Pharmacology Clear And Simple A Guide to Drug 2nd Edition By Watkins
Pharmacology Clear And Simple A Guide to Drug 2nd Edition By Watkins
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Chapter 20. Reproductive and Urinary System Medications
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The LPN is talking to her sister about various birth control methods. Her sister says, “Bill and I just got married and we don’t want to start a family for quite a while. Isn’t there something that works long term but isn’t permanent?” Which of the following methods of birth control would the nurse suggest?
| A. | Ethinyl estradiol and etonogestrel (NuvaRing) |
| B. | Nonoxynol-9 containing spermicide (Encare) |
| C. | Transdermal patches (Ortho Evra) |
| D. | Levonorgestrel intrauterine device (Mirena) |
____ 2. The LPN is assisting in the care of a client who wants to discuss hormone replacement therapy (HRT) for menopause. The client states, “My mother died of breast cancer, so I want to avoid anything that increases my chances of getting that.” The nurse would base a response on which of the following principles?
| A. | There is no link between HRT and breast cancer. |
| B. | HRT increases the risk of breast cancer development. |
| C. | HRT decreases the risk of breast cancer development. |
| D. | Studies involving HRT and breast cancer development have not been done. |
____ 3. A woman at 42 weeks gestation is in for an appointment with the gynecologist. The woman reports inconsistent contractions on and off for three days and it is determined the cervix is not dilated at this time. The doctor informs the woman that they would like to provide dinoprostone (Prepidil). The nurse would help the woman understand this medication by stating which of the following?
| A. | “It is given in IV form and is designed to stimulate labor within a few minutes.” |
| B. | “It is a gel placed on the cervix to help soften it and should allow labor to start in 6 hours or less.” |
| C. | “It is a cream inserted into the vagina to help prevent cervical dilation and postpone delivery.” |
| D. | “It is an intramuscular injection given to help reduce muscle tension and stop contractions.” |
____ 4. An LPN working at an obstetrician’s office is talking to a woman who says, “I just hope I don’t have to have any pitocin. My sister had that when she was in labor and she said it was awful.” The nurse’s response would be based on which of the following principles?
| A. | If pitocin is used during delivery there is increased risk of uterine cancer later in life. |
| B. | Pitocin is given in the physician’s office to initiate labor. |
| C. | Women who use pitocin are being prepared for a cesarean section. |
| D. | Pitocin is a synthetic oxytocin used to encourage uterine contractions. |
Answer Section
MULTIPLE CHOICE
TOP: Therapeutic Classification: Reproductive and Urinary System Medications
KEY: Application MSC: NCLEX Category: Health Promotion and Maintenance
NOT: See Master the Essential Table and Contraceptive Medications (p. 366–369; 369–370): Levonorgestrel intrauterine device can be placed by a physician and left in place for up to 5 years. This device contains progestin and makes the uterus a very unwelcoming place for sperm. NuvaRing must be replaced each month, Transdermal patches are replaced weekly, and spermicides are used with each act of intercourse in conjunction with barrier methods of birth control.
TOP: Therapeutic Classification: Reproductive and Urinary System Medications
KEY: Comprehension MSC: NCLEX Category: Reduction of Risk Potential
NOT: See Master the Essential Table and Hormone Replacement Therapy (p. 366–369; 370–371): Hormone replacement therapy has been shown to increase the risk of breast cancer, stroke, and blood clots.
TOP: Therapeutic Classification: Reproductive and Urinary System Medications
KEY: Analysis MSC: NCLEX Category: Health Promotion and Maintenance
NOT: See Master the Essential Table and Labor Medications (p. 366–369; 372): Normal gestation is 40 weeks so this woman’s labor should most likely be started artificially. The use of dinoprostone as a gel inserted into the cervix to allow cervical ripening generally allows labor to start within about 6 hours.
TOP: Therapeutic Classification: Reproductive and Urinary System Medications
KEY: Application MSC: NCLEX Category: Health Promotion and Maintenance
NOT: See Master the Essential Table and Labor Medications (p. 366–369; 372): Pitocin is synthetic oxytocin used to stimulate uterine contractions. There is no association with uterine cancer, and this drug must be given in a controlled environment. Pitocin is used to encourage the labor process and ideally to prevent cesarean section.
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