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Understanding Pharmacology: Essentials for Medication Safety

M. Linda Workman; Linda A. LaCharity

Chapter 32

Drug Therapy for Female Reproductive Issues - all with Video Answers

Educators


Chapter Questions

02:48

Problem 1

Which activity must you advise the patient to avoid while taking perimenopausal hormone replacement therapy?
A. Smoking cigarettes
B. Having sexual intercourse
C. Drinking alcoholic beverages
D. Engaging in moderate-to-heavy exercise

Christina Sorrentino
Christina Sorrentino
Numerade Educator
01:42

Problem 2

Which side effects are most commonly associated with perimenopausal hormone replacement therapy? (Select all that apply.)
A. Acne
B. Breast tenderness
C. Fluid retention
D. Hair thinning
E. Increased risk for urinary tract infection
F. Night sweats
G. Vaginal dryness
H. Weight gain

Parvati Devi
Parvati Devi
Numerade Educator
00:58

Problem 3

For women who have a uterus and who are taking perimenopausal hormone replacement therapy, which adverse effect of the therapy is possible?
A. Unplanned pregnancy
B. Excessive uterine bleeding
C. Increased risk for miscarriage
D. Delayed ovulation suppressing fertility

Tate Hilken
Tate Hilken
Numerade Educator
00:37

Problem 4

Which hormone-based drug for birth control is delivered as an intrauterine contraceptive?
A. etonogestrel (Implanon)
B. ethinylestradiol, norethindrone (Brevicon)
C. levonorgestrel (Mirena)
D. norethindrone (Jolivette)

Hunza Gilgit
Hunza Gilgit
Numerade Educator

Problem 5

Which electrolyte should be closely monitored in any patient using an oral contraceptive that contains drospirenone?
A. Sodium
B. Potassium
C. Calcium
D. Magnesium

Check back soon!

Problem 6

For which woman is the use of perimenopausal hormone replacement therapy contraindicated?
A. 50-year-old who had her gall bladder removed 10 years ago
B. 55-year-old who had a hysterectomy 15 years ago
C. 45-year-old who was treated for breast cancer 5 years ago
D. 48-year-old who used oral contraceptives for 20 years

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01:13

Problem 7

How do hormonal contraceptives that contain only progestin (progesterone) prevent pregnancy?
A. Inhibiting a woman's libido.
B. Keeping the uterine lining too thick to allow fertilization.
C. Thickening the cervical mucus and preventing sperm movement.
D. Tightening the opening of the cervix, preventing sperm from entering.

Joanna Quigley
Joanna Quigley
Numerade Educator
01:16

Problem 8

A woman who wants to use hormonal contraception has all these health problems. Which one makes the use of this type of birth control a poor choice for her?
A. She has hepatitis $\mathrm{C}$.
B. She is $20 \mathrm{lb}$ overweight.
C. Her mother died of ovarian cancer.
D. Her menstrual periods are irregular.

Hast Aggarwal
Hast Aggarwal
Numerade Educator
04:53

Problem 9

A woman who has used hormonal contraception for 3 years calls and tells you that she has had pain in her right groin for 2 days and now her right leg is swollen. What is your best action?
A. Reassure her that this is an expected side effect of hormonal contraception.
B. Tell her that this means the contraception has failed and she is pregnant.
C. Suggest that she elevate her legs and apply a heating pad.
D. Tell her to notify the prescriber immediately.

Trizia Isaac
Trizia Isaac
Numerade Educator
00:19

Problem 10

Why should hormonal contraception be discontinued if pregnancy occurs?
A. The hormonal contraceptives are expensive and no longer needed when pregnancy occurs.
B. The risk for birth defects is increased with the use of hormonal contraceptives during pregnancy.
C. The hormones in the contraceptive compete with natural hormones of pregnancy and increase the risk for miscarriage.
D. Taking hormonal contraceptives during pregnancy greatly increases the risk for development of excessive uterine bleeding at delivery.

Morgan Thompson
Morgan Thompson
Numerade Educator