Maternity Nursing Q 374

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In assisted reproductive technology (ART), there is a need to stimulate the ovaries to produce more than one mature ova. The drug commonly used for this purpose is:

  

     A. Bromocriptine

     B. Provera

     C. Clomiphene

     D. Estrogen

    

    

Correct Answer: C. Clomiphene

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Clomiphene or Clomid acts as an ovarian stimulant to promote ovulation. The mature ova are retrieved and fertilized outside the fallopian tube (in-vitro fertilization) and after 48 hours the fertilized ovum is inserted into the uterus for implantation.

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Option A: Bromocriptine (Parlodel) is used to treat symptoms of hyperprolactinemia (high levels of a natural substance called prolactin in the body) including lack of menstrual periods, discharge from the nipples, infertility (difficulty becoming pregnant) and hypogonadism (low levels of certain natural substances needed for normal development and sexual function). Bromocriptine is in a class of medications called dopamine receptor agonists. It treats hyperprolactinemia by decreasing the amount of prolactin in the body.

Option B: Provera is a prescription medicine used to treat the symptoms of heavy menstrual bleeding, absent or irregular menstrual bleeding and as contraception. Provera may be used alone or with other medications. Provera belongs to a class of drugs called Antineoplastics, Hormones, Progestins.

Option D: Estrogen, or oestrogen, is a category of sex hormone responsible for the development and regulation of the female reproductive system and secondary sex characteristics.

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