pearson 46 female reproductive system

a female patient is diagnosed with pituitary disorder. which symptom should the nurse expect?

a. lack of ovulation

b. decreased progesterone

c. immature reproductive organs

d. thin uterine mucosa

a. lack of ovulation

A female patient who does not ovulate has been unable to conceive.

Which organ should the nurse associate with this problem?

a. Pituitary

b. Hypothalamus

c. Ovaries

d. Uterus

a. Pituitary

A patient is beginning a hormonal contraceptive.

Which instruction should the nurse include?

a. “Be sure to monitor blood pressure. “

b. “Cut down on the number of cigarettes being smoked.”

c. “Report any hearing difficulties.”

d. “Do weekly self-breast exams.”

a. be sure to monitor blood pressure.

The nurse is teaching about the risks of estrogen-only hormone replacement therapy.

Which disorder should the nurse include in the teaching?

a. Stroke

b. Breast cancer

c. Myocardial infarction

d. Diabetes mellitus

a. stroke

A patient is prescribed a conjugated estrogen.

Which laboratory test result should the nurse monitor?

a. Lipid profile

b. Prothrombin time

c. Brain natriuretic peptide

d. Creatinine clearance

a. lipid profile

A patient reports having trouble remembering to take a hormonal contraceptive pill every day.

Which response should the nurse make?

a. "Maybe you will remember a progestin-only oral contraceptive better."

b. "Taking the pill every other day instead of every day might help you remember."

c. "Mark off on a calendar each day after taking the pill."

d. "Have you considered changing to a transdermal patch?"

d. have you considered changing to a transdermal patch

A patient taking estradiol and norethindrone asks why smoking should be avoided.

Which effect of smoking and oral contraceptive use should the nurse explain?

a. "It decreases breast cancer risk."

b. "It increases cervical cancer risk."

c. "It increases the risk of cardiovascular adverse effects."

d. "It increases the risk for weight gain."

c. it increase the risk of cardiovascular adverse effects

A patient is receiving oxytocin (Pitocin).

Which observation should indicate that the patient is experiencing uterine rupture?

a. Cervical dilation

b. Sustained contractions

c. Increased contractions

d. Painful contractions

b. sustained contractions

A patient has not been able to sustain a pregnancy because of dysfunction in the development of a thickened endometrium.

Which hormone should the nurse associate with this dysfunction?

a. Progesterone

b. Estrogen

c. Gonadotropin-releasing hormone

d. Luteinizing hormone

a. progesterone

A patient receives a new prescription for a hormonal contraceptive.

Which assessment should the nurse focus on first?

a. Vital signs

b. Height and weight

c. Pregnancy status

d. Breast tenderness

c. pregnancy status

A patient has been prescribed a conjugated estrogen.

Which adverse effect should the nurse instruct the patient to report?

a. Nausea

b. Hypotension

c. Dizziness

d. Calf pain

d. calf pain

A patient asks about the role of estrogen in the body.

Which action should the nurse include in response?

a. "It lowers low-density lipoprotein."

b. "It lowers high-density lipoprotein."

c. "It increases the risk of myocardial infarction."

d. "It prevents the growth of bones."

a. it lowers low-density lipoproteins

The nurse is teaching about the role of the hypothalamus.

Which action should the nurse include?

a. Stimulates secretion of gonadotropins

b. Secretes gonadotropin-releasing hormone

c. Stimulates secretion of progestins

d. Stimulates endometrium

b. secretes gonadotropin-releasing hormone

A patient prescribed a combination oral contraceptive (OC) asks how the pill prevents pregnancy.

Which action of the drug should the nurse explain?

a. "It thickens the endometrium."

b. "It increases secretion of luteinizing hormone."

c. "It prevents ovulation."

d. "It thins the cervical mucus."

c. it prevents ovulation

A patient is prescribed progesterone.

Which patient statement should indicate a need for further teaching about this medication?

a. "I'll report any calf pain at my next appointment."

b. "I'll take the medication at the same time every day."

c. "I'll take the medication with food to prevent nausea."

d. "I'll report any blood pressure above 140/90."

a. ill report any calf pain at my next appointment

The nurse is preparing to assess a female patient.

Which organ should the nurse associate with the secretion of estrogen?

a. Adrenal glands

b. Lungs

c. Heart

d. ovaries

d. ovaries

A patient requests a combination oral contraceptive (OC).

Which information about the patient should cause the nurse the most concern?

a. Abnormal uterine bleeding

b. Current breast cancer

c. Obesity

d. Gestational diabetes

b. current breast cancer

A female patient has a low progesterone level.

Which process should the nurse expect to be affected?

a.Thickening of the uterine mucosa

b. Expulsion of the oocyte (egg)

c. Secretion of gonadotropins

d. Development of ovarian follicles

a. thickening of the uterine mucosa

A patient taking estradiol and norethindrone receives a new prescription for an antibiotic.

Which instruction should the nurse give?

a. "Don't take the two medications with food."

b. "Watch for breakthrough uterine bleeding."

c. "Use an additional method of birth control while taking the antibiotic."

d. "Avoid sunlight while taking these drugs."

c. use an additional method of birth control while taking the antibiotic

A female patient asks the best time to try to conceive.

Which day of the ovarian cycle should the nurse respond?

Answer

a. Day 14

b. Day 1

c. Day 21

d. Day 28

a. day 14

A patient is diagnosed with hypoactive sexual desire disorder.

Which medication should the nurse expect to be prescribed?

a. Nifedipine (Adalat, Procardia)

b. Cetrorelix (Cetrotide)

c. Flibanserin (Addyi)

d. Leuprolide (Eligard, Lupron)

c. flibanserin (addyi)

A perimenopausal patient asks about the purpose of estradiol.

Which response should the nurse make?

a. "This medication will help prevent pregnancy."

b. "This medication will help prevent hot flashes."

c. "This medication will induce amenorrhea."

d. "This medication will help prevent osteoporosis."

b. this medication will help prevent hot flashes

A female patient in labor receiving oxytocin (Pitocin) is experiencing sustained contractions.

Which condition should the nurse suspect is occurring in this patient?

Answer

a. Uterine rupture

b. Preterm labor

c. Placenta previa

d. Retained placenta

a. uterine rupture

A patient has been prescribed medroxyprogesterone.

Which adverse effect should the nurse instruct the patient to report?

a. Hypotension

b. Dizziness

c. Bradycardia

d. Calf pain

d. calf pain

A patient asks why a progestin-only oral contraceptive (OC) is a good choice.

Which information should the nurse include in the response?

Answer

a. "It has no effect on thromboembolic events."

b. "It is more effective."

c. "It has a lower risk of ectopic pregnancy."

d. "It has a lower incidence of irregular menstrual cycles."

a. it has no effect on thromboembolic events

A patient is prescribed mifepristone (Mifeprex).

Which action should the nurse take first?

a. Start the patient on a clear liquid diet.

b. Ensure that emergency medical support is available.

c. Send the patient for a computed tomography scan of the abdomen.

d. Assess for abdominal cramping.

b. ensure that emergency medical support is available

A female patient is prescribed clomiphene.

Which health problem should the nurse expect this medication to treat?

Answer

a. Ovulatory dysfunction

b. Pituitary tumor

c. Endometriosis

d. Fibrocystic breast disease

a. ovulatory dysfunction