Author Question: The nurse educator at a public health clinic is teaching the nurses at a mom and well baby clinic ... (Read 39 times)

Chelseaamend · **on:** Jul 23, 2018

The nurse educator at a public health clinic is teaching the nurses at a mom and well baby clinic about pregnancy. The educator asks the nurses, During the follicular phase, estrogen causes which physiologic effects?

Which of the following responses made by the nurses best demonstrate understanding? (Select all that apply.)
a. Facilitation of vaginal atrophy
b. Breast enlargement
c. Increased secretions from cervical glands
d. Reversal of endometrial proliferation
e. Increased vaginal acidity

Question 2

A patient who has been using the pill has returned to the clinic to try an alternative birth control method. The prescriber orders medroxyprogesterone acetate (Depo-Provera) after the patient's pregnancy test shows a negative result.

The nurse prepares to administer medroxyprogesterone acetate (Depo-Provera); how should the patient be prepped for administration of this drug?
a. She should be sitting up and should be given a glass of water.
b. A clean, dry area should be exposed for the patch.
c. The patient should assume the Sims position.
d. The injection site should be swabbed with alcohol.

gasdhashg · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B, C, E
The physiologic effects of estrogens during the follicular phase are breast enlargement, increased secretions from cervical glands, and increased vaginal acidity.
Estrogen does not facilitate vaginal atrophy or reverse endometrial proliferation.

Answer to Question 2

ANS: D
The nurse should swab the site with alcohol and administer the injection via the intramuscular route.
There is no reason to have the patient sit up, drink a glass of water, or assume the Sims position.
Medroxyprogesterone is not administered in patch form.