The reproductive health nurse counsels a 17-year-old woman who is ...

[crobinson2013]

The reproductive health nurse counsels a 17-year-old woman who is interested in initiating contraception. Which of the following would be a short-term positive outcome of the visit?
 
  A.
  Able to describe how to obtain and use the contraceptive chosen
  B.
  Continued use and pregnancy prevention for 6 months
  C.
  Lack of side effects and complaints about the method after 3 months
  D.
  Voiced satisfaction with this method over 6 months

Question 2

Match the hormones and their functions.
 
  a. Gonadotropin-releasing hormone
  1. ____ Controls the development and function of the adrenal cortex
  b. Somatostatin
  2. _____ Stimulates the maturation of the mammary glands during pregnancy
  c. Adrenocorticotropic hormone
  3. _____ Regulates thyroid hormones
  d. Oxytocin
  4. _____ Also known as growth hormone-inhibiting hormone; inhibits the release of growth hormone
  e. Prolactin
  5. Among other things, it is responsible for developing muscle mass and protein synthesis
  f. Corticotropin-releasing hormone
  6. _____ Appears to provide a protective action by minimizing a maternal immunological rejection that could cause miscarriage
  g. Thyrotropin-releasing hormone
  7. _____ Stimulates the release of follicle-stimulating hormone and luteinizing hormone from the anterior pituitary
  h. Growth hormone
  8. _____ Stimulates uterine contractions and the release of milk from milk ducts during lactation

[prumorgan]

Answer to Question 1

ANS: A
Short-term outcomes include the patient's ability to voice an understanding about the selected contraceptive method, voice an understanding of all information necessary to provide informed consent, and voice a comfort level with the use of the contraceptive method selected. Intermediate and long-term goals include the patient's correct and consistent use of the selected contraceptive method, denial of adverse side effects, continued satisfaction with the selected contraceptive method, and consistent use of the contraceptive method and avoidance of pregnancy for the following year.

Answer to Question 2

ANS:
1:c; 2: e; 3: g; 4:b; 5:h; 6: f; 7:a; 8:d
Gonadotropin-releasing hormone stimulates the release of follicle-stimulating hormone and luteinizing hormone from the anterior pituitary. Somatostatin is also known as growth hormone- inhibiting hormone; it inhibits the release of growth hormone. Adrenocorticotropic hormone controls the development and function of the adrenal cortex. Oxytocin stimulates uterine contractions and the release of milk from milk ducts during lactation. Prolactin stimulates the maturation of the mammary glands during pregnancy. Corticotropin-releasing hormone appears to provide a protective action by minimizing a maternal immunological rejection that could cause miscarriage. Thyrotropin-releasing hormone regulates thyroid hormones. Growth hormone is responsible for developing muscle mass and protein synthesis, among other things.