Drexel NURS 641 pregnancy, lactation, contraception,
herbs questions with correct answers
how long should Depo Provera be used and why? Correct Answer-2
years due to increase risk of bone mineral disorder
what is female athlete triad? Correct Answer-eating disorder,
amenorrhea, osteoporosis
dysmenorrhea Correct Answer-affects 30-40%; due to myometrial
activity induced by prostigandins; Tx NSAIDs (2-3 days b/f menses),
oral contraceptives, integrative tx
PMS (premenstrual syndrome) Correct Answer-Nervous tension, mood
swings, headaches, bloating, irritability;Ibuprofen days 17 - 28 of cycle
may help; Reduce salt, sugar, caffeine, chocolate, red meat, dairy and
alcohol
Vitamin B6 100 mg/day Calcium carbonate 1200 to 1600 mg per day
may help
PMDD (premenstrual dysphoric disorder) Correct Answer-group of
symptoms similar to but more severe than PMS, including severe mood
disturbances; SSRIs are first line therapy
Spironolactone, OCs and NSAIDS
endometriosis Correct Answer-Growth of endometrial tissue outside of
uterus; chronic cyclical inflammation, fibrosis, scars, adhesions,
, infertility; TX GnRH agonist for 3 months, Danazol for 6 months,
NSAID's, OC, remove xenoestrogens, Ca, Mg, Omega 3 supplements
PCOS treatment Correct Answer-OCP, spironolactone, clomiphene,
HMG, metformin
PCOS Correct Answer-polycystic ovarian syndrome; ◦High estrogen,
testosterone and LH
◦Decreased FSH
◦Ovaries double in size with multiple follicular cysts
◦Impaired glucose tolerance and hyperinsulinemia
◦High risk of developing type 2 DM
GnRH (gonadotropin-releasing hormone) Correct Answer-used for
fertility tx given in pulsatile doses (if pt has functional pituitary and
ovary to produce LH surge to initiate ovulation; also used to tx
endometriosis, fibroids, suppress prostate CA
Human menopausal gonadotropin (hMG) Correct Answer-A
gonadotropin isolated from the urine of postmenopausal women,
consisting primarily of follicle-stimulating hormone (FSH) with variable
amounts of LH, used for ovulation induction.•(follitropin [Fertinex],
menotropins [Pergonal, Humegon])
Zidovudine (AZT) Correct Answer-Antiviral: prototype nucleoside
inhibitor of HIV reverse transcriptase (NRTI). used in pregnant women
to reduce transmission to fetus