ATI RN
Drugs Affecting the Female Reproductive System NCLEX Quizlet Questions
Question 1 of 5
The nurse, working with a preconceptional couple at an infertility clinic, advises the woman to take which supplement for at least 3 months before becoming pregnant?
Correct Answer: C
Rationale: The correct answer is C: Folic acid. Folic acid is crucial for preventing neural tube defects in the fetus. Taking it before conception helps ensure adequate levels during early pregnancy. Iron is important for pregnant women but not necessarily for preconception. Ginger and Vitamin B6 do not have specific benefits related to preconception or pregnancy.
Question 2 of 5
A client is to have lumbar epidural anesthesia. Which nursing action is appropriate?
Correct Answer: C
Rationale: The correct answer is C because infusing 500 to 1000 mL of a crystalloid intravenous solution is appropriate to maintain hydration and fluid balance during lumbar epidural anesthesia. This helps prevent hypotension and supports renal function. A: Citric acid/sodium citrate is used to prevent blood clotting during dialysis, not for epidural anesthesia. B: Promethazine is an antiemetic and antihistamine, not indicated for epidural anesthesia. D: Rh0(D) immune globulin injection is used to prevent Rh incompatibility in pregnancy, not relevant to lumbar epidural anesthesia.
Question 3 of 5
Spinal anesthesia with morphine is administered to a client for pain relief during cesarean section. The client complains of itching. The nurse prepares to administer which drug?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Itching post-spinal morphine is due to histamine release. 2. Diphenhydramine is an antihistamine that can relieve itching. 3. Ephedrine is a vasoconstrictor, not for itching. 4. Butorphanol is an opioid analgesic, not for itching relief. 5. Lidocaine is a local anesthetic, not for itching. Therefore, Diphenhydramine (Choice A) is the correct choice.
Question 4 of 5
A 24-year-old patient tells the nurse that she would like to use the progestin-only pill for contraception. Nursing evaluation of this patient as a candidate for the progestin-only pill includes what?
Correct Answer: C
Rationale: The correct answer is C because assessing patient reliability in taking an oral pill daily is crucial for the effectiveness of the progestin-only pill. This method requires strict adherence to a daily regimen. Asking about past childbirth (A) is not directly relevant to assessing candidacy. Assessing regular periods (B) may be important but not as critical as daily pill-taking reliability. Inquiring about past smoking habits (D) is important for overall health but not specific to progestin-only pill candidacy.
Question 5 of 5
A 48-year-old patient arrives at the clinic to discuss her perimenopausal symptoms. She states that her last menstrual period was 8 months ago, and before that, her periods had been irregular. What is the most important nursing advice to give this patient?
Correct Answer: B
Rationale: The correct answer is B: The patient should be using some form of contraception to avoid pregnancy. This is the most important nursing advice because even though the patient is experiencing irregular periods and may be in perimenopause, there is still a risk of pregnancy until menopause is confirmed. Providing advice on contraception is crucial to prevent an unplanned pregnancy at this stage. Choice A is incorrect because hormone therapy is not just used for hot flashes and vaginal dryness; it can also help manage other perimenopausal symptoms. Choice C is incorrect as a dual-energy X-ray absorptiometry scan is not the most immediate concern for this patient. It may be relevant to assess bone density in the future, but contraception should be addressed first. Choice D is incorrect because herbal supplementation may not be the safest or most effective way to manage perimenopausal symptoms, and it does not address the risk of pregnancy.