Contraception and Uterine Stimulants

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Questions and Answers

What condition would be a contraindication for estrogen or estradiol medication?

  • Painful menstruation
  • Post-menopausal symptoms
  • Deep vein thrombosis (DVT) (correct)
  • Contraception

A patient is prescribed medroxyprogesterone. What key education point should the nurse emphasize?

  • Avoid sun exposure.
  • Take the medication on an empty stomach.
  • Increase calcium intake and vitamin D. (correct)
  • Limit calcium intake.

Oxytocic is prescribed for a postpartum patient. What adverse effect requires close monitoring?

  • Bradycardia
  • Decreased urine output
  • Painful uterine contractions (correct)
  • Hypotension

During oxytocin administration, a patient reports feeling hyperstimulation of the uterus. What is the priority nursing action?

<p>Stop the drug infusion. (B)</p> Signup and view all the answers

A patient is prescribed a uterine stimulant (methyxogenonie). What side effect should the patient be educated to report immediately?

<p>Abdominal pain and hypertension (C)</p> Signup and view all the answers

Tamsulosin is prescribed for a patient with BPH. What is the primary mechanism of action of this medication?

<p>Relaxing the smooth muscles of the prostate (D)</p> Signup and view all the answers

A patient taking tamsulosin reports dizziness. What nursing action is most appropriate?

<p>Monitor the patient's blood pressure. (B)</p> Signup and view all the answers

Sildenafil is prescribed for a male patient. What condition in the patient's history would be a contraindication?

<p>Cardiovascular disease (D)</p> Signup and view all the answers

Finasteride is prescribed for a male patient with BPH. What is a potential side effect the patient should be aware of?

<p>Erectile dysfunction (D)</p> Signup and view all the answers

Why is finasteride contraindicated in pregnant women?

<p>It inhibits testosterone conversion (D)</p> Signup and view all the answers

Terbutaline is administered to a pregnant patient experiencing preterm labor. What side effect should the nurse closely monitor?

<p>Angina (D)</p> Signup and view all the answers

A patient is receiving terbutaline for preterm labor. How long can terbutaline be administered for?

<p>No more than 48 hours (A)</p> Signup and view all the answers

Testosterone is prescribed for a male patient. What condition would be a contraindication to this medication?

<p>Prostate cancer (B)</p> Signup and view all the answers

A male patient is prescribed testosterone therapy. What potential side effect should the patient be educated about?

<p>Acne (D)</p> Signup and view all the answers

What is the primary application of estrogen or estradiol?

<p>Treating post-menopausal symptoms (B)</p> Signup and view all the answers

What is the purpose of using progesterone along with estrogen?

<p>To regulate menstrual cycles and prevent dysmenorrhea (C)</p> Signup and view all the answers

A patient is prescribed an oxytocic medication following childbirth. What is the primary therapeutic effect of this drug?

<p>Stimulating uterine contractions to control postpartum bleeding (A)</p> Signup and view all the answers

In which scenario would the administration of a uterine stimulant be most appropriate?

<p>To induce labor (D)</p> Signup and view all the answers

What is the primary therapeutic use of peripherally acting antiandrogenic medications?

<p>Treating benign prostatic hyperplasia (BPH) (C)</p> Signup and view all the answers

What is a key aspect patients should be taught regarding the male reproductive drug, androgens?

<p>They have a high risk of abuse. (D)</p> Signup and view all the answers

Flashcards

Estrogen or Estradiol

A medication used for contraception, post-menopausal symptoms, and painful menstruation.

Progesterone

Can be used with estrogen for contraception or dysmenorrhea.

Oxytocic

Uterine stimulant used for labor induction and to treat postpartum hemorrhage.

Stimulant Uterine (methyxogenonie)

Stimulates the uterus. Side effects include abdominal pain, nausea, vomiting, and hypertension.

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Tamsulosin/Doxazosin

Relaxes the smooth muscles of the prostate, used for BPH.

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Sildenafil/Tadalafil

Treats erectile dysfunction.

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Finasteride

Used for BPH and to prevent testosterone conversion.

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Terbutaline

Used for preterm labor to relax the uterus and delay labor.

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Androgens (Testosterone)

Used during puberty in males to promote the development of male sex organs.

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Study Notes

  • Estrogen or estradiol is a contraception medication used for post-menopausal women and painful menstruation.

    • Side effects: embolic or blood clots, HTN, weight gain, edema, certain cancers
    • Contraindications: DVT, PE, MI or stroke, smoking, HTN, risk of blood clot
  • Progesterone (Medroxyone/norethindrone) can be used with estrogen for contraception or dysmenorrhea.

    • Side effects: increased risk of embolic events, menstrual changes, edema, breast cancer
    • Contraindication: blood clots
    • Injection of medroxy (Depo-Provera) can cause bone loss
    • Increase calcium and vitamin D intake during use
  • Oxytocic is a uterine stimulant used for labor induction and postpartum hemorrhage treatment.

    • Side effect: Painful contractions
    • Monitor contractions for 60-90 seconds, occurring every 2-3 minutes.
    • Stop if hyperstimulation occurs.
    • Monitor patient blood pressure, fetal pulse, and blood pressure.
  • Stimulant uterine (methyxogenonie) stimulates the uterus

    • Side effects: abdominal pain, nausea, vomiting, and hypertension
  • Peripherally acting antiandrogenic (Tamsulosin/doxazosin) is used for BPH and relaxes the smooth muscles of the prostate.

    • Side effects: Hypotension, dizziness, headache, and issues with ejaculation
    • Monitor: Blood pressure
    • Take the drug at the same time daily
  • Phosphodiesterase type 5 inhibitors (sildenafil/tadalafil) treat erectile dysfunction.

    • Side Effects: MI
    • Use cautiously in men with cardiovascular disease due to contraindications
  • Androgen inhibitors (Finasteride) are used for BPH and prevent testosterone conversion

    • Side effects: erectile dysfunction, increased hair growth
    • Contraindication: pregnancy
  • Beta 2 adrenergic agonist (terbutaline) is used for preterm labor to delay labor by relaxing the uterus.

    • Side effects: angina, tachycardia, hypokalemia, dysthymias, restlessness, and tremor
    • Monitor for no more than 48 hours and only use under 37 weeks of gestation
  • Male reproductive drugs (androgens/testosterone) are used during puberty in males to promote the development of male sex organs.

    • Contraindication: prostate cancer
    • Side effects: acne, edema, liver dysfunction, premature epiphyseal closure
    • Can be a highly abused drug

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