A patient is to receive Pergonal (Menotropins) injections for infertility prior to in vitro fertilization. What is the expected action of this medication?
Prolongation of the luteal phase
Stimulation of ovulation
Suppression of menstruation
Promotion of cervical mucus production
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Notifying the clinician immediately may be necessary, but it is not the first action to take. The nurse should first identify the cause of the baby’s symptoms.
Choice B rationale
The baby’s symptoms are indicative of hypoglycemia, a common condition in infants of mothers with diabetes. Testing the blood glucose level would confirm this diagnosis and allow for appropriate treatment.
Choice C rationale
Starting an intravenous line with D5W may be necessary if the baby’s blood glucose level is low. However, the first step should be to confirm the diagnosis by testing the blood glucose level.
Choice D rationale
Documenting the event in the nurse’s notes is important, but it is not the first action to take. The nurse should first address the baby’s immediate needs.
Correct Answer is C
Explanation
Choice A rationale
Drinking one to two alcoholic drinks a few times a week does not typically signal that a woman should not take oral contraceptives.
Choice B rationale
Being slightly overweight and having a difficult time fitting exercise into a schedule does not typically signal that a woman should not take oral contraceptives16.
Choice C rationale
Trying to limit cigarettes to one pack a week does signal that a woman should not take oral contraceptives16. Smoking can increase the risk of serious side effects from oral contraceptives, including blood clots, stroke, or heart attack.
Choice D rationale
Trying to have a boyfriend wear a condom every time they have sex does not typically signal that a woman should not take oral contraceptives16.
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