Chapter 63: Infertility Drugs.

Question 1

1.	A patient is being treated for infertility. An examination reveals cervical mucus that is scant, thick, and sticky. The nurse suspects that the patient has been taking which medication?
a.
Clomiphene [Clomid]
b.
Estrogen
c.
Follicle-stimulating hormone (FSH)
d.
Progesterone

Answer 1

A

Question 2

2. An infertile patient has received two 5-day courses of clomiphene [Clomid] to help her conceive. An ultrasound 1 week after the last dose reveals that follicular maturation has occurred without ovulation. The nurse expects the next step for this patient to be:
   a.
   administration of human chorionic gonadotropin (hCG).
   b.
   an order for cabergoline to be given twice weekly.
   c.
   evaluation of ovarian and pituitary function.
   d.
   repeating clomiphene once daily for 5 days.

Answer 2

A

Question 3

3. A patient who has endometriosis has been unable to conceive. She asks the nurse about medications to treat the condition. What will the nurse tell the patient?
   a.
   Combination oral contraceptives are effective for improving fertility.
   b.
   Gonadotropin-releasing hormone agonists are used for long-term treatment.
   c.
   Nonsteroidal anti-inflammatory drugs are second-line agents for treating pain.
   d.
   Pharmacologic agents used to treat endometriosis do not enhance fertility.

Answer 3

D

Question 4

4. An infertile couple begins treatment with menotropins. To enhance the therapeutic effects of the medication, the nurse will advise the patients to have intercourse:
   a.
   before hCG injection and the following 2 to 3 days.
   b.
   the morning of the hCG injection and later that evening.
   c.
   the evening of the injection and the following day.
   d.
   the evening of the injection and the following morning.

Answer 4

A