anterior pituitary
C
Which should the nurse monitor the client for that is receiving hormone replacement therapy (HRT)? Night sweats Fractures Thrombophlebitis Colorectal cancer
C
The educator has reviewed the action of the biphasic estrogen-progestin oral contraceptive with the nurse. Which statement made by the nurse indicates an understanding of the information? The amounts of estrogen and progestin in each pill vary in 3 distinct phases during the treatment cycle. The oral contraceptives deliver a constant dose of estrogen and progestin throughout the 21-day treatment cycle. The oral contraceptive contains estradiol valerate, a synthetic estrogen and dienogest, a progestin. The amount of estrogen in each pill remains constant, but the amount of progestin is increased toward the end of the treatment cycle to better nourish the uterine lining.
D
The nurse has provided a postpartum client education about oxytocin (Pitocin). Which statement made by the client indicates an understanding of the information? Oxytocin will stimulate milk production Oxytocin will increase the amount of milk I produce Oxytocin will promote fluid loss Oxytocin will increase uterine contractions
D
The nurse has provided education for a client prescribed a transdermal patch for contraception. Which statement made by the client indicates an understanding of the teaching? I will change the patch every 4 weeks I will change the patch every 7 days for the 4 weeks I will change the patch every 7 days for the first 3 weeks I will change the patch every 3 weeks and be patch free week 4
D
The nurse has provided education for a client prescribed the contraceptive Seasonale. Which statement made by the client indicates an understanding of the information? I will change the patch every week. After I have taken 21 pills, I will not take pills for 7 days. I will remove the ring at the end of 3 weeks. After I have taken pills for 84 days, I will not take pills for 7 days.
D
When caring for a laboring client, which assessment finding indicates the oxytocin infusion should be discontinued? Uterine contractions occur every 2 to 3 minutes and lasts 40 to 60 seconds The client reports that the uterine contractions are strong in intensity The vaginal exam reveals that the client is entering transition Uterine contractions that are continuous and sustained
D
Which initial steps occurs in the process of the formation of the corpus luteum? A surge of luteinizing hormone occurs Ovarian follicles mature Follicle-Stimulating hormone and luteinizing hormone are secreted Gonadotropin-releasing hormone is secreted
D
Which is responsible for the secretion of estrogen? Corpus luteum Anterior pituitary Endometrium Ovarian follicles
D
Which should the nurse include in the plan of care for a client receiving Ortho-Novum experiencing vaginal bleeding? Ask the client if she has been having sexual intercourse recently Tell the client to go to the emergency department for medical treatment Tell the client not to worry if the bleeding resembles her monthly flow Ask the client if she is bleeding between cycles or if this is her regular period
D
Which education should the nurse include in the teaching for a client prescribed a Nuvaring? Select all that apply. This ring should be inserted into your uterus Once inserted this ring will provide contraception for 8 months You should expect to replace this ring every 3 weeks Contraceptive protection is provided for 3 weeks The ring uses estrogen and progestin
D and E