Chapter 44 Drug Therapy for Women’s Health

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Chapter 44  Drug Therapy for Women’s Health

 

 

Complete chapter Questions And Answers
 

Sample Questions

 

 

1. A young woman is being seen in the gynecology clinic of the local health department. She has decided to begin hormonal contraceptives. What action is specific to hormonal contraceptives and should be taught to this woman?

  1. A)  The cervical mucus is made resistant to penetration by spermatozoa.
  2. B)  The follicle-stimulating hormone release is increased to block fertility.
  3. C)  The maturation of the endometrial lining is activated by contraceptive.
  4. D)  The pituitary gland increases the synthesis and release of luteinizing hormone.

Ans: A
Feedback:
Hormonal contraceptives inhibit the hypothalamic secretion of gonadotropin-releasing hormone, which inhibits FSH and LH. The drugs produce cervical mucus that resists penetration of spermatozoa into the upper reproductive tract. Hormonal contraceptives inhibit the release of follicle-stimulating hormone and luteinizing hormone. The drugs interfere with endometrial maturation and reception of ova that are released and fertilized.

  1. During patient teaching, a young woman asks the nurse the following question: “If I get pregnant on the ‘pill,’ should I continue to take it?” What is the nurse’s best response?
    1. A)  “The pill has no effect on pregnancy.”
    2. B)  “The pill will cause miscarriage.”
    3. C)  “This is a personal choice for each woman.”
    4. D)  “The pill can be harmful to the fetus and should be discontinued.”

    Ans: D
    Feedback:
    If pregnancy does occur, estrogens are contraindicated because their use during pregnancy has been associated with the occurrence of vaginal cancer in female offspring. The pill will affect the pregnancy and should be discontinued. The pill will not cause miscarriage. The pill can cause harmful effects on male offspring if it is continued through pregnancy.

  2. A woman suffers from amenorrhea. Which of the following medications will most likely be prescribed?
    1. A)  Testosterone
    2. B)  Follicle-stimulating hormone
    3. C)  Estrogen
    4. D)  Lactate

Ans: C
Feedback:
Estrogen is prescribed in woman of reproductive age to treat amenorrhea. Testosterone and FSH are not used for amenorrhea. Lactate is not used to treat amenorrhea.

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4. A patient suffers from dysmenorrhea. Which oral medication will be prescribed that has the ability to provide physiological actions on the neuroendocrine control of ovarian function?

  1. A)  Estrogen
  2. B)  Progestins
  3. C)  Naprosyn (Naproxen)
  4. D)  Ibuprofen (Motrin)

Ans: B
Feedback:
Progestins are used to suppress ovarian function in dysmenorrhea, endometriosis, endometrial cancer, and uterine bleeding. Estrogen is not administered alone, but in combination with progestins. Nonsteroidal anti-inflammatory agents, such as naproxen and ibuprofen, decrease pain and inflammation but do not affect ovarian function.

5. A woman of childbearing age is diagnosed with breast cancer. She is currently taking hormonal contraceptives. What information should the woman be given regarding the hormonal contraceptives?

  1. A)  The hormonal contraceptives do not affect the course of the disease.
  2. B)  The hormonal contraceptives will stimulate uterine bleeding.
  3. C)  The hormonal contraceptives will impair uterine bleeding.
  4. D)  The hormonal contraceptives will stimulate tumor growth.

Ans: D

Feedback:

With known or suspected cancers of the breast or genital tissues, hormonal contraceptives may stimulate tumor growth. The hormonal contraceptives should be discontinued due to adverse reactions and stimulated tumor growth. The hormonal contraceptives will not inhibit tumor growth. The hormonal contraceptives can decrease uterine bleeding, but this action is not related to the breast tumor. The hormonal contraceptives will not stimulate or impair uterine bleeding in relation to the breast mass.

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