Question 1

What are the major differences between the cervical cap and diaphragm?

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 than the cervical cap after intercourse. 
C)  Repeated intercourse with the diaphragm is more convenient. 
D)  The cervical cap can safely be 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 than the cervical cap after intercourse. 
C)  Repeated intercourse with the diaphragm is more convenient. 
D)  The cervical cap can safely be used for repeated acts of intercourse without adding more spermicide later.

Question 2

Which statement is true about the term contraceptive failure rate?

Accepted Answer

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

Question 3

Which is correct about fertility awareness methods (FAMs)?

Accepted Answer

A)  FAMs are not very effective,and it is likely that pregnancy will result. 
B)  FAMs can be effective but they require adherence to strict record keeping. 
C)  FAMs have a few advantages and several health risks. 
D)  FAMs are more effective than the oral contraceptive pill (OCP). 
A)  FAMs are not very effective,and it is likely that pregnancy will result. 
B)  FAMs can be effective but they require adherence to strict record keeping. 
C)  FAMs have a few advantages and several health risks. 
D)  FAMs are more effective than the oral contraceptive pill (OCP).

Question 4

A woman is 16 weeks pregnant and has elected to terminate her pregnancy.Which is the most common technique used for medical termination of a pregnancy in the second trimester?

Accepted Answer

A)  Dilation and evacuation (D&
E)  
B)  Instillation of hypertonic saline into the uterine cavity 
C)  Intravenous administration of oxytocin 
D)  Vacuum aspiration 
A)  Dilation and evacuation (D&
E)  
B)  Instillation of hypertonic saline into the uterine cavity 
C)  Intravenous administration of oxytocin 
D)  Vacuum aspiration

Question 5

What should the nurse do when implementing a plan of care for infertile couples?

Accepted Answer

A)  Reserve judgement about the couple until the relationship develops. 
B)  Avoid discussion of lifestyle changes that may enhance fertility. 
C)  Promote the use of herbs that might help the couple conceive. 
D)  Be knowledgeable about potential drug and surgical remedies. 
A)  Reserve judgement about the couple until the relationship develops. 
B)  Avoid discussion of lifestyle changes that may enhance fertility. 
C)  Promote the use of herbs that might help the couple conceive. 
D)  Be knowledgeable about potential drug and surgical remedies.

Question 6

Which statement is the most complete and accurate description of induced abortions?

Accepted Answer

A)  They are performed only for maternal health. 
B)  They can be achieved only through surgical procedures. 
C)  They are mostly performed in the second trimester. 
D)  They can be either medically or surgically induced. 
A)  They are performed only for maternal health. 
B)  They can be achieved only through surgical procedures. 
C)  They are mostly performed in the second trimester. 
D)  They can be either medically or surgically induced.

Question 7

A woman had unprotected intercourse 36 hours ago and is concerned that she may become pregnant because it is her "fertile" time.In response to her question about emergency contraception,what should the nurse tell her?

Accepted Answer

A)  It is too late;she needed to begin treatment within 24 hours after intercourse. 
B)  Plan B,an emergency contraceptive method,is 98% effective at preventing pregnancy. 
C)  An over-the-counter antiemetic can be taken 1 hour before each contraceptive dose to prevent nausea and vomiting. 
D)  The most effective approach is to use a progestin-only preparation. 
A)  It is too late;she needed to begin treatment within 24 hours after intercourse. 
B)  Plan B,an emergency contraceptive method,is 98% effective at preventing pregnancy. 
C)  An over-the-counter antiemetic can be taken 1 hour before each contraceptive dose to prevent nausea and vomiting. 
D)  The most effective approach is to use a progestin-only preparation.

Question 8

In vitro fertilization-embryo transfer (IVF-ET)is a common approach for women with blocked fallopian tubes or unexplained infertility and for men with very low sperm counts.A husband and wife have arrived for their preprocedural interview.The husband asks the nurse to explain what the procedure entails.What information is the basis for the nurse's response?

Accepted Answer

A)  Eggs from the wife's ovaries are fertilized in the lab with the husband's sperm and the embryo is transferred to her uterus. 
B)  A donor embryo will be transferred into your wife's uterus. 
C)  Donor sperm will be used to inseminate your wife. 
D)  Donor eggs are used and fertilized in the lab with donor sperm. 
A)  Eggs from the wife's ovaries are fertilized in the lab with the husband's sperm and the embryo is transferred to her uterus. 
B)  A donor embryo will be transferred into your wife's uterus. 
C)  Donor sperm will be used to inseminate your wife. 
D)  Donor eggs are used and fertilized in the lab with donor sperm.

Question 9

What should the nurse be aware of with regard to the assessment of female,male,and couple infertility?

Accepted Answer

A)  The couple's religious,cultural,and ethnic backgrounds produce emotional baggage that does not affect the clinical scientific diagnosis. 
B)  The investigation takes 3 to 4 months and a lot of money. 
C)  The woman is assessed first;if she is not the problem,the male partner is analyzed. 
D)  Semen analysis is for men;the postcoital test is for women. 
A)  The couple's religious,cultural,and ethnic backgrounds produce emotional baggage that does not affect the clinical scientific diagnosis. 
B)  The investigation takes 3 to 4 months and a lot of money. 
C)  The woman is assessed first;if she is not the problem,the male partner is analyzed. 
D)  Semen analysis is for men;the postcoital test is for women.

Question 10

A man smokes two packs of cigarettes a day.He wants to know if smoking is contributing to the difficulty he and his wife are having getting pregnant.What information is the basis for the nurse's response?

Accepted Answer

A)  Indicating that the first sperm count seems okay 
B)  Informing that only marijuana cigarettes affect sperm count 
C)  Providing information about smoking and lung cancer and its lack of effect on sperm 
D)  Providing education that smoking can reduce the quality of sperm 
A)  Indicating that the first sperm count seems okay 
B)  Informing that only marijuana cigarettes affect sperm count 
C)  Providing information about smoking and lung cancer and its lack of effect on sperm 
D)  Providing education that smoking can reduce the quality of sperm

Question 11

A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the oral contraceptive pill (OCP)as a contraceptive choice.What is the basis for the nurses' response?

Accepted Answer

A)  The OCP is a highly effective method,but it has some adverse effects. 
B)  The patient's current medications will reduce the effectiveness of the OCP. 
C)  The OCP will reduce the effectiveness of the seizure medication. 
D)  The OCP is a good choice for women with seizure disorders. 
A)  The OCP is a highly effective method,but it has some adverse effects. 
B)  The patient's current medications will reduce the effectiveness of the OCP. 
C)  The OCP will reduce the effectiveness of the seizure medication. 
D)  The OCP is a good choice for women with seizure disorders.

Question 12

A woman inquires about herbal alternative methods for improving fertility.Which information provides the basis for the nurse's response when instructing the patient about which herbal preparations to avoid while trying to conceive?

Accepted Answer

A)  Avoid nettle leaf,dong quai,and vitamin E while you are trying to get pregnant. 
B)  Avoid licorice root,lavender,fennel,sage,and thyme while you are trying to conceive. 
C)  Avoid vitamin E,calcium,and magnesium as they may make you infertile. 
D)  Herbs have no bearing on fertility. 
A)  Avoid nettle leaf,dong quai,and vitamin E while you are trying to get pregnant. 
B)  Avoid licorice root,lavender,fennel,sage,and thyme while you are trying to conceive. 
C)  Avoid vitamin E,calcium,and magnesium as they may make you infertile. 
D)  Herbs have no bearing on fertility.

Exam 8: Infertility, Contraception, and Abortion

What are the major differences between the cervical cap and diaphragm?

Which statement is true about the term contraceptive failure rate?

Which is correct about fertility awareness methods (FAMs)?

A woman is 16 weeks pregnant and has elected to terminate her pregnancy.Which is the most common technique used for medical termination of a pregnancy in the second trimester?

What should the nurse do when implementing a plan of care for infertile couples?

Which statement is the most complete and accurate description of induced abortions?

A woman had unprotected intercourse 36 hours ago and is concerned that she may become pregnant because it is her "fertile" time.In response to her question about emergency contraception,what should the nurse tell her?

What should the nurse be aware of with regard to the assessment of female,male,and couple infertility?

A man smokes two packs of cigarettes a day.He wants to know if smoking is contributing to the difficulty he and his wife are having getting pregnant.What information is the basis for the nurse's response?

A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the oral contraceptive pill (OCP)as a contraceptive choice.What is the basis for the nurses' response?

A woman inquires about herbal alternative methods for improving fertility.Which information provides the basis for the nurse's response when instructing the patient about which herbal preparations to avoid while trying to conceive?

Contemporary Perinatal and Pediatric Nursing in Canada

The Family and Culture

Community Care

Perinatal Nursing in Canada

Health Promotion

Health Assessment

Reproductive Health

Preconception, Genetics, Conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Nursing Care of the Family During Labour and Birth

Pain Management During Labour

Fetal Health Surveillance During Labour

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Infants with Gestational Age Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Pediatric Nursing in Canada

Family, Social, Cultural, and Religious Influences on Children’s Health

Developmental Influences on Child Health Promotion

Communication, History, Physical, and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, Complex Conditions, and End-of-Life Care

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological or Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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