Chapter 58: Drugs for Disorders in Women’s Health, Infertility, and Sexually Transmitted Infections

Chapter 58: Drugs for Disorders in Women’s Health, Infertility, and Sexually Transmitted Infections

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The parent of a 16-year-old female tells the nurse that the child has not had a menstrual period in spite of having breast and pubic hair development. The nurse recognizes this as characteristic of which condition?

a.	Dysmenorrhea
b.	Hypothyroidism
c.	Primary amenorrhea
d.	Secondary amenorrhea

 

 

ANS:  C

Females who have never had a period have primary amenorrhea, which is defined as no menses by age 14 without secondary sex characteristics, or no menses by age 16 with secondary sex characteristics. Dysmenorrhea refers to painful cramping with periods. Hypothyroidism can contribute to secondary amenorrhea, which is characterized by cessation of periods for at least 6 months once menses have begun.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Page 886

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Pathophysiology

 

2. A young woman reports not having a period for 7 months. Which test will the provider likely order first to evaluate the cause of amenorrhea in this patient?

a.	Pelvic ultrasound
b.	Pregnancy test
c.	Progestational challenge test
d.	Serum insulin levels

 

 

ANS:  B

When secondary amenorrhea occurs, pregnancy must be ruled out prior to performing other tests. A progestational challenge test will be performed if the patient is not pregnant. If polycystic ovarian syndrome is suspected, serum insulin levels and possibly a pelvic ultrasound will be performed.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 886

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Pathophysiology

 

3. A woman is diagnosed with polycystic ovarian disease (PCOS) after being unable to conceive. Her provider has ordered metformin (Glucophage) and clomiphene citrate (Clomid). The nurse will explain that metformin is given for which purpose?

a.	To increase androgen levels
b.	To induce ovulation
c.	To promote a dominant follicle
d.	To regulate menstrual periods

 

 

ANS:  D

Metformin decreases androgen levels, which helps to regulate periods. It does not induce ovulation but increases the possibility of ovulation by its antiandrogenic effects. Clomiphene citrate promotes a dominant follicle.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 887

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. A 30-year-old woman describes having periods every 30 days, lasting 8 days, with heavy bleeding. The nurse understands that these are signs of which condition?

a.	Menometrorrhagia
b.	Menorrhagia
c.	Menorrhea
d.	Metrorrhagia

 

 

ANS:  B

Menorrhagia is defined as regular uterine bleeding lasting more than 7 days with heavy bleeding. Metrorrhagia is irregular uterine bleeding lasting more than 7 days with heavy bleeding. Menorrhea is normal uterine bleeding. Menometrorrhagia is a combination of menorrhagia and metrorrhagia.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Page 887

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Pathophysiology

 

5. A woman who has menorrhagia is prescribed ibuprofen, and she asks the nurse how a pain medication can decrease uterine bleeding. The nurse will explain that this is most likely explained by ibuprofen’s effects on

a.	estrogen levels.
b.	platelet aggregation.
c.	prostaglandin production.
d.	uterine endometrium.

 

 

ANS:  C

Ibuprofen blocks prostaglandin production, which decreases uterine bleeding and cramps. Ibuprofen does not affect estrogen levels. Its effects on platelet aggregation would most likely increase bleeding. It does not have effects on the uterine endometrium.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Page 888

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies