Question 1

While educating the client regarding the risks and benefits of a vasectomy,which information should the nurse include? (Select all that apply. )

Accepted Answer

A)  Sterilization should be performed under general anesthesia. 
B)  Pain,bleeding,and infection are possible complications. 
C)  For several months,pregnancy may still be possible. 
D)  Vasectomy may affect potency. 
E)  Secondary sex characteristics are unaffected. 
A)  Sterilization should be performed under general anesthesia. 
B)  Pain,bleeding,and infection are possible complications. 
C)  For several months,pregnancy may still be possible. 
D)  Vasectomy may affect potency. 
E)  Secondary sex characteristics are unaffected. B,C,E

Question 2

Which statement regarding emergency contraception is correct?

Accepted Answer

A)  Emergency contraception requires that the first dose be taken within 120 hours of unprotected intercourse. 
B)  Emergency contraception may be taken right after ovulation. 
C)  Emergency contraception has an effectiveness rate in preventing pregnancy of approximately 50%. 
D)  Emergency contraception is commonly associated with the side effect of menorrhagia. 
A)  Emergency contraception requires that the first dose be taken within 120 hours of unprotected intercourse. 
B)  Emergency contraception may be taken right after ovulation. 
C)  Emergency contraception has an effectiveness rate in preventing pregnancy of approximately 50%. 
D)  Emergency contraception is commonly associated with the side effect of menorrhagia. A

Question 3

A woman has chosen the calendar method of conception control.Which is the most important action the nurse should perform during the assessment process in preparation to discuss the implementation of this method?

Accepted Answer

A)  Obtain a history of the woman's menstrual cycle lengths for the past 6 to 12 months. 
B)  Determine the client's weight gain and loss pattern for the previous year. 
C)  Examine skin pigmentation and hair texture for hormonal changes. 
D)  Explore the client's previous experiences with conception control. 
A)  Obtain a history of the woman's menstrual cycle lengths for the past 6 to 12 months. 
B)  Determine the client's weight gain and loss pattern for the previous year. 
C)  Examine skin pigmentation and hair texture for hormonal changes. 
D)  Explore the client's previous experiences with conception control. A

Question 4

Which information is most important to provide to the client interested in using the lactational amenorrhea method for contraception?

Accepted Answer

A)  LAM is effective until the infant is 9 months of age. 
B)  This popular method of birth control works best if the mother is exclusively breastfeeding. 
C)  Its typical failure rate is 5%. 
D)  Feeding intervals should be 6 hours during the day. 
A)  LAM is effective until the infant is 9 months of age. 
B)  This popular method of birth control works best if the mother is exclusively breastfeeding. 
C)  Its typical failure rate is 5%. 
D)  Feeding intervals should be 6 hours during the day.

Question 5

Which contraceptive method should the nurse identify as protecting against sexually transmitted infections (STIs)and the human immunodeficiency virus (HIV)?

Accepted Answer

A)  Periodic abstinence 
B)  Barrier methods 
C)  Hormonal methods 
D)  Same protection with all methods 
A)  Periodic abstinence 
B)  Barrier methods 
C)  Hormonal methods 
D)  Same protection with all methods

Question 6

Importantly,the nurse must be aware of which information related to the use of intrauterine devices (IUDs)?

Accepted Answer

A)  Return to fertility can take several weeks after the device is removed. 
B)  Copper IUDs can serve as an emergency contraception under certain situations. 
C)  IUDs offer the same protection against STIs as the diaphragm. 
D)  Consent forms are not needed for IUD insertion. 
A)  Return to fertility can take several weeks after the device is removed. 
B)  Copper IUDs can serve as an emergency contraception under certain situations. 
C)  IUDs offer the same protection against STIs as the diaphragm. 
D)  Consent forms are not needed for IUD insertion.

Question 7

What is the importance of obtaining informed consent when educating a client regarding contraceptive methods?

Accepted Answer

A)  Contraception is an invasive procedure that requires hospitalization. 
B)  The method may require a surgical procedure to insert a device. 
C)  The contraception method chosen may be unreliable. 
D)  The method chosen has potentially dangerous side effects. 
A)  Contraception is an invasive procedure that requires hospitalization. 
B)  The method may require a surgical procedure to insert a device. 
C)  The contraception method chosen may be unreliable. 
D)  The method chosen has potentially dangerous side effects.

Question 8

A woman who has undergone an induced abortion be instructed to return to the emergency department when what situation exists? (Select all that apply. )

Accepted Answer

A)  Fever higher than 38$\degree$ C 
B)  Chills 
C)  Foul-smelling vaginal discharge 
D)  Bleeding greater than 2 pads in 2 hours 
E)  Abdominal tenderness and or pain 
A)  Fever higher than 38$\degree$ C 
B)  Chills 
C)  Foul-smelling vaginal discharge 
D)  Bleeding greater than 2 pads in 2 hours 
E)  Abdominal tenderness and or pain

Question 9

A client currently uses a diaphragm and spermicide for contraception.She asks the nurse to explain the major differences between the cervical cap and the diaphragm.What is the most appropriate response by the nurse?

Accepted Answer

A)  "No spermicide is used with the cervical cap,so it's less messy." 
B)  "The diaphragm can be left in place longer after intercourse." 
C)  "Repeated intercourse with the diaphragm is more convenient." 
D)  "The cervical cap can be safely used for repeated acts of intercourse without adding more spermicide later." 
A)  "No spermicide is used with the cervical cap,so it's less messy." 
B)  "The diaphragm can be left in place longer after intercourse." 
C)  "Repeated intercourse with the diaphragm is more convenient." 
D)  "The cervical cap can be safely used for repeated acts of intercourse without adding more spermicide later."

Question 10

A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice.What is the nurse's best response?

Accepted Answer

A)  "Oral contraceptives are a highly effective method,but they have some side effects." 
B)  "Your current medications will reduce the effectiveness of the pill." 
C)  "Oral contraceptives will reduce the effectiveness of your seizure medication." 
D)  "The pill is a good choice for a woman of your age and with your personal history." 
A)  "Oral contraceptives are a highly effective method,but they have some side effects." 
B)  "Your current medications will reduce the effectiveness of the pill." 
C)  "Oral contraceptives will reduce the effectiveness of your seizure medication." 
D)  "The pill is a good choice for a woman of your age and with your personal history."

Question 11

Which statement regarding the term contraceptive failure rate is the most accurate?

Accepted Answer

A)  The contraceptive failure rate refers to the percentage of users expected to have an accidental pregnancy over a 5-year span. 
B)  It refers to the minimum rate that must be achieved to receive a government license. 
C)  The contraceptive failure rate increases over time as couples become more careless. 
D)  It varies from couple to couple,depending on the method and the users. 
A)  The contraceptive failure rate refers to the percentage of users expected to have an accidental pregnancy over a 5-year span. 
B)  It refers to the minimum rate that must be achieved to receive a government license. 
C)  The contraceptive failure rate increases over time as couples become more careless. 
D)  It varies from couple to couple,depending on the method and the users.

Question 12

The practice of the calendar rhythm method is based on the number of days in each menstrual cycle.The fertile period is determined after monitoring each cycle for 6 months.The beginning of the fertile period is estimated by subtracting 18 days from the longest cycle and 11 days from the shortest.If the woman's cycles vary in length from 24 to 30 days,then her fertile period would be day _____ through day ______.

Accepted Answer

The answer of The practice of the calendar rhythm method...

Question 13

A woman will be taking oral contraceptives using a 28-day pack.What advice should the nurse provide to protect this client from an unintended pregnancy?

Accepted Answer

A)  Limit sexual contact for one cycle after starting the pill. 
B)  Use condoms and foam instead of the pill for as long as the client takes an antibiotic. 
C)  Take one pill at the same time every day. 
D)  Throw away the pack and use a backup method if two pills are missed during week 1 of her cycle. 
A)  Limit sexual contact for one cycle after starting the pill. 
B)  Use condoms and foam instead of the pill for as long as the client takes an antibiotic. 
C)  Take one pill at the same time every day. 
D)  Throw away the pack and use a backup method if two pills are missed during week 1 of her cycle.

Question 14

Which action should the nurse first take when meeting with a new client to discuss contraception?

Accepted Answer

A)  Obtain data about the frequency of coitus. 
B)  Determine the woman's level of knowledge concerning contraception.. 
C)  Assess the woman's willingness to touch her genitals and cervical mucus. 
D)  Evaluate the woman's contraceptive life plan. 
A)  Obtain data about the frequency of coitus. 
B)  Determine the woman's level of knowledge concerning contraception.. 
C)  Assess the woman's willingness to touch her genitals and cervical mucus. 
D)  Evaluate the woman's contraceptive life plan.

Question 15

In the acronym BRAIDED,which letter is used to identify the key components of informed consent that the nurse must document?

Accepted Answer

A)  B stands for birth control. 
B)  R stands for reproduction. 
C)  A stands for alternatives. 
D)  I stands for ineffective. 
A)  B stands for birth control. 
B)  R stands for reproduction. 
C)  A stands for alternatives. 
D)  I stands for ineffective.

Question 16

Which client would be an ideal candidate for injectable progestins such as medroxyprogesterone acetate as a contraceptive choice?

Accepted Answer

A)  The ideal candidate wants menstrual regularity and predictability. 
B)  The client has a history of thrombotic problems or breast cancer. 
C)  The ideal candidate has difficulty remembering to take oral contraceptives daily. 
D)  The client is homeless or mobile and rarely receives health care. 
A)  The ideal candidate wants menstrual regularity and predictability. 
B)  The client has a history of thrombotic problems or breast cancer. 
C)  The ideal candidate has difficulty remembering to take oral contraceptives daily. 
D)  The client is homeless or mobile and rarely receives health care.

Question 17

Which term best describes the conscious decision concerning deciding when to conceive or avoid pregnancy as opposed to the intentional prevention of pregnancy during intercourse?

Accepted Answer

A)  Family planning 
B)  Birth control 
C)  Contraception 
D)  Assisted reproductive therapy 
A)  Family planning 
B)  Birth control 
C)  Contraception 
D)  Assisted reproductive therapy

Question 18

The nurse,responsible for providing health teaching regarding the side effects of combined oral contraceptives (COCs),should discuss what issues? (Select all that apply. )

Accepted Answer

A)  Gallbladder disease 
B)  Myocardial infarction 
C)  Hypotension 
D)  Breast tenderness 
E)  Dry skin and scalp 
A)  Gallbladder disease 
B)  Myocardial infarction 
C)  Hypotension 
D)  Breast tenderness 
E)  Dry skin and scalp

Question 19

A woman is using the basal body temperature (BBT)method of contraception.She calls the clinic and tells the nurse,"My period is due in a few days,and my temperature has not gone up." What is the nurse's most appropriate response?

Accepted Answer

A)  "This probably means that you're pregnant." 
B)  "Don't worry;it's probably nothing." 
C)  "Have you been sick this month?" 
D)  "You probably didn't ovulate during this cycle." 
A)  "This probably means that you're pregnant." 
B)  "Don't worry;it's probably nothing." 
C)  "Have you been sick this month?" 
D)  "You probably didn't ovulate during this cycle."

Question 20

A male client asks the nurse why it is better to purchase condoms that are not lubricated with nonoxynol-9 (a common spermicide).Which response by the nurse is the most accurate?

Accepted Answer

A)  "The lubricant prevents vaginal irritation." 
B)  "Nonoxynol-9 does not provide protection against STIs as originally thought" 
C)  "The additional lubrication improves sex." 
D)  "Nonoxynol-9 improves penile sensitivity." 
A)  "The lubricant prevents vaginal irritation." 
B)  "Nonoxynol-9 does not provide protection against STIs as originally thought" 
C)  "The additional lubrication improves sex." 
D)  "Nonoxynol-9 improves penile sensitivity."

Exam 8: Contraception and Abortion

While educating the client regarding the risks and benefits of a vasectomy,which information should the nurse include? (Select all that apply. )

Which statement regarding emergency contraception is correct?

A woman has chosen the calendar method of conception control.Which is the most important action the nurse should perform during the assessment process in preparation to discuss the implementation of this method?

Which information is most important to provide to the client interested in using the lactational amenorrhea method for contraception?

Which contraceptive method should the nurse identify as protecting against sexually transmitted infections (STIs)and the human immunodeficiency virus (HIV)?

Importantly,the nurse must be aware of which information related to the use of intrauterine devices (IUDs)?

What is the importance of obtaining informed consent when educating a client regarding contraceptive methods?

A woman who has undergone an induced abortion be instructed to return to the emergency department when what situation exists? (Select all that apply. )

A client currently uses a diaphragm and spermicide for contraception.She asks the nurse to explain the major differences between the cervical cap and the diaphragm.What is the most appropriate response by the nurse?

A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice.What is the nurse's best response?

Which statement regarding the term contraceptive failure rate is the most accurate?

A woman will be taking oral contraceptives using a 28-day pack.What advice should the nurse provide to protect this client from an unintended pregnancy?

Which action should the nurse first take when meeting with a new client to discuss contraception?

In the acronym BRAIDED,which letter is used to identify the key components of informed consent that the nurse must document?

Which client would be an ideal candidate for injectable progestins such as medroxyprogesterone acetate as a contraceptive choice?

Which term best describes the conscious decision concerning deciding when to conceive or avoid pregnancy as opposed to the intentional prevention of pregnancy during intercourse?

The nurse,responsible for providing health teaching regarding the side effects of combined oral contraceptives (COCs),should discuss what issues? (Select all that apply. )

A woman is using the basal body temperature (BBT)method of contraception.She calls the clinic and tells the nurse,"My period is due in a few days,and my temperature has not gone up." What is the nurse's most appropriate response?

A male client asks the nurse why it is better to purchase condoms that are not lubricated with nonoxynol-9 (a common spermicide).Which response by the nurse is the most accurate?

21st Century Maternity and Womens Health Nursing

Community Care: the Family and Culture

Nursing and Genomics

Assessment and Health Promotion

Violence Against Women

Reproductive System Concerns

Sexually Transmitted and Other Infections

Infertility

Problems of the Breast

Structural Disorders and Neoplasms of the Reproductive System

Conception and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Postpartum Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Assessment of High Risk Pregnancy

Hypertensive Disorders

Hemorrhagic Disorders

Endocrine and Metabolic Disorders

Medical-Surgical Disorders

Mental Health Disorders and Substance Abuse

Labor and Birth Complications

Postpartum Complications

Nursing Care of the High Risk Newborn

Acquired Problems of the Newborn

Hemolytic Disorders and Congenital Anomalies

Perinatal Loss, bereavement, and Grief

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