Chapter 40  Drugs Affecting the Female Reproductive System

Chapter 40  Drugs Affecting the Female Reproductive System

Complete Chapter Questions And Answers
 

Sample Questions

1. The nurse is caring for a female patient who would like to start taking oral contraceptives. What
assessment finding may indicate the patient is not a good candidate for these drugs?

A) Decreased appetite

B) Dehydration

C) Occasional headaches

D) History of deep vein thrombosis

Ans: D

Feedback:

Estrogens are contraindicated in the presence of a history of thromboembolic disorders because of the
increased risk of thrombus and embolus development. A loss of appetite would not contraindicate oral
contraceptives but would require further assessment to determine the cause. Dehydration would require
fluid administration to correct but is not a contraindication to oral contraceptives. Occasional headaches
are not uncommon and would not contraindicate contraceptive use.

2. The nurse is caring for a patient with an intact uterus who requests hormone replacement for short-term
use to reduce menopausal symptoms. What combination drug would be appropriate for this patient?

A) Estrace

B) Premphase

C) Premarin

D) Estratab

Ans: B

Feedback:

The patient would be given Premphase because it is a combination of estrogen and progesterone. The
combination is important to help avoid risk of endometrial hyperplasia. Estrace, Premarin, and Estratab
contain only estrogen so they are not combination drugs.

3. The nurse is caring for a patient who just had subdermal implantation of NuvaRing. As part of drug
teaching, the nurse will tell the patient this implant needs to be removed when?

Test Bank – Focus on Nursing Pharmacology (7th Edition by Amy Karch) 652

A) 3 months

B) 6 months

C) 1 year

D) 3 years

Ans: D

Feedback:

Etonogestrel, in addition to being available as a vaginal ring, NuvaRing, is available as a subdermal
implant that may be left in place for up to 3 years and then must be removed. Another implant could be
placed at that time.

4. A patient tells the nurse she is taking soy, calcium, and a multivitamin as an alternative to taking
hormone replacement pills. What is the nurse’s priority response?

A) Increase her iron supplement.

B) Discontinue her calcium supplement.

C) Decrease the amount of carbohydrates in her diet.

D) Increase calcium supplementation.

Ans: B

Feedback:

The nurse may advise the patient to stop using a calcium supplement because soy is not to be taken
with calcium, iron, or zinc. However, the patient may have to decide whether it would be more
beneficial for her to continue the calcium and discontinue the soy if osteoporosis is a concern.
Decreasing carbohydrates is a healthy choice, especially for a menopausal woman, but would not be the
priority concern.

5. A patient with a seizure disorder taking phenytoin (Dilantin) requests a prescription for an oral
contraceptive. What is the nurse’s priority response?

A) ​The effect of oral contraceptives containing progestin is reduced by phenytoin.​

B) ​The effect of oral contraceptives containing progestin and estrogen is reduced by phenytoin.​

C) ​The effect of oral contraceptives containing estrogen is reduced by phenytoin.​

D) ​You will need to increase the dosage of your phenytoin once you start contraceptives.​

Ans: B

Feedback:

The effectiveness of oral contraceptives containing estrogen, progestin, or both will be reduced by
phenytoin, so contraceptives will not be adequate to prevent pregnancy. There is no reason to change
the dosage of phenytoin.