NUR 221 Pharm EAQ - Chapter 64: Drugs That Affect Uterine Function

Which is accurate regarding the benefits of misoprostol compared to dinoprostone? Select all that apply.

1.) It is more effective. 2.) It is much less expensive.

A patient will be taking ganirelix. Which teaching point is important for the nurse to stress?

Inject subcutaneously into the upper thigh.

Which tocolytic medication is safest for both mother and neonate?

Nifedipine

Which medication may cause production of unfavorable cervical mucus?

Clomiphene

A nurse in a fertility clinic is teaching a patient about the effects of clomiphene. Which information from the patient indicates a correct understanding of the information?

"I might get pregnant with twins or triplets."

Which medications are used for the treatment of hyperprolactinemia? Select all that apply.

1.) Cabergoline 2.) Bromocriptine

During postpartum assessment, the nurse notes increased uterine bleeding. Which drugs does the nurse anticipate will be prescribed? Select all that apply.

1.) Oxytocin 2.) Carboprost

Which goals does the nurse add to the care plan for a patient receiving tocolytic therapy? Select all that apply.

1.) To postpone delivery. 2.) To inhibit uterine contractions.

For which patient condition is hydroxyprogesterone caproate contraindicated? Select all that apply.

1.) Undiagnosed vaginal bleeding 2.) Known or suspected hormone-sensitive cancer

Which type of medication will the nurse expect to administer to a patient in preterm labor?

Tocolytics.

The nurse is educating a patient experiencing infertility who was prescribed menotropin. Which statement made by the patient demonstrates an understanding of the teaching?

"I will be required to have a human chorionic gonadotropin (hCG) injection after taking menotropin."

A nurse is teaching a patient about cabergoline. Which information from the patient indicates a correct understanding of the teaching?

"This can be taken with or without food."

A nurse is teaching a group of pregnant women to have early screening and treatment of asymptomatic bacterial vaginosis with antibiotics. What is the nurse trying to prevent?

Preterm labor

The nurse should report which finding of ovarian hyperstimulation in a woman receiving menotropins?

Ascites and weight gain.

Use of which drug is most likely to result in multiple births?

Menotropins

The nurse at the fertility clinic is instructing a patient about the adverse effects of clomiphene. Which effects will the nurse include in the teaching session? Select all that apply.

1.) Hot flashes 2.) Altered vision 3.) Breast enlargement 4.) Abdominal discomfort

Which are effects of excessive prolactin secretion on the reproductive system? Select all that apply.

1.) Infertility 2.) Amenorrhea 3.) Galactorrhea

A patient has postpartum hemorrhage due to uterine atony. The nurse will most likely administer which medication?

Oxytocin

Which drug would the healthcare team select as the agent of first choice for control of postpartum hemorrhage in a patient?

Oxytocin

Which action should the nurse take when a pregnant patient develops uterine contractions after receiving dinoprostone into the vagina?

Remove the insert using the long tape.

How will the nurse monitor drug effects in the female patient receiving clomiphene?

Serial ultrasound examinations.

A patient who is near term gestation is receiving oxytocin. Which response should the nurse expect if the medication is having the desired therapeutic effect?

Stimulation of uterine contractions.

Which drugs are used to suppress preterm labor? Select all that apply.

1.) Nifedipine 2.) Terbutaline

The nurse at the fertility clinic is instructing a patient about the adverse effects of cabergoline. Which effects will the nurse include in the teaching session? Select all that apply.

1.) Nausea 2.) Dizziness 3.) Headache

A nurse is working on an Obstetric & Gynecology unit. Which combination indicates a correct understanding of the medications administered on this unit? Select all that apply.

1.) Misoprostol-for cervical ripening 2.) Hydroxyprogesterone caproate-for preterm labor 3.) Carboprost tromethamine-for postpartum hemorrhage

Early induction of labor is indicated for a patient with which conditions? Select all that apply.

1.) Abruptio placentae 2.) Gestational hypertension 3.) Premature rupture of the membranes

The nurse is reviewing a patient's medication list and notes the patient has been prescribed goserelin. The nurse anticipates that the patient will report one or more of which condition(s)? Select all that apply.

1.) Breast cancer 2.) Endometriosis 3.) Dysfunctional uterine bleeding

Which medications are contraindicated by the Food and Drug Administration (FDA) when a woman is breastfeeding? Select all that apply.

1.) Cetrorelix 2.) Follitropins 3.) Lutropin alfa

Which medications promote follicular maturation and/or ovulation? Select all that apply.

1.) Clomiphene 2.) Urofollitropin 3.) Mentropins 4.) Human chorionic gonadotropic (hCG)

Which prescribed drugs will prompt the nurse to monitor patients closely for ovarian hyperstimulation syndrome? Select all that apply.

1.) Lutropin alfa 2.) Menotropins 3.) Choriogonadotropin alfa 4.) Human chorionic gonadotropin (hCG)

Which medications act directly on the ovary to promote follicular development? Select all that apply.

1.) Menotropins 2.) Lutropin alfa

For how long can terbutaline be safely used in the suppression of preterm labor before it is discontinued?

48 hours

A patient is receiving dinoprostone gel prior to induction of labor. At which time is oxytocin administered in this scenario?

6 to 12 hours following the last dose of dinoprostone.

The nurse assesses the urine output of a patient receiving oxytocin. Which finding would require immediate follow-up by the nurse?

80 mL in the past 4 hours.

A patient is administered dinoprostone gel at 0800. Which assessment finding would best indicate a need to give a second dose?

By 1400, the cervix has not softened.

A nurse administered a medication to promote follicular maturation in an infertile female patient. Which medication did the nurse most likely administer?

Clomiphene

The nurse would expect the healthcare provider to prescribe which medication, along with human chorionic gonadotropin (hCG), to promote ovulation in some women struggling with infertility?

Clomiphene

A patient has polycystic ovary syndrome and wants to become pregnant. Which treatment(s) will the nurse most likely help implement?

Clomiphene and metformin.

Which medication classification is associated with a risk for the development of valvular heart disease?

Ergo derivatives

A patient who is infertile is taking clomiphene. The nurse should expect the patient to have which therapeutic response?

Follicular maturation.

Which class of medication is administered to accelerate fetal lung development when tocolytics are used to delay delivery?

Glucocorticoids

Which fertility drug is appropriate for a patient with a diagnosis of ovarian failure?

Human chorionic gonadotropin (hCG)

A patient with two previous preterm deliveries wants to decrease the risk of preterm labor with her third infant. Which drug is approved for use in the prevention of preterm labor?

Hydroxyprogesterone caproate

A female patient is prescribed bromocriptine therapy. Which endocrine disorder will the nurse most likely observe written in the chart?

Hyperprolactinemia

A nurse is preparing to administer hydroxyprogesterone caproate. Which technique should the nurse use?

Intramuscular (IM) injection into the upper quadrant of the gluteus maximus.

Which assessment finding indicates a therapeutic effect for a patient taking nonsteroidal antiinflammatory drugs (NSAIDs) for menorrhagia?

Menstrual bleeding decreases.

Which information is important to share with the patient taking menotropins?

Multiple birth are possible.

A nurse is administering nafarelin for endometriosis. What route of administration will the nurse use?

Nasal

The nurse is planning care for a patient in preterm labor who is receiving magnesium sulfate. Which nursing action is most important for this patient?

Obtaining deep tendon reflexes.

Which condition should the nurse monitor for in a patient who is taking leuprolide for endometriosis?

Osteoporosis

A patient taking clomiphene presents with low abdominal pain and pressure, weight gain, and edema. About which condition would the nurse be most concerned?

Ovarian hyperstimulation

Which assessment finding indicates a patient is a suitable candidate for oxytocin therapy?

Pregnancy at 44 weeks' gestation.

Which mechanism of action is accurate for clomiphene?

Promotion of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) release.

A nurse is caring for a pregnant patient receiving oxytocin to stimulate uterine contractions. Upon assessment, the nurse observes the following: uterine contractions persisting more than 1 minute and occurring every 2 minutes with a resting pressure of 17 mm Hg. Which priority action should the nurse take?

Stop the infusion.

A nurse is administering human chorionic gonadotropin (hCG). Which action is appropriate?

When used in conjunction with menotropins, administer 1 day after the last menotropins dose.