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
Unit 4 EXAM: Reproductive Function
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
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?
A) 3 months
B) 6 months
C) 1 year
D) 3 years
Ans: D
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
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) ìThe effect of oral contraceptives containing progestin is reduced by phenytoin.î
B) ìThe effect of oral contraceptives containing progestin and estrogen is reduced by
phenytoin.î
C) ìThe effect of oral contraceptives containing estrogen is reduced by phenytoin.î
D) ìYou will need to increase the dosage of your phenytoin once you start
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, contraceptives.î
Ans: B
6. A patient is using a progestin vaginal gel. What possible adverse effects should the
nurse tell the patient about?
A) Diarrhea
B) Breast enlargement
C) Abdominal pain
D) Local skin irritation
Ans: B
7. The nurse is preparing to administer an infusion of oxytocin (Pitocin) to the pregnant
patient. What is the priority assessment before beginning the infusion?
A) Cervical dilation
B) Cephalopelvic proportions
C) Electrocardiogram readings
D) Respiratory excursion
Ans: B
8. A nurse is taking care of a woman receiving an abortifacient. The nurse is aware that the
most serious adverse effect is what?
A) Vomiting
B) Nausea
C) Uterine rupture
D) Diarrhea
Ans: C
9. A 13-year-old teenage girl is started on oral contraceptives. When following this girl in
the clinic, what is the nurse's priority assessment?
A) Closure of the epiphyses
B) Menstrual patterns
C) Nutrition
D) Cognitive development
Ans: B
10. A patient is in the clinic for a follow-up visit after having been on hormone replacement
therapy for 3 months. Which report by the patient would immediately concern the
nurse?
A) Smoking a pack of cigarettes a day
B) Gaining 10 pounds in the last 3 months
C) Craving sugar
D) Spending less time exercising
Ans: A
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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
Unit 4 EXAM: Reproductive Function
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
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?
A) 3 months
B) 6 months
C) 1 year
D) 3 years
Ans: D
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
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) ìThe effect of oral contraceptives containing progestin is reduced by phenytoin.î
B) ìThe effect of oral contraceptives containing progestin and estrogen is reduced by
phenytoin.î
C) ìThe effect of oral contraceptives containing estrogen is reduced by phenytoin.î
D) ìYou will need to increase the dosage of your phenytoin once you start
Page 1
, contraceptives.î
Ans: B
6. A patient is using a progestin vaginal gel. What possible adverse effects should the
nurse tell the patient about?
A) Diarrhea
B) Breast enlargement
C) Abdominal pain
D) Local skin irritation
Ans: B
7. The nurse is preparing to administer an infusion of oxytocin (Pitocin) to the pregnant
patient. What is the priority assessment before beginning the infusion?
A) Cervical dilation
B) Cephalopelvic proportions
C) Electrocardiogram readings
D) Respiratory excursion
Ans: B
8. A nurse is taking care of a woman receiving an abortifacient. The nurse is aware that the
most serious adverse effect is what?
A) Vomiting
B) Nausea
C) Uterine rupture
D) Diarrhea
Ans: C
9. A 13-year-old teenage girl is started on oral contraceptives. When following this girl in
the clinic, what is the nurse's priority assessment?
A) Closure of the epiphyses
B) Menstrual patterns
C) Nutrition
D) Cognitive development
Ans: B
10. A patient is in the clinic for a follow-up visit after having been on hormone replacement
therapy for 3 months. Which report by the patient would immediately concern the
nurse?
A) Smoking a pack of cigarettes a day
B) Gaining 10 pounds in the last 3 months
C) Craving sugar
D) Spending less time exercising
Ans: A
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