This quiz includes material from lecture and speaker notes as well as questions from ATI and the posted Reproduction Powerpoint questions.
True
False
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True
False
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Treatment of endometriosis
Treatment of erectile dysfunction
Contraindicated for athletic performance
Breast cancer prevention and treatment
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True
False
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True
False
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True
False
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I may experience hot flashes
I will be so excited when I finally get pregnant
I should be sure to drink plenty of milk
I will eat a diet high in fat to prevent weight loss
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Lo/Ovral
Ortho-Novum
Norinyl
Ortho Tri-cyclen
Loestrin
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Tell the patient to drink plenty of water.
Tell the patient to take ampicillin 500mg four times a day for 10 days.
Tell the patient that taking the ampicillin and oral contraceptive together will decrease the effectivieness.
Tell the patient to get plenty of rest.
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True
False
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Relief of postmenopausal symptoms
Dysfunctional uterine bleeding due to hormonal balance
Treatment of endometriosis
Contraception
Breast cancer prevention and treatment
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Stop uterine contractions
Prevent bleeding
Promote placental blood flow
Increase prostaglandin production
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Beta2 Agonists
Magnesium Sulfates
Calcium Channel Blockers
NSAIDS
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Estrogen is fixed throughout and progesterone varies
Is a fixed ratio of estrogen to progestin throughout menstrual cycle
Estrogen and progesterone varies throughout cycle
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Betamethasone
Prostaglandin gel
Magnesium sulfate
Ritodrine
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Estrogen and Progesterone varies throughout cycle
Estrogen and progestin have a fixed ratio throughout menstrual cycle
Estrogen is fixed and progesterone varies
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“PG suppositories help relieve the pain you will experience when the baby is delivered."
“PG suppositories will allow you to relax and decrease your anxiety.”
“PG suppositories cause labor to start”
“PG suppositories prevent postpartum infections in cases like yours.”
Teach: proper administration
Teach: How to monitor menstrual cycle
Promote: Smoking cessation
Encourage: breast cancer screenings
Teach: Signs and symptoms of a blood clot
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Nausea
Vomiting
Diarrhea
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Sildenafil citrate (Viagra)
Phentolamine (Vasomax)
Vardenafil (Levitra)
Tadalafil (Cialis)
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Ortho-Novum
Ortho Tri-cyclen
Norinyl
Lo/Ovral
Loestrin
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Ergotrate Maleate
Methergine
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Ibuprofen
Prostaglandin Gel
Ephedrine
Methergine
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Treatment of endometriosis
Dysfunctional uterine bleeding due to hormonal balance
Breast cancer prevention and treatment
Contraception
Relief of postmenopausal symptoms
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Estrogen and progesterone varies throughout cycle
Is a fixed ratio of estrogen to progestin throughout menstrual cycle
Estrogen is fixed throughout and progesterone varies
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Breast cancer prevention and treatment
Contraception
Relief of postmenopausal symptoms
Dysfunctional uterine bleeding due to hormonal balance
Treatment of endometriosis
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1800
2100
1200
2200
2000
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Hypotension, decreased respirations
Hypofelxia and flaccid paralysis
Flushing, sweating, irritability
Vomiting and Diarrhea
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“I’m sure you’ll be fine. Your sister’s situation was a lot different from yours.”
“You seem to be anxious. Tell me more about your fears.”
“Complications are rare, and we are prepared to handle any development.”
“This is a very dangerous medication, but we’ll keep a close watch on your condition.”
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Breast cancer prevention and treatment
Treatment of endometriosis
Relief of postmenopausal symptoms
Contraception
Dysfunctional uterine bleeding due to hormonal balance
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Delayed Puberty
Hypogonadism
Impotance
Palliation treatmenof post menopausal women with inoperable breast concer/ endometriosis
Oligiospermia (low sperm volume)
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Relief of postmenopausal symptoms
Treatment of endometriosis
Dysfunctional uterine bleeding due to hormonal balance
Breast cancer prevention and treatment
Contraception
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By the octo-mom
Before 37 weeks
Cephalocaudal disproportion
Pregnancy
Thromboembolic disorders (hypercoagulability)
Cancer (stimulate tumor growth)
Hypertension (increased angiotensin and retention of sodium and water)
Women over 30 who smoke (decreased estrogenic effect and increased platelet aggregation)
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Breast cancer prevention
Treatment for erectile dysfunction
Contraindicated for athletic performance enhancement
Treatment of endometriosis
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More effective in woman who smoke or are older than 35
Can be taken while breastfeeding
Used for endometriosis
Can be taken for hyperlipidemia and if one is diabetic
Can be taken for migraine headaches if using estrogen only
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Associated with increased risk of breast cancer, thromboembolism, CAD, & stroke
Is used at lowest dose for less than five years
Is a combination of estrogen and progestin
Is contraindicated with cancer, thromboembolic events, liver disease, gallbladder disease, pancreatic disease, HTN, and endometriosis
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Superficial and DVT
Pulmonary Embolism (PE)
Cerebrovascular accident (stroke)
Myocardial infarction (MI)
Acceleration of preexisting but non-diagnosed breast tumor
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Dinoprostone (Cervidil)
Carboprost tromethamine (Hemabate)
Misoprostol (Cytotec)
Ergotrate Maleate
Methergine
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8-7
6-5
9-8
10-9
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Is needed to suppress growth of a follicle in the ovary, inhibiting ovulation.
The cervical mucus is thinned by progestin, making it hostile to sperm.
Changes the environment of endometrium, making it less favorable for implantation.
Is needed to mature a follicle in ovary, inhibiting ovulation.
The cervical mucus is thickened by progestin, making it hostile to sperm.
Termination of pregnancy between 12-20 weeks
Termination of pregnancy in the third trimester
May be used in a missed abortion of up to 28 weeks gestation
Topical ripen the cervix when applied the night before induction
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Norinyl
Lo/Ovral
Orth-Novum
Ortho Tri-Cyclen
Loestrin
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Increased blood loss
Uterine rupture
Pelvic hematoma
Fetal harm
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Initial induction of labor
Induce abortion
Promote suppression of letdown of breast milk (nasal spray)
Control uterine bleeding
Increases the force and frequency of contractions
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Beta2 agonists
Cholinergics
Calcium Channel Blockers
Magnesium Sulfate
NSAIDS
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Side effects include: bloating, decreased libido, hair loss, weight loss, and depression.
Is a long term injectable progestin that is injected every 3 mo
Can not be injected post-delivery and during breastfeeding
Suppresses ovulation & changes pH of vaginal mucosa
Can cause irregular menstruation and spotting initially
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Increased appetite with weight gain
Amenorrhea after cessation of use
Depression/ Excess hair growth/ decreased breast size
Oily skin & scalp / acne
Can cause epilepsy
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