Nursing Pharmacology and Drug Administration

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Questions and Answers

What is the primary purpose of successful contraception for sexually active women of reproductive age?

To promote health and well-being. (correct)

To enhance mental health stability.

To encourage increased physical activity.

To prevent sexually transmitted infections.

Which hormone is most commonly found in combined hormone contraception products?

Mestranol.

Ethinyl estradiol. (correct)

Progesterone.

Follicle-stimulating hormone.

During which stage of a woman's life does menopause occur?

Gestational phase.

Post-reproductive phase. (correct)

Menarche phase.

Reproductive age phase.

Which of the following is a natural hormone with progesterone-like effects?

Progestin. Signup and view all the answers

What does the term 'combined hormone contraception' specifically refer to?

Products that combine synthetic estrogen and progestin. Signup and view all the answers

What significant health aspect is vital for older women during menopause?

Control of menopausal symptoms and continued sexual wellness. Signup and view all the answers

Which of the following hormones is converted into ethinyl estradiol in the body?

Mestranol. Signup and view all the answers

Which statement captures the essence of the reproductive life cycle of women?

It is marked by phases from menarche to menopause. Signup and view all the answers

What primarily interferes with contractions within the uterus to impede sperm migration in the ParaGard T 380A?

Copper Signup and view all the answers

Which method does the Mirena IUS employ to inhibit sperm from entering the upper reproductive tract?

Thickening of cervical mucus Signup and view all the answers

What is the maximum duration for which the ParaGard T 380A can remain in place?

10 years Signup and view all the answers

Which of the following is a contraindication for using the LNG-IUS?

Known or suspected pregnancy Signup and view all the answers

What action does methotrexate perform in the context of medical abortion?

Terminates the pregnancy in the uterus Signup and view all the answers

How does the LNG-IUS affect sperm migration?

By modifying uterotubal fluid Signup and view all the answers

What secondary effect of ParaGard T 380A helps prevent implantation in case conception occurs?

Inflammation of the endometrium Signup and view all the answers

What is the earliest postpartum insertion period for both ParaGard and LNG-IUS?

6 weeks Signup and view all the answers

What is the primary purpose of progestins in combined hormonal contraception (CHC) products?

To inhibit ovulation and balance estrogen effects Signup and view all the answers

Which of the following best describes a biphasic combined oral contraceptive (COC) product?

It has a reduced amount of progestin in the first half and increased in the second half. Signup and view all the answers

What is the key characteristic of triphasic COC products?

They deliver hormones in three varying ratios throughout the menstrual cycle. Signup and view all the answers

What differentiates the continuous dosing COC product Seasonale from typical COC products?

It includes 84 days of active pills followed by 7 days of inert pills. Signup and view all the answers

Which feature is unique to the Ortho-Evra transdermal patch among combined hormone contraception methods?

It is applied weekly for a maximum of three weeks straight. Signup and view all the answers

What is the effectiveness range of combined oral contraception products?

92% to 99.3% Signup and view all the answers

What is a common side effect associated with triphasic COC products?

Breakthrough bleeding Signup and view all the answers

What is an important characteristic of monophasic COCs?

They have a constant ratio of estrogen to progestin throughout the cycle. Signup and view all the answers

What is the recommended administration time for the IV dose?

15 minutes Signup and view all the answers

Which of the following statements about Raloxifene (Evista) is true?

It is a selective estrogen receptor modulator (SERM). Signup and view all the answers

What is the daily dosage of Teriparatide (Fortéo) administered subcutaneously?

20 mcg Signup and view all the answers

What is the frequency of administration for Denosumab (Prolia)?

Every six months Signup and view all the answers

What is the mode of delivery for Salmon calcitonin?

Intranasally as a spray Signup and view all the answers

Which of the following patients is Denosumab (Prolia) indicated for?

Patients with previous osteoporotic fractures Signup and view all the answers

What is the daily dosage for Salmon calcitonin when delivered?

200-IU Signup and view all the answers

Which hormone does Salmon calcitonin help to regulate in the body?

Calcium Signup and view all the answers

What role do selective serotonin reuptake inhibitors (SSRIs) play in menopausal symptoms?

They reduce the number and severity of vasomotor symptoms. Signup and view all the answers

Which medication is primarily used for the prevention of postmenopausal osteoporosis?

Menostar Signup and view all the answers

What is the primary function of bisphosphonates in treating osteoporosis?

They reduce the breakdown of bone microstructure. Signup and view all the answers

Which of the following is NOT a risk factor for developing osteoporosis?

Regular physical activity Signup and view all the answers

Which estrogen replacement therapy is considered in postmenopausal women at risk of osteoporosis?

Estradiol transdermal system Signup and view all the answers

What is a notable characteristic of selective estrogen receptor modulators (SERMs)?

They act selectively on estrogen receptors to produce varying effects. Signup and view all the answers

What distinguishes Ibandronate sodium from other bisphosphonates?

It is taken orally once a month. Signup and view all the answers

Which of these drugs is NOT classified as a selective serotonin reuptake inhibitor (SSRI)?

Clonidine Signup and view all the answers

Study Notes

Nursing Pharmacology and Women's Reproductive Health

Nursing professionals must stay updated with trends in pharmacology, ensuring adherence to safe medication practices.
Emphasis on personal responsibility in education to serve the needs of the Filipino community.

Women's Reproductive Health

Women's healthcare involves promoting well-being from menarche to menopause.
Successful contraception is essential for women of reproductive age, while menopausal symptom management is vital for older women.

Estrogen-Progestin Combination Products

Combined hormone contraception (CHC) includes synthetic estrogen (ethinyl estradiol) and progestin.
Progestins counterbalance estrogen effects and provide contraceptive benefits.

Types of Combined Oral Contraceptives

Monophasic pills maintain a fixed ratio of hormones throughout the cycle.
Biphasic pills vary progestin levels while keeping estrogen constant, mimicking natural menstrual physiology.
Triphasic pills have fluctuating hormone doses across three phases to minimize side effects.

Extended-Cycle and Continuous Dosing Products

Loestrin 24 Fe offers 24 days of hormonal therapy followed by 4 hormone-free days.
Seasonale (Jolessa) is a 91-day regimen with 84 active pills, reducing menstruation frequency.

Transdermal Contraception

Ortho-Evra patch delivers hormones transdermally; applied weekly for three weeks, with a patch-free withdrawal week.

Intrauterine Contraception

IUDs (e.g., ParaGard) and IUSs (e.g., Mirena) are effective long-term contraceptive options.
ParaGard uses copper for contraception, effective for up to 10 years.
Mirena alters cervical mucus and endometrial lining, compatible with breastfeeding.

Medical Abortion

Defined as the termination of pregnancy within 63 days of the last menstrual period.
Methotrexate is a medication used to induce abortion in early pregnancy.

Menopausal Symptom Management

SSRIs, clonidine, and gabapentin alleviate vasomotor symptoms during menopause.
Hormone therapy should focus on prevention rather than treatment of osteoporosis.

Osteoporosis Management

Bisphosphonates and selective estrogen receptor modulators (SERMs) prevent bone density loss in postmenopausal women.
Medications like alendronate and risedronate are commonly used for osteoporosis treatment.

Key Medications

Menostar (estradiol patch) is used for osteoporosis prevention.
Denosumab (Prolia) targets high-risk women for fractures.

Case Analysis Focus

Inquiry regarding hormonal contraceptive options for a breastfeeding mother with a history of gestational hypertension.
Discussion of the safety and availability of various CHC methods during lactation.

Additional Resources

University of San Agustin provides comprehensive education in health and nursing, emphasizing excellence in medical practices.

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Description

This quiz covers important aspects of nursing pharmacology with a focus on the reproductive system, pregnancy, labor, and neonatal drug administration. It emphasizes the significance of staying updated with current trends and demonstrates a commitment to professionalism in medication practices. Engage with the content to enhance your knowledge and skills in safe medication administration.