Author Question: A client had an anterior pituitary tumor removed a few years ago and is curious if this will affect ... (Read 109 times)

jilianpiloj · **on:** Jul 23, 2018

A client had an anterior pituitary tumor removed a few years ago and is curious if this will affect her future ability to become pregnant. What is the best response by the nurse to this client?

1. You shouldn't have any problems at all because you still have your ovaries and uterus.
2. You might have trouble getting pregnant. The hormones necessary for stimulating the ovaries are contained in the anterior pituitary.
3. You will have trouble getting pregnant because the anterior pituitary secretes gonadotropin-releasing hormone (GnHR), which is necessary for conception.
4. You shouldn't have any problems at all. The important hormones for conception are contained in the posterior pituitary.

Question 2

The school nurse is teaching a group of middle-school students about the female reproductive system. Which statement by a student most accurately describes the reason menstruation begins?

1. Your uterus starts to contract, and this causes the lining to come out, which is your period.
2. Your brain sends a signal that there is enough estrogen and progesterone. Then these hormone levels drop, and you get your period.
3. You have to have your period every 28 days to be normal.
4. You get your period when you ovulate.

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

Answer to Question 1

Correct Answer: 2
Rationale 1: The client might have trouble getting pregnant because of damage to the anterior pituitary.
Rationale 2: The anterior pituitary contains FSH and LH, which promote the development of immature ovarian follicles. This maturation process is necessary for ovulation.
Rationale 3: The anterior pituitary does not secrete gonadotropin-releasing hormone (GnHR).
Rationale 4: The posterior pituitary does not contain the hormones needed for conception.
Global Rationale: The client might have trouble getting pregnant because of damage to the anterior pituitary. The anterior pituitary contains FSH and LH, which promote the development of immature ovarian follicles. This maturation process is necessary for ovulation. GnHR is secreted by the hypothalamus. The posterior pituitary does not contain the hormones needed for conception.

Answer to Question 2

Correct Answer: 2
Rationale 1: Uterine contractions do not cause menstruation.
Rationale 2: Menstruation begins when high progesterone and estrogen levels in the final third of the uterine cycle provide negative feedback to shut off GnHR, LH, and FSH. This causes estrogen and progesterone levels to drop sharply, which causes the endometrium to be shed.
Rationale 3: A normal menstrual cycle can vary from 22 to 35 days and still be considered normal.
Rationale 4: Menstruation does not occur with ovulation.
Global Rationale: Menstruation begins when high progesterone and estrogen levels in the final third of the uterine cycle provide negative feedback to shut off GnHR, LH, and FSH. This causes estrogen and progesterone levels to drop sharply, which causes the endometrium to be shed. Uterine contractions do not cause menstruation. A normal menstrual cycle can vary from 22 to 35 days and still be considered normal. Menstruation does not occur with ovulation.