Maternity Exam 2- Clayton: Chapter 40 - Drugs Used in Men's and Women's Health

A female patient has developed leukorrhea since being on oral broad spectrum antibiotics for the past week for a lower respiratory infection. Which organism causes leukorrhea?

a. Herpes simplex

b. Mycoplasma hominis

c. Human papillomavirus (HPV)

d. Candida albicans

d. Candida albicans

A patient states that she has a difficult time remembering when to resume her triphasic contraceptive pills following her menses. Which alternative plan will the nurse suggest that she discuss with her health care provider?

a. Changing to the 28-day packet

b. Using the inert pills every other month

c. Changing her prescription to the mini pill

d. Calling the health care provider whenever she forgets to get appropriate instruction

a. Changing to the 28-day packet

Which is more likely to be experienced by women taking the mini pill as an oral contraceptive?

a. Ovulation, dysmenorrhea, and break-through bleeding

b. Excessive weight gain and breast tenderness

c. Increased estrogen related adverse effects

d. Difficulty breastfeeding after pregnancy

a. Ovulation, dysmenorrhea, and break-through bleeding

The nurse is obtaining a history on a patient who is seeking oral contraceptives. Which condition would contraindicate the use of oral contraceptives?

a. Sexually transmitted diseases (STDs)

b. Hypothyroidism

c. Varicose veins

d. Thromboembolic disease

d. Thromboembolic disease

A patient diagnosed with benign prostatic hypertrophy asks why tamsulosin (Flomax), an alpha1 adrenergic blocking agent, has been prescribed. Which explanation by the nurse is most accurate?

a. It inhibits the action of testosterone.

b. It improves sexual function.

c. It reduces the size of the prostate.

d. It increases urinary flow.

d. It increases urinary flow.

Which type of drug is most effective in the treatment of erectile dysfunction (ED)?

a. Phosphodiesterase inhibitors

b. Antiandrogen agents

c. Sympathomimetic agents

d. Alpha 1 adrenergic blocking agents

a. Phosphodiesterase inhibitors

The nurse is teaching a patient beginning therapy with dutasteride (Avodart). How long will it take before the patient can expect results?

a. 24 hours

b. 2 weeks

c. 1 month

d. 6 months

d. 6 months

Why must caution be used when taking a phosphodiesterase inhibitor to enhance male sexual function?

a. It can become habit forming.

b. Life-threatening consequences can occur with cardiovascular disorders.

c. It is an ineffective treatment.

d. It is expensive and available only by special prescription.

b. Life-threatening consequences can occur with cardiovascular disorders.

What is the mechanism whereby estrogen functions as a contraceptive?

a. Inhibiting luteinizing hormone (LH), blocking release of ovum from a follicle b. Thinning cervical mucus, which inhibits sperm migration

c. Trapping the ovum in the endometrial wall, preventing its growth

d. Blocking follicle-stimulating hormone (FSH), thereby preventing release of ovum

d. Blocking follicle-stimulating hormone (FSH), thereby preventing release of ovum

The nurse is instructing a patient on use of a transdermal contraceptive. When evaluating the patient's understanding of the information provided, the nurse identifies a need for further education when the patient states:

a. "Apply the first patch during the first 24 hours of the menstrual period."

b. "Use a backup contraceptive concurrently for the first 7 days of the first cycle."

c. "Fold the used patch over on itself before discarding."

d. "Trim the patch carefully prior to application."

d. "Trim the patch carefully prior to application."

A woman using the NuvaRing vaginal ring informs the nurse that the ring was accidentally expelled a day ago. The nurse will instruct this patient to:

a. rinse the ring in cool water and reinsert as soon as possible.

b. rinse the ring in hot water and reinsert as soon as possible.

c. rinse the ring in lukewarm water, reinsert, and use a nonhormonal back up contraceptive.

d. insert a new ring.

c. rinse the ring in lukewarm water, reinsert, and use a nonhormonal back up contraceptive.

The health care provider has instructed a patient to use over the counter miconazole ( Monistat) cream to treat her vaginal yeast infection. What information is important to include in patient education? Select all that apply. a. Wash the genital area thoroughly before inserting the vaginal cream.

b. Wash the applicator before usage.

c. Wear a minipad to catch remaining discharge following vaginal administration.

d. Wash hands before and after administration.

e. The sexual partner may require treatment as well.

a. Wash the genital area thoroughly before inserting the vaginal cream.

c. Wear a minipad to catch remaining discharge following vaginal administration.

d. Wash hands before and after administration.

e. The sexual partner may require treatment as well.

A nurse working at the community health clinic receives a call from a teen patient who reports that she has missed one of her birth control pills. Which response by the nurse is accurate? Select all that apply

a. Take the missed pill now.

b. Take the next pill at the regularly scheduled time.

c. Come into the clinic for a pregnancy test.

d. Start with the next month's pill packet at day 1.

e. Take the missed pill and the next pill together at the next regularly scheduled time.

a. Take the missed pill now.

b. Take the next pill at the regularly scheduled time.

The nurse is completing a female reproductive history on a 16 year old. What important assessment(s) should be included? Select all that apply.

a. Breast self-examination (BSE) routine

b. Age of menarche and pattern of menses

c. Smoking and blood pressure history when seeking a prescription for oral contraceptive pills (OCPs)

d. Sexual orientation and number of partners

e. Number of pregnancies, live births, miscarriages, and abortions

f. Nutritional intake of carbohydrates

a. Breast self-examination (BSE) routine

b. Age of menarche and pattern of menses

c. Smoking and blood pressure history when seeking a prescription for oral contraceptive pills (OCPs)

d. Sexual orientation and number of partners

e. Number of pregnancies, live births, miscarriages, and abortions

The nurse is giving instructions to a young female at an outpatient clinic regarding combination OCP therapy. What information will the nurse include? ( Select all that apply. )

a. Medication should be taken at approximately the same time daily.

b. A back up birth control method should be used for the first 6 months.

c. Medication should be discontinued 1 year before attempting pregnancy.

d. Headaches, dizziness, and chest or abdominal pain should be reported immediately.

e. If a pill is missed, take it immediately and remain on schedule for the next dosage.

a. Medication should be taken at approximately the same time daily.

d. Headaches, dizziness, and chest or abdominal pain should be reported immediately.

e. If a pill is missed, take it immediately and remain on schedule for the next dosage.

The nurse will teach the patient beginning therapy with alfuzosin, an alpha 1 adrenergic blocking agent, to expect which common (and usually self limiting) adverse effect(s)? (Select all that apply.)

a. Nausea

b. Insomnia

c. Dizziness

d. Headache

e. Lethargy

f. Anorexia

c. Dizziness

d. Headache

e. Lethargy

The nurse at an outpatient clinic is educating a group of young adults regarding prevention of the spread of sexually transmitted infections. Information will include: ( Select all that apply. )

a. the use of hormonal contraceptives.

b. the use of latex condoms when infection is present.

c. abstinence.

d. frequent use of nonoxynol 9.

e. the importance of "partner services."

c. abstinence.

e. the importance of "partner services."