Which medication will the nurse identify as being used to manage nonmetastatic gestational trophoblastic disease?

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Terms in this set (11)

Which cardiovascular adverse effect would the nurse associate with the use of clomiphene?

- ischemia
- chest pain
- tachycardia
- hypertensiion

tachycardia

rationale: clomiphene is used to induce ovulation. tachycardia is reported with the use of clomiphen. ischemia and hypertension are not associated with clomiphene. chest pain may occur with the use of clomiphene as a rare adverse effect

which medication would the nurse identify as being used to induce abortion?

- oxytocin
- mifepristone
- dinoprostone
- indomethacin

mifepristone

which is the most common cause of ophthalmia neonatorun in infants born to adolescent mothers?

- chlamydia
- gonorrhea
- human papilloma virus
- herpes simplex virus

chlamydia

rationale: ophthalmia neonatorum is a neonatal infection causes when the infant is born to a mother who has a chlamydia infection

which hormone would the nurse identify as causing ovulation and promoting lactation?

- estrogen
- oxytocin
- progestin
- vasopressin

oxytocin

rationale: oxytocin stimulates uterine contractions, aids in ovulation, and promotes the movement of milk from the mammary glands to the nipples in lactating mothers. estrogen an progestin may cause ovulation but do not promote lactation. vasopressin may help in the retention of water by the kidneys

which medication would the nurse identify as being used to induce spontaneous abortions?

- oxytocin
- estradiol
- progestins
- clomiphene

oxytocin

rationale: oxytocin is used for spontaneous or induced abortions. estradiol may be given to alleviate postmenopausal hot flashes. progestins are used for birth control. clomiphene may be used as a fertility medication

which medication would the nurse identify as being used to manage nonmetastatic gestational trophoblastic disease?

- oxytocin
- mifepristone
- dinoprostone
- methyergonovine

dinoprostone

rationale: dinoprostone is a synthetic medication derived from naturally occurring prostaglandins. this medication is used to manage nonmetastatic gestional trophoblastic disease. methylergonovine is used to treat postpartun hemorrhage. oxytocin is used for labor induction. mifepristone is used to induce an abortion.

a client is taking fertility medications for the first time. which adverse effect of the medication would the nurse inform the client about?

- vaginitis
- constipation
- joint swelling
- deep vein thrombosis

constipation

rationale: constipation is seen in clients who are treated with fertility medications for the first time. fertility medications do not cause vaginitis or swelling of the joints. deep vein thrombosis is an adverse effect of prolonged use of fertility medications.

which medication may cause Ebstein anomaly as a teratogenic effect and is contraindicated in breast-feeding clients?

- lithium
- ibuprofen
- vitamin A
- nitrofurantoin

lithium

rationale: lithium may cause Ebstein anomaly as a teratogenic effect. this medication is also contraindicated in breast-feeding clients. ibuprogen is a nonsteroidal anti-inflammatory drug that may cause the premature closure of the ductus arteriosus as a teratrogenic effect. this medication is safe for breast-feeding clients to use. vitamin A may cause heart defects as a teratogenic effect. nitrofurantoin may cause heart defects.

the nurse identifies which medication as an abortion pill?

- oxytocin
- misoprostol
- mifepristone
- methylergonovine

mifepristone

rationale: mifepristone activates uterine contractions and causes abortion. this drug is used in the voluntary termination of pregnancy and is known as the abortion pill. pregnant women are sensitive to oxytocin, which causes uterine contractions and may lead to abortion. misoprostol is a synthetic prostaglandin usually given with mifepristone. methylergonovine is an ergot alkaloid used to treat postpartum hemorrhage

which medication may be used to treat postpartum hemorrhage?

- clomiphene
- menotropins
- dinoprostone
- methylergonovine

methylergonovine

rationale: methylergonovine is a medication of choice used to treat postpartum hemorrhage. clomiphene and menotropins are ovulation stimulants given to induce ovulation in infertile women. dinoprostone is used to induce cervical ripening and cause termination of a pregnancy

which hypothalamic hormone would the nurse identify as helping treat postpartum uterine atony and hemorrhage?

- oxytocin
- indomethacin
- dinoprostone
- methylergonovine

oxytocin

rationale: oxytocin is a hypothalamic secretory hormone that helps treat postpartum uterine atony and hemorrhage. indomethacin helps maintain a pregnancy in preterm labor. dinoprostone causes ripening of the cervix during labor. methylergonovine is an ergot alkaloid that helps treat postpartum uterine atony and hemorrhage

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Which medication is indicated to evacuate the uterus for a miscarriage quizlet?

Misoprostol-only regimen can be used for medical evacuation of spontaneous miscarriage successfully with minimal adverse effects if given as indicated and if the administered dose, frequency of the dosage, and number of total doses are appropriate.

Which medication may be used to treat postpartum hemorrhage clomiphene?

Pharmacotherapy. Pharmacotherapeutic options for PPH management are summarized in Table 2. Oxytocin, methylergonovine, and carboprost are approved by the FDA for PPH management, while misoprostol and tranexamic acid are not.

Which medication used to promote fertility would the nurse identify?

Clomiphene. Clomiphene citrate (Clomid or Serophene) is a well-known and trusted medication used in the management of ovulatory disorders, including PCOS.

Which hormone would the nurse identify as causing ovulation and promoting lactation?

Gonadotropin-releasing hormone (GnRH), which helps control sexual and reproductive functions, including pregnancy and lactation (i.e., milk production)