Chapter 62: Drug Therapy of Infertility

Chapter 62: Drug Therapy of Infertility

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

 

1. An infertile patient has been found to have unfavorable cervical mucus. The nurse should suspect that the patient has been taking which medication that would contribute to this problem?

a.	Estrogen
b.	Progesterone
c.	Clomiphene (Clomid)
d.	Follicle-stimulating hormone (FSH)

 

 

ANS:   C

Clomiphene causes the production of unfavorable mucus. Because it has antiestrogenic actions, clomiphene may force the production of scant and viscous cervical mucus.

Estrogen actually is given to create a favorable cervical mucous environment.

Progesterone and FSH would not contribute to an unfavorable environment.

 

DIF:    Cognitive Level: Application             REF:    p. 752

TOP:    Nursing Process: Evaluation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. Bromocriptine (Parlodel) is prescribed for an infertile woman. The nurse understands that the reason for this prescription is most likely to counteract which substance?

a.	Progesterone
b.	Alkaline phosphatase
c.	Prolactin
d.	Glucose

 

 

ANS:   C

Prolactin is counteracted by bromocriptine. Infertility may occur in association with excessive prolactin secretion.

Progesterone, alkaline phosphatase, and glucose are not counteracted by bromocriptine.

 

DIF:    Cognitive Level: Analysis                  REF:    p. 756

TOP:    Nursing Process: Evaluation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. A nurse working at an infertility clinic is working with an infertile patient who suffers from endometriosis and is considering therapy with either surgery or medications. To assist the patient in making an informed decision, the nurse should provide what education that is most pertinent?

a.	Surgery is unlikely to improve her chances of conception.
b.	Only medications can enhance fertility.
c.	Surgery reduces symptoms and can enhance fertility.
d.	Medical therapy is less costly.

 

 

ANS:   C

The most pertinent education the nurse should provide is that surgery reduces symptoms and can enhance fertility.

Surgery is not likely to improve the patient’s chances of conception.

Medications are not the only option to enhance fertility.

Medication therapy is not less costly than surgery.

 

DIF:    Cognitive Level: Application             REF:    p. 753

TOP:    Nursing Process: Implementation

MSC:   NCLEX Client Needs Category: Health Promotion and Maintenance

 

4. The nurse is teaching a class on polycystic ovary syndrome (PCOS) to a group of nurses at an OB/GYN clinic. The nurse is trying to evaluate understanding among the class. Which statement by one of the nurses demonstrates a need for further teaching? “Treatment options for PCOS include

a.	weight loss.”
b.	clomiphene (Clomid).”
c.	metformin (Glucophage).”
d.	glucocorticoids.”

 

 

ANS:   D

Glucocorticoids are not indicated in the treatment of PCOS; this statement indicates that further teaching is required.

Weight loss, Clomid, and Glucophage are all treatment options for PCOS; no further teaching is required.

 

DIF:    Cognitive Level: Analysis                  REF:    p. 753

TOP:    Nursing Process: Evaluation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies