ATI RN
Chapter 14 Drugs for the Reproductive System Questions
Question 1 of 5
A client has an epidural for pain control during labor. During the assessment, the nurse notes a drop in the client's blood pressure. Which priority nursing intervention would the nurse do?
Correct Answer: B
Rationale: The correct answer is B: Turn her on her left side. Rationale: 1. Turning the client on her left side promotes blood flow to the placenta, increasing perfusion to the fetus. 2. This position helps alleviate hypotension by preventing compression of the vena cava. 3. It is a non-invasive and immediate intervention to address the drop in blood pressure. Summary: A: Administering low-flow oxygen is not the priority in this case as hypotension is likely due to epidural-induced vasodilation, not hypoxia. C: Assessing urinary output is important but not the immediate priority when addressing a drop in blood pressure. D: Monitoring vaginal bleeding is not relevant to the drop in blood pressure related to epidural administration.
Question 2 of 5
The nurse is instructing a patient on the use of depot medroxyprogesterone acetate. Which statements are correct? (Select one that doesn't apply.)
Correct Answer: A
Rationale: Correct Answer: A Rationale: Depot medroxyprogesterone acetate is a progestin-only contraceptive that commonly causes changes in menstrual patterns. By inhibiting ovulation, it can lead to irregular bleeding, amenorrhea, or spotting. Patients should be informed about these potential changes. Increasing calcium intake is not specifically related to this medication. While patients can experience irregular bleeding initially, it is not accurate to say they do not have any changes in their periods. Depot medroxyprogesterone acetate is safe to use while breastfeeding, as it does not affect milk production or quality.
Question 3 of 5
A married man with two daughters is taking finasteride to treat benign prostatic hyperplasia. Which nursing assessment data are most critical in developing a care plan? (Select one that doesn't apply.)
Correct Answer: D
Rationale: Step 1: Identify the key information - married man with daughters taking finasteride. Step 2: Understand finasteride - primarily used for BPH but can also promote hair growth. Step 3: Critical assessment - hair growth is not a priority for BPH treatment. Step 4: Focus on patient's well-being - libido, urinary retention, and dosing are more relevant. Step 5: Final assessment - D is incorrect as hair growth is not a priority concern.
Question 4 of 5
Which phase of the menstrual cycle is characterized by the repair and growth of the endometrium?
Correct Answer: D
Rationale: The correct answer is D: Proliferative phase. During this phase, which occurs after the menstrual phase, the endometrium thickens and becomes more vascularized in preparation for potential implantation of a fertilized egg. This phase is characterized by the repair and growth of the endometrium, making it the correct choice. A: Follicular phase - This phase occurs before ovulation and is primarily focused on follicle development, not endometrial repair and growth. B: Luteal phase - This phase occurs after ovulation and is mainly associated with the formation and maintenance of the corpus luteum, not endometrial repair and growth. C: Menstrual phase - This phase involves shedding of the endometrium, not repair and growth.
Question 5 of 5
Which structure produces testosterone in males?
Correct Answer: D
Rationale: The correct answer is D: Leydig cells. Leydig cells are located in the testes and are responsible for producing testosterone in males. Testosterone is a key hormone for male development and reproductive function. The other choices (A: Epididymis, B: Seminiferous tubules, C: Prostate gland) are not involved in testosterone production. The epididymis stores and transports sperm, seminiferous tubules produce sperm, and the prostate gland secretes fluids that nourish and protect sperm. Therefore, Leydig cells are the correct choice for testosterone production in males.