Women's Health

The nurse has been conducting patient teaching for a 16-year-old who is starting on oral contraception. What statement indicates that she needs additional teaching?

"I will continue to do monthly breast self-examination, even though these pills should decrease my risk for developing breast cancer."

On the advice of her sister, a 52-year-old woman has visited her nurse practitioner to discuss the potential benefits of hormone replacement therapy in controlling the symptoms of menopause. Which response by the nurse is most appropriate?

"It's important to balance the possible benefits of HRT with the fact that it might increase your risk of heart disease and stroke"

The health care provider has ordered a variety of laboratory assessments on a client who will need estrogen replacement. The follow labs are ordered: blood urea nitrogen (BUN), creatinine, and liver function tests (LFTs). What is the nurse's best statement explaining to a client the need to draw the labs?

"The labs will identify your body's ability to filter and excrete medications."

The parents of an infant boy have been told surgery is needed because their son's testes have not descended into the scrotal sac. They ask the nurse, "What would happen if the testes remained in his lower abdomen?" What is the nurse's best response?

"The testes need to be placed in the scrotum to protect sperm-producing cells from body heat."

The nurse is caring for a client whose fallopian tubes were damaged by recurrent pelvic infections resulting in complete obstruction of both tubes. The client asks the nurse, "Why can't I get pregnant?" What is the nurse's best response?

"You can get pregnant but the embryo, once fertilized, cannot travel to the uterus to implant and grow."

A patient with a seizure disorder is taking phenytoin (Dilantin). The patient comes to the clinic for her annual examination and tells the nurse that she would like to take an oral contraceptive agent for birth control. What would be an appropriate response by the nurse?

"You may use an oral contraceptive, but it will be necessary for additional birth control protection."

After teaching a woman using an intravaginal estrogen preparation, the nurse determines that the teaching was successful when the client states that she will remain lying for at least how long after instilling the drug?

30 Minutes

A boy is learning about his body. Where would this boy learn that androgens are released into the bloodstream?

Adrenal Gland

The nurse is completing a history on a client who is new to the women's clinic. What information is most important for the nurse to obtain if the client is to be prescribed estrogens? (Select all that apply.)

Any symptoms of cardiovascular disease Family history of a brain attack When was the client's last menstrual period

A group of students are reviewing the various fertility drugs that are available. The students demonstrate understanding when they identify which drug as being administered orally?

Clomiphene

The nurse is caring for a client who has cancer and who until recently took estrogen. The nurse knows that estrogen may have increased the risk of development of which types of cancer? (Select all that apply.)

Endometrial cancer Breast cancer

After teaching a group of students about hormonal secretion of the reproductive system, the instructor determines that the teaching was successful when the students identify what as initiating hormone secretion from the ovaries and testes?

Gonadotropin releasing hormone

As a pregnancy nears the time of delivery, what physiologic event occurs preparing the way for delivery of the fetus?

Levels of progesterone drop

The nurse knows that a client who takes an adrenergic blocking agent for benign prostatic hypertrophy is at risk for what adverse reaction when starting this medication?

Orthostatic hypotension

Kalie, age 18, is prescribed progesterone for the treatment of primary amenorrhea. Which adverse effect would need to be reported immediately to the health care provider?

Pain in one leg

The nurse is discussing the human response to sexual stimulation with a client experiencing an arousal problem. In which phase of sexual response should the client begin to feel the effects of the sympathetic nervous system?

Stimulation

Medroxyprogesterone acetate is indicated for the treatment of women with:

Uterine bleeding