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NUR 2092 Chapter 40 Exam – 100 Questions on Estrogen, Progestins, Contraceptives & Labor Drugs

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This in-depth exam preparation document for NUR 2092: Nursing Pharmacology at Broward College includes 100 carefully written questions with correct answers, centered on Chapter 40 – Drugs Affecting the Female Reproductive System, aligned with the 2025/2026 academic year. It offers a complete and clinically relevant review of hormonal and reproductive pharmacology, targeting medications used in birth control, menopause management, fertility support, and labor induction. Major drug classes and nursing applications covered include: Estrogens and progestins: therapeutic uses, contraindications, and risks (e.g., cancer, thromboembolism) Oral contraceptives and emergency contraception: fixed-dose, biphasic, monophasic combinations, patient education, and missed dose protocols Uterine stimulants: oxytocin, methylergonovine, dinoprostone – used in induction and postpartum bleeding Fertility agents: clomiphene, menotropins, chorionic gonadotropin – indications and administration routes Antispasmodics and drugs for overactive bladder: tolterodine, flavoxate Selective Estrogen Receptor Modulators (SERMs): tamoxifen, raloxifene – mechanisms and cancer risks Nursing considerations: black cohosh toxicity, adverse effects (e.g., water intoxication, hyperkalemia, edema), follow-up protocols, and lab monitoring Clinical scenarios, pharmacokinetics, contraindications, and patient counseling points are tested across a range of question formats including multiple choice, select-all-that-apply, and case-based reasoning. Recommended for: Students in NUR 2092 at Broward College Nursing students preparing for unit pharmacology exams or NCLEX-RN Learners reviewing maternal health, reproductive pharmacology, or endocrine system medications Allied health students needing accurate knowledge of female reproductive drug therapy This exam guide ensures mastery of key pharmacologic principles for reproductive care, from contraception to hormone therapy and labor management. Keywords: NUR 2092, Chapter 40 pharmacology, estrogen, progestin, contraceptives, oxytocin, methylergonovine, raloxifene, clomiphene, fertility drugs, labor induction, menopausal drugs, hormone therapy, tamoxifen, overactive bladder, NCLEX prep, reproductive pharmacology,

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NUR 2092 Pharm Ch 40 Drugs Affecting
the Female Reproductive System Exam
with Correct Answers

Which is an adverse effect caused by all uterine stimulants because of their

antidiuretic effect? - 🧠 ANSWER ✔✔water intoxication


A female client asks the nurse about the use of progestins. The nurse

shares with the client that clients who take this medication are at an

increased risk for what serious adverse effect? - 🧠 ANSWER

✔✔Cardiovascular complications


A 38-year-old female client has just visited the health care provider and has

received a prescription for birth control pills. The client calls the nurse and

states that she doesn't need birth control pills because she had voluntary

,sterilization after her third child. The nurse explains that birth control pills

may be used for what other reason? - 🧠 ANSWER ✔✔Menstrual disorders


A new client telephones the clinic requesting a renewal prescription for

contraceptives she has been taking for 4 years. It has been more than a

year since her last health care visit, but she is unable to come into the clinic

until next month. She insists she is "doing fine" on this medication and must

have her prescription now. Considering the circumstances and related

safety issues, how should the clinic nurse respond? - 🧠 ANSWER

✔✔"Before the drugs are prescribed, a complete medical history, physical

examination, Pap test, urinalysis, and weight and blood pressure

measurements are recommended."

A postmenopausal woman is receiving raloxifene as part of a treatment

plan for osteoporosis. The nurse would instruct the patient that this drug is

administered by which route? - 🧠 ANSWER ✔✔Oral


The client informs the nurse that she had unprotected intercourse last

night. The client is considering requesting emergency postcoital

contraception. The nurse's best response is: - 🧠 ANSWER ✔✔Emergency

contraception is most effective if started within 24 hours and no later than

72 hours after exposure.

, A nurse is caring for a patient who has been administered menotropins by

the intramuscular route for the secretion of sex hormones. The patient

reports pain after the drug is injected. Which intervention should the nurse

perform for the patient? - 🧠 ANSWER ✔✔Rotate sites and examine

previous sites for redness.

Which statements indicate that a client understands the need for a follow-

up after the initial injection of medroxyprogesterone? - 🧠 ANSWER ✔✔"I

know that this injection lasts for 3 months."

A woman who is at 31 weeks' gestation comes to the clinic in labor. The

health care provider decides to use terbutaline therapy before transferring

the woman to the hospital. The client is upset and confused and asks the

nurse why she can't just have the baby, that it's only 5 weeks early. An

appropriate response by the nurse should be: - 🧠 ANSWER ✔✔"The drug

provides sufficient time for other medications to be given to improve your

baby's outcome."

A client has returned to the health care provider's office for follow up after

receiving estrogen for symptoms of menopause. Which question should be

included in the follow up? - 🧠 ANSWER ✔✔"Can you describe in detail the

difference in how you are feeling today and the last visit?"

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