Reproductive Drugs
This quiz includes material from lecture and speaker notes as well as questions from ATI and the posted Reproduction Powerpoint questions.
- 1.Ovulation Suppressants (oral contraceptives) are (choose all that apply)
- A.
More effective in woman who smoke or are older than 35
- B.
Can be taken while breastfeeding
- C.
Used for endometriosis
- D.
Can be taken for hyperlipidemia and if one is diabetic
- E.
Can be taken for migraine headaches if using estrogen only
- 2.Ovulation Suppressants - Oral Contraceptives of Estrogen-Progestin Combination suppress pituitary release of FSH and LH which.....
- A.
Is needed to suppress growth of a follicle in the ovary, inhibiting ovulation.
- B.
The cervical mucus is thinned by progestin, making it hostile to sperm.
- C.
Changes the environment of endometrium, making it less favorable for implantation.
- D.
Is needed to mature a follicle in ovary, inhibiting ovulation.
- E.
The cervical mucus is thickened by progestin, making it hostile to sperm.
- 3.True or False. Estrogen - Progestin is a combination of ethinyl estrodiol and synthetic progesterone.
- A.
True
- B.
False
- 4.Estrogen- Progestin Combination. Mark all that apply to Monophasic bc.
- A.
Estrogen and Progesterone varies throughout cycle
- B.
Estrogen and progestin have a fixed ratio throughout menstrual cycle
- C.
Estrogen is fixed and progesterone varies
- 5.Estrogen-Progestin Combination. Which of the following are Monophasic Birth Control?
- A.
Norinyl
- B.
Lo/Ovral
- C.
Orth-Novum
- D.
Ortho Tri-Cyclen
- E.
Loestrin
- 6.Estrogen - Progestin Combination. What is true of Biphasic BC?
- A.
Estrogen and progesterone varies throughout cycle
- B.
Is a fixed ratio of estrogen to progestin throughout menstrual cycle
- C.
Estrogen is fixed throughout and progesterone varies
- 7.Estrogen - Progesterone Combination. What is true of Triphasic bc?
- A.
Estrogen is fixed throughout and progesterone varies
- B.
Is a fixed ratio of estrogen to progestin throughout menstrual cycle
- C.
Estrogen and progesterone varies throughout cycle
- 8.Estrogen - Progestin Combination. What Drugs are Biphasic bc?
- A.
Ortho-Novum
- B.
Ortho Tri-cyclen
- C.
Norinyl
- D.
Lo/Ovral
- E.
Loestrin
- 9.Estrogen - Progestin Combination. What Drugs are Triphasic bc?
- A.
Lo/Ovral
- B.
Ortho-Novum
- C.
Norinyl
- D.
Ortho Tri-cyclen
- E.
Loestrin
- 10.Progestin only birth control or the "mini pill" ....
- A.
Suppresses activity of pituitary
- B.
Alters the cervical mucus making thicker
- C.
Alters the pH of the cervical mucus
- D.
Does not suppress activity of the pituitary.
- 11.Progestin only "Mini pills" (mark all that apply) Remember if you are more than 3 hours late taking these drugs, you will need to use a back-up method.
- A.
Mirena
- B.
Ovrette
- C.
Norinyl
- D.
Micronor
- E.
Nor-ZD
- 12.Another form of Progestin only BC is Depo-Provera (medroxyprogesterone acetate). Depo...
- A.
Side effects include: bloating, decreased libido, hair loss, weight loss, and depression.
- B.
Is a long term injectable progestin that is injected every 3 mo
- C.
Can not be injected post-delivery and during breastfeeding
- D.
Suppresses ovulation & changes pH of vaginal mucosa
- E.
Can cause irregular menstruation and spotting initially
- 13.Choose all of the side effects that are related to estrogen.
- A.
Fluid Retention/ Edema/ Bloating
- B.
Weight gain/ Breast enlargement & tenderness
- C.
N/V with Headache
- D.
Hypertension / Dizziness
- E.
Leg cramps
- 14.Choose all of the side effects that are related to progestin.
- A.
Increased appetite with weight gain
- B.
Amenorrhea after cessation of use
- C.
Depression/ Excess hair growth/ decreased breast size
- D.
Oily skin & scalp / acne
- E.
Can cause epilepsy
- 15.A client who is her 30th week of gestation is determined to have postfetal demise. She asks the nurse why she is being given a prostaglandin gel (PG) suppository at this time. The best response by the nurse is:
- A.
“PG suppositories help relieve the pain you will experience when the baby is delivered."
- B.
“PG suppositories will allow you to relax and decrease your anxiety.”
- C.
“PG suppositories cause labor to start”
- D.
“PG suppositories prevent postpartum infections in cases like yours.”
- 16.Prostaglandin gel is used to induce labor in cases in which there is second or third trimester fetal demise. They stimulate smooth muscle and cause the uterine to contract. Prostaglandin gel has no analgesic, antianxiety nor antibiotic effects.
- A.
True
- B.
False
- 17.A Client who has been in labor for 6 hours is still having irregular and weak contractions. When oxytocin (Pitocin) is started, the client tells the nurse she is afraid of this medication because when her sister had it, her baby died. The best response by the nurse would be:
- A.
“I’m sure you’ll be fine. Your sister’s situation was a lot different from yours.”
- B.
“You seem to be anxious. Tell me more about your fears.”
- C.
“Complications are rare, and we are prepared to handle any development.”
- D.
“This is a very dangerous medication, but we’ll keep a close watch on your condition.”
- 18.A pregnancy client who is gravida 3, para 2, is admitted with severe pregnancy-induced hypertension. Her physician wants to start IV Magnesium Sulfate at 2g/h. What are the initial side effects the nurse should explain to the client?
- A.
Hypotension, decreased respirations
- B.
Hypofelxia and flaccid paralysis
- C.
Flushing, sweating, irritability
- D.
Vomiting and Diarrhea
- 19.A client who is at 27 weeks gestation with spontaneously ruptured membranes and no contractions is admitted to the preterm labor unit. Which of the following medications will the nurse most likely administer to promote fetal lung maturation.
- A.
Betamethasone
- B.
Prostaglandin gel
- C.
Magnesium sulfate
- D.
Ritodrine
- 20.A postpartum client who has 40 U of oxytocin (Pitocin) in her IV bag after the placenta is delivered continues to hemorrage even after unterine massage. Her vital signs are pulse 120, BP 90/50, respirations 26. The nurse anticipates the physician will order which of the following to stop the atony and hemorrhage?
- A.
Ibuprofen
- B.
Prostaglandin Gel
- C.
Ephedrine
- D.
Methergine
- 21.Terbutaline (brethine) is indicated in preterm labor to
- A.
Stop uterine contractions
- B.
Prevent bleeding
- C.
Promote placental blood flow
- D.
Increase prostaglandin production
- 22.Factors that preclude the use of birth control pills include:
- A.
Pregnancy
- B.
Thromboembolic disorders (hypercoagulability)
- C.
Cancer (stimulate tumor growth)
- D.
Hypertension (increased angiotensin and retention of sodium and water)
- E.
Women over 30 who smoke (decreased estrogenic effect and increased platelet aggregation)
- 23.A college student comes into the health clinic to renew her prescription for oral contraceptives. While she is there, she reports a sore throat and fever for 2 days. A throat culture for streptococcus is positive and she is placed on ampicillin and her oral contraceptives prescription is refilled. The nurse should tell the patient what about the birth control....
- A.
Tell the patient to drink plenty of water.
- B.
Tell the patient to take ampicillin 500mg four times a day for 10 days.
- C.
Tell the patient that taking the ampicillin and oral contraceptive together will decrease the effectivieness.
- D.
Tell the patient to get plenty of rest.
- 24.A nurse is providing teaching to a client receiving tamoxifen (Novadex) for breast cancer prevention. Which of the following statements indicates the client has understood the teaching?
- A.
I may experience hot flashes
- B.
I will be so excited when I finally get pregnant
- C.
I should be sure to drink plenty of milk
- D.
I will eat a diet high in fat to prevent weight loss
- 25.Testosterone enanthate (Delatestryl) is used for?
- A.
Breast cancer prevention
- B.
Treatment for erectile dysfunction
- C.
Contraindicated for athletic performance enhancement
- D.
Treatment of endometriosis
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