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Femcap
Correct
Explanation:
The nurse should recommend
Femcap to the client. Femcap is a
cervical cap and, hence, a barrier
method of contraception. The
copper IUD, Lunelle, and OrthoEvra are not barrier methods of
contraception. The copper IUD is
a copper-based intrauterine
contraceptive; Lunelle is a
combined injectable
contraceptive; and Ortho-Evra is
a transdermal contraceptive
patch. p99
Radiograph of the uterus and
fallopian tubes following
introduction of a radiopaque
medium through the cervix
Explanation:
Hysterosalpingogram is a
procedure to document the
potency of the fallopian tubes
through the use of a radiopaque
medium. p97
A 52-year-old patient is
perimenopausal and asks
about the severity of her
symptoms. What can you
accurately tell her is the only
potentially life-threatening
effect of menopause?
a) Bone mineral density
decreases.
b) Dense breast tissue is
replaced with adipose tissue.
c) The uterus and ovaries
decrease in size.
d) Pelvic support muscles lose
tone.
When using the contraceptive
patch, a patient should
understand that it
a) should be applied to the
breasts, hips, or back.
b) should be applied to the
abdomen, buttocks, or back.
c) is immediately effective
after application.
d) should be covered when
swimming because of
chlorine's effect on the
adhesive.
A couple is seeking guidance
for their inability to conceive a
child after trying for 15
months. They are morbidly
obese but state they have
friends with the same weight
problem who have had no
difficulty conceiving. What
education can the nurse
provide this couple to increase
their chances of success?
a) "Weight has no bearing on
the ability to conceive.
Something else must be going
on with your reproductive
organs."
b) "Obesity may interfere with
effective penetration and
Explanation:
Because a radiograph is involved,
the procedure should be done in
the few days following a
menstrual flow when she is not
apt to be pregnant. p97
a) Combination oral
contraceptives
b) Condoms
c) Coitus interruptus
d) Spermicides
Your patient regularly travels
internationally for work and
has a lot of job anxiety. She
also uses an electric heating
blanket every night she is at
home. Which of these fertility
awareness methods would you
discourage her from using?
a) Cervical mucus method
b) Symptothermal method
c) Basal body temperature
(BBT) method
d) Calendar method
encounters
d) cost of the pills
A client is being prepared for
artificial insemination. Which
finding is the most suggestive
to determine if the client is
ovulating?
a) Slight weight gain
b) Fall in body temperature
c) Change in the cervical
mucus
d) Abdominal cramps
A nurse is preparing a client
for intrauterine device (IUD)
insertion. What should the
nurse inform the client when
educating her on IUDs?
a) Reduced menstrual flow
after insertion
b) Insertion procedure is
painless
c) Continuous cramps after
insertion
d) Regular check of threads
must be done
a) condoms
b) morning-after pills
c) birth control pills
d) abstinence
The nurse informs the patient
mechanical barrier
that a diaphragm is an
example of which of the
following types of
contraception?
a) transdermal
b) mechanical barrier
c) intrauterine
d) chemical barrier
A woman opts to use a
diaphragm for contraception.
Which instruction would be
most important for the nurse
to provide?
a) "Keep the diaphragm in
place for no more than 4
hours after intercourse."
b) "Wet the diaphragm with
water first before inserting it."
c) "Replace the diaphragm
every 6 months."
d) "Have your diaphragm
refitted if you lose 10 pounds
or more."
Which of the following factors
is it most important for the
nurse to consider when
recommending different types
of contraceptives to a female
client?
a) Client's partner's desire for
pregnancy
b) Client's ability to tolerate
side effects
c) Desire for protection
against sexually transmitted
infections (STIs)
d) Sexual orientation of the
client
Correct
Explanation:
The diaphragm is an example of
a mechanical barrier. It is a
circular rubber disk placed over
the cervix before intercourse.
p106
Subfertility/infertility is said
to exist when a couple has
failed to achieve pregnancy
after how many months of
unprotected sexual
intercourse? Fill in the blank
with a number.
____months
Sperm analysis is often the
first fertility test to be
completed, why?
a) Asking the male partner to
undergo diagnostic
procedures is the best way to
assess his interest in
treatment of infertility
b) Male fertility testing is
time-consuming and therefore
should be initiated early
c) The man is found to be
fertile in over 75 percent of
couples with infertility
problems
d) Sperm analysis is one of the
easiest tests to complete
Couples who engage in coitus
daily, hoping to cause early
impregnation, may actually
have more difficulty
conceiving than those who
space coitus to every other
day.
True
a) True
b) False
A woman visits your familyplanning clinic to request a
prescription for birth-control
pills. Which of the following
factors would indicate that an
ovulation suppressant would
not be the best contraceptive
method for her?
a) She has irregular menstrual
cycles.
b) She has a history of allergy
to foreign protein.
c) She is 30 years old.
d) She has a family history of
thromboembolism.
Female condom
Correct
Explanation:
The female condom would be the
best choice for this patient, as it
provides protection against both
sexually transmitted infections
(STIs) and conception. A tubal
ligation would not be
recommended for a 16-year-old
girl, as it is a permanent measure
and she may decide to have
children in the future. Neither an
oral contraceptive nor coitus
interruptus would provide
protection against STIs.
a) Oral contraceptive
b) Female condom
c) Coitus interruptus
d) Tubal ligation
The nurse is providing
contraception counseling to a
perimenopausal woman who
has had negative reactions to
oral contraceptives in the past
and would like a long-term,
non-hormone based method
that has a high rate of success.
Neither she nor her husband
wants to undergo surgery,
however. Which of the
following should the nurse
recommend?
a) Transdermal patch
b) Intrauterine device
c) Tubal ligation
Intrauterine device
Correct
Explanation:
Women who are premenopausal
are, overall, good candidates for
intrauterine devices (IUDs). In
this case, the IUD is the best
choice because this method is
almost 100% effective, is longterm, and does not involve any
hormones. Both the transdermal
patch and the subdermal
progestin implant involve
hormones, which rules each out
in this case. Also, tubal ligation is
a surgical procedure, which also
rules it out for this client.
d) Subdermal progestin
implant
Dilation and curettage is the
method of abortion used when
the gestational age of a
pregnancy is still less than 13
weeks.
True
a) False
b) True
A couple is considering
vasectomy as a contraception
option. However, the husband
is nervous about how such a
procedure would affect his
sexual functioning. Which of
the following statements that
the nurse might mention to
the man is true?
a) The man will still have full
erection capacity
b) The man will no longer
produce testosterone
c) The man will no longer
ejaculate seminal fluid
d) The man will continue to
ejaculate sperm
c) Failure to achieve
pregnancy after 6 months of
unprotected intercourse
d) Inability to achieve
pregnancy following a
previous viable pregnancy
A nurse is preparing a client
for intrauterine device (IUD)
insertion. What should the
nurse inform the client when
educating her on IUDs?
a) Continuous cramps after
insertion
b) Regular check of threads
must be done
c) Reduced menstrual flow
after insertion
d) Insertion procedure is
painless
a) diabetes
b) lack of exercise
c) tubal transport
d) impaired implantation
e) ovulation
Which of the following best
explains the action of the
lactational amenorrhea
method (LAM) of fertility
control?
a) LAM prevents introduction
of sperm into vagina
b) LAM causes suppression of
the ovulation process
c) LAM prevents fertilization
between the egg and sperm
d) LAM thickens the cervical
mucus and blocks sperm
a) Vaginal dryness
b) Decreased bone density
c) Hot flashes
d) Decreased waist size
e) Moist, supple skin
f) Increased abdominal fat
Vaginal dryness
Decreased bone density
Hot flashes
Increased abdominal fat
Correct
Explanation:
Menopause may be associated
with hot flashes, increased
abdominal fat, vaginal dryness,
decreased bone density, dry,
thinning skin, and increased
waist size.
a) An ovulation suppressant
b) A diaphragm and
spermicide
c) A spermicidal suppository
d) The rhythm (calendar)
method
A nurse is instructing a
patient on birth control
methods. The patient asks
about the cervical mucus
method. When should the
nurse tell the patient she is
fertile in relation to her
mucus?
a) When it is thin, watery, and
copious
b) Cervical mucus is not a
reliable indicator
c) When it is thick
d) When it does not stretch
A male patient has requested
information on vasectomy.
Which of the following would
you include in your education
to him?
a) He will no longer ejaculate
b) He may notice permanent
increased scrotal swelling
c) His testes will no longer
produce sperm
d) It is usually done as an
office procedure
A woman has just been
prescribed clomiphene citrate
to stimulate ovulation. Which
of the following is an effect of
the drug that the nurse should
warn the woman about?
a) Extensive bleeding during
menstruation
b) Hypertension
c) Overstimulation of the
ovary resulting in potential
multiple births
d) Elevation of her blood
glucose level
A woman is seeking
information on tubal ligation
as a form of birth control.
What information should the
nurse provide to the patient?
a) She must have signed
consent from her husband
Anovulation
Correct
Explanation:
Anovulation is absence of
ovulation or release of ova from
the ovary. The most frequent
cause for anovulation is naturally
occurring variations in ovulatory
patterns or polycystic ovary
syndrome, a condition in which
the ovaries produce excess
testosterone lowering FSH and
LH levels, which then causes
irregular and unpredictable
menstrual cycles. Based on the
woman's symptoms and test
results, anovulation is the most
likely cause of her subfertility.
The other conditions listed would
not have the same symptoms and
test results.
False
Correct
Explanation:
The majority of pregnancy
terminations are done for the
following reasons: the pregnancy
is unwanted because a woman
chooses not to have a child at this
time in her life for such reasons
as being too young, not wanting
to be a single parent, wanting no
more children, having financial
difficulties, or from failed
contraception
This is a permanent and
irreversible procedure for birth
control
Explanation:
The procedure is considered
permanent and irreversible. This
is a procedure not for routine
birth control, but for permanent
Suppresses follicle-stimulating
hormone (FSH)
Correct
Explanation:
Estrogen has a direct effect on
the pituitary gland suppressing
FSH; progesterone increases
permeability of cervical mucus
and endometrial proliferation.
Spermicide
Explanation:
Women older than 35 years have
a higher incidence of cystocele or
rectocele than younger women so
diaphragms or cervical caps may
not be the ideal contraceptive for
them. Spermicide foam can help
lubricate the vagina to increase
sexual enjoyment in women
nearing menopause. Her
partner's dislike of condoms
rules out the female condom.
Three days before and three days
after ovulation
Correct
Explanation:
Typically, the unsafe period
during the menstrual cycle is
approximately 3 days before and
3 days after ovulation. An ovum
Transdermal contraception
Explanation:
The fact that this woman has a
latex allergy rules out the female
condom, cervical cap, and
diaphragm. Moreover the
diaphragm is contraindicated in
her case, due to her
papillomavirus infection. The
best choice for her is the
transdermal contraception,
which involves wearing a patch
for a week at a time and does not
require taking pills daily.
a) Transdermal contraception
b) Diaphragm
c) Female condom
d) Cervical cap
When do condoms need to be
applied to be effective?
a) At least 1 hour prior to
coitus
b) Immediately after
ejaculation
c) Before penile-vulvar contact
d) As soon as the penis
becomes erect
A 16-year-old girl is brought to
the clinic by her mother
because she has not had a
menstrual period for the past
8 months. Which of the
following findings might alert
the nurse to the possibility
that anorexia nervosa may be
contributing to the client's
amenorrhea? Select all that
apply.
Bradycardia
Hypotension
Reduced subcutaneous fat
Explanation:
Hypothermia, bradycardia,
hypotension, and reduced
subcutaneous fat may be
observed in women with
amenorrhea with anorexia
nervosa as the contributing
factor. Evidence of secondary sex
a) Bradycardia
b) Evidence of secondary sex
characteristics
c) Reduced subcutaneous fat
d) hypotension
Intrauterine device
Correct
Explanation:
Women who are premenopausal
are, overall, good candidates for
intrauterine devices (IUDs). In
this case, the IUD is the best
choice because this method is
almost 100% effective, is longterm, and does not involve any
hormones. Both the transdermal
patch and the subdermal
progestin implant involve
hormones, which rules each out
in this case. Also, tubal ligation is
a surgical procedure, which also
rules it out for this client.
tubal transport
impaired implantation
ovulation
Correct
Explanation:
Female factors that cause
subfertility are problems with
ovulation, tubal transport, and
implantation.
a) lack of exercise
b) tubal transport
c) impaired implantation
d) ovulation
e) diabetes
A client visits a healthcare
facility for information on a
vasectomy. Which of the
following would best describe
the initial information a nurse
should provide?
a) The procedure cannot be
reversed
b) Vasectomy is a relatively
easy procedure with few
complications
c) Regular sperm counts are
not essential
False
Correct
Explanation:
About 25% of pregnancies caused
by in vitro fertilization end in
spontaneous miscarriage (the
same rate as for natural
pregnancies).
a) False
b) True