A client with polycystic ovarian syndrome (PCOS) is receiving oral contraceptives as part of her treatment plan. When discussing this treatment with the client, the nurse would discuss which rationale for this therapy?
Restore menstrual regularity
Induce ovulation
Improve insulin uptake
Alleviate hirsutism
The Correct Answer is A
Choice A rationale
Oral contraceptives are often used in the treatment of PCOS to restore menstrual regularity. They do this by regulating the hormonal imbalances that cause the irregular periods seen in PCOS678910.
Choice B rationale
While oral contraceptives can indirectly lead to ovulation in some women with PCOS by regulating their menstrual cycles, they are not typically used to directly induce ovulation. Other medications, such as clomiphene or letrozole, are more commonly used for this purpose.
Choice C rationale
While insulin resistance is a common feature of PCOS, oral contraceptives are not typically used to improve insulin uptake. Other medications, such as metformin, are more commonly used for this purpose.
Choice D rationale
While oral contraceptives can help alleviate hirsutism (excessive hair growth) in women with PCOS by reducing levels of circulating androgens, this is typically considered a secondary benefit rather than the primary rationale for their use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Insufficient dietary intake is not the main cause of hot flashes and night sweats in postmenopausal women.
Choice B rationale
Deficiency in estrogen is the primary cause of hot flashes and night sweats in postmenopausal women. During menopause, the levels of estrogen, a hormone that regulates the body’s temperature among other things, decrease. This can disrupt the body’s temperature control, leading to hot flashes and night sweats.
Choice C rationale
An active lifestyle is not the main cause of hot flashes and night sweats in postmenopausal women.
Choice D rationale
Changes in vaginal pH are not the main cause of hot flashes and night sweats in postmenopausal women.
Correct Answer is B
Explanation
Choice A rationale
Prolongation of the luteal phase is not the primary action of Pergonal (Menotropins). The luteal phase is part of the menstrual cycle, and while hormones do regulate it, Pergonal’s primary function is not to extend this phase.
Choice B rationale
Pergonal (Menotropins) is used to stimulate ovulation. It contains follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are essential for ovulation. FSH stimulates the growth and maturation of ovarian follicles, and LH triggers ovulation and the development of the corpus luteum.
Choice C rationale
Suppression of menstruation is not an expected action of Pergonal. This medication is used to promote ovulation, not to stop menstrual periods.
Choice D rationale
While hormonal changes during the menstrual cycle can affect cervical mucus production, the primary action of Pergonal is not to promote cervical mucus production. Its main role is to stimulate ovulation.
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