Question 1

A woman asks the nurse about taking chasteberry tree supplements.What response by the nurse is best?

Accepted Answer

A)  "Herbal supplements have no side effects." 
B)  "There are no scientific data supporting the use of this supplement." 
C)  "This herb is known to promote ovulation." 
D)  "Try it first, as herbs are inexpensive." 
A)  "Herbal supplements have no side effects." 
B)  "There are no scientific data supporting the use of this supplement." 
C)  "This herb is known to promote ovulation." 
D)  "Try it first, as herbs are inexpensive." B

Question 2

The nurse is assessing a sexually active heterosexual woman who does not use birth control.The nurse explains that the chance of becoming pregnant with each act of unprotected intercourse is what percentage?

Accepted Answer

A)  5-10% 
B)  10-15% 
C)  15-20% 
D)  20-25% 
A)  5-10% 
B)  10-15% 
C)  15-20% 
D)  20-25% C

Question 3

A woman has been taking progesterone via intramuscular injection.She calls the clinic to complain of swollen ankles.What response by the nurse is best?

Accepted Answer

A)  Advise her to come to the clinic for an EKG. 
B)  Assess how much sodium is in her daily diet. 
C)  Have her go to the nearest emergency department. 
D)  Reassure her that this is a common side effect. 
A)  Advise her to come to the clinic for an EKG. 
B)  Assess how much sodium is in her daily diet. 
C)  Have her go to the nearest emergency department. 
D)  Reassure her that this is a common side effect. D

Question 4

Prior to a sterilization procedure,which action by the nurse takes priority?

Accepted Answer

A)  Obtaining informed consent from the partner 
B)  Obtaining pre-approval for Medicaid patients 
C)  Obtaining pre-approval from the insurer 
D)  Obtaining the woman's informed consent 
A)  Obtaining informed consent from the partner 
B)  Obtaining pre-approval for Medicaid patients 
C)  Obtaining pre-approval from the insurer 
D)  Obtaining the woman's informed consent

Question 5

A woman had an elective surgical abortion 7 weeks ago and calls the clinic to ask when her menstrual periods should return.What response by the nurse is most appropriate?

Accepted Answer

A)  "I will ask the physician to prescribe misoprostol (Cytotec)." 
B)  "It usually takes 1 to 3 months for your menstrual periods to return." 
C)  "Please come in to the clinic today for a checkup." 
D)  "You should be seen in the emergency department." 
A)  "I will ask the physician to prescribe misoprostol (Cytotec)." 
B)  "It usually takes 1 to 3 months for your menstrual periods to return." 
C)  "Please come in to the clinic today for a checkup." 
D)  "You should be seen in the emergency department."

Question 6

A couple is interested in fertility-awareness-based (FAB)family planning.The nurse should advise them about what drawbacks that accompany this method?

Accepted Answer

A)  Depends on tracking cycles on a calendar 
B)  Less than 50% effective in family planning 
C)  May interfere with sexual spontaneity 
D)  Requires months of charting cycles before use 
E)  Requires a lot of motivation and education 
A)  Depends on tracking cycles on a calendar 
B)  Less than 50% effective in family planning 
C)  May interfere with sexual spontaneity 
D)  Requires months of charting cycles before use 
E)  Requires a lot of motivation and education

Question 7

A woman who is 10 weeks pregnant is being counseled by the nurse regarding her upcoming elective abortion.What information should the nurse provide?

Accepted Answer

A)  "A local anesthetic will be injected into your vagina." 
B)  "The exact name of the procedure is dilation and extraction." 
C)  "They may use a seaweed product to dilate your cervix." 
D)  "You won't need to have any cervical dilation at all." 
A)  "A local anesthetic will be injected into your vagina." 
B)  "The exact name of the procedure is dilation and extraction." 
C)  "They may use a seaweed product to dilate your cervix." 
D)  "You won't need to have any cervical dilation at all."

Question 8

A patient has been taught about the vaginal contraceptive ring.Which statement by the patient indicates that further teaching is needed?

Accepted Answer

A)  "If it comes out at all, I need back-up contraception for a week." 
B)  "The exact position of the ring is not vital for its function." 
C)  "Using tampons is allowed with the vaginal contraceptive ring." 
D)  "Vaginal contraceptive rings are about 96% effective." 
A)  "If it comes out at all, I need back-up contraception for a week." 
B)  "The exact position of the ring is not vital for its function." 
C)  "Using tampons is allowed with the vaginal contraceptive ring." 
D)  "Vaginal contraceptive rings are about 96% effective."

Question 9

A nurse is reviewing a 36-year-old woman's chart.The woman has the diagnosis of infertility.What does the nurse conclude about this woman?

Accepted Answer

A)  Has a medical condition that prevents pregnancy 
B)  Has been attempting to get pregnant for 12 months 
C)  Has delayed pregnancy and childbirth for too long 
D)  Has not conceived in 6 months of actively trying 
A)  Has a medical condition that prevents pregnancy 
B)  Has been attempting to get pregnant for 12 months 
C)  Has delayed pregnancy and childbirth for too long 
D)  Has not conceived in 6 months of actively trying

Question 10

A nurse is working with a young couple whose contraceptive choice is latex condoms.What statement by either partner indicates the need for more teaching?

Accepted Answer

A)  Man: "I don't carry these in my wallet in my pants pockets." 
B)  Man: "I make sure I am using the correct size of condom." 
C)  Woman: "I ask him to check the expiration dates each time." 
D)  Woman: "I buy nonoxynol-9 spermicide to use with condoms." 
A)  Man: "I don't carry these in my wallet in my pants pockets." 
B)  Man: "I make sure I am using the correct size of condom." 
C)  Woman: "I ask him to check the expiration dates each time." 
D)  Woman: "I buy nonoxynol-9 spermicide to use with condoms."

Question 11

A nurse is explaining that a woman will undergo follicular monitoring to evaluate her response to ovulation induction.For what test does the nurse prepare her?

Accepted Answer

A)  3-D ultrasound and color flow Doppler 
B)  Endometrial biopsy 
C)  Hysterosalpingography 
D)  Laparoscopy 
A)  3-D ultrasound and color flow Doppler 
B)  Endometrial biopsy 
C)  Hysterosalpingography 
D)  Laparoscopy

Question 12

A nurse is explaining contraceptive options to a young woman.What benefits of an IUD does the nurse describe?

Accepted Answer

A)  Appropriate with dysmenorrhea 
B)  No interference with spontaneity 
C)  No daily attention required 
D)  No hormonal side effects associated with the Copper T 380A 
E)  One-time expense 
A)  Appropriate with dysmenorrhea 
B)  No interference with spontaneity 
C)  No daily attention required 
D)  No hormonal side effects associated with the Copper T 380A 
E)  One-time expense

Question 13

A nurse is assessing a couple who are in the clinic complaining of an inability to get pregnant.Which questions are most important at this time?

Accepted Answer

A)  "Do you get up right after intercourse?" 
B)  "Do you know how to track your cycle?" 
C)  "How do you know when you ovulate?" 
D)  "How often do you have intercourse?" 
E)  "What sexual positions do you use?" 
A)  "Do you get up right after intercourse?" 
B)  "Do you know how to track your cycle?" 
C)  "How do you know when you ovulate?" 
D)  "How often do you have intercourse?" 
E)  "What sexual positions do you use?"

Question 14

A nurse is working with a patient who has the nursing diagnosis of altered sexuality patterns.What action by the nurse takes priority?

Accepted Answer

A)  Assists with the physical exam 
B)  Establishes a trusting relationship 
C)  Reviews the past medical history 
D)  Takes a comprehensive sexual history 
A)  Assists with the physical exam 
B)  Establishes a trusting relationship 
C)  Reviews the past medical history 
D)  Takes a comprehensive sexual history

Question 15

Place the following methods of birth control in order of their effectiveness,starting with the most effective.
Condoms
Depo-Provera
Diaphragm
Natural family planning
Oral contraceptive pills
Withdrawal

Accepted Answer

Depo-Provera (>99%), 
oral con

Question 16

The nurse teaches a patient the acronym "ACHES" for the serious symptoms that must be reported immediately when taking oral contraceptive pills.Which manifestations does this include?

Accepted Answer

A)  Abdominal pain 
B)  Chest pain 
C)  Headaches 
D)  Eye pain 
E)  Sore muscles 
A)  Abdominal pain 
B)  Chest pain 
C)  Headaches 
D)  Eye pain 
E)  Sore muscles

Question 17

An infertility clinic nurse explains to the student that the process of sperm washing has several benefits.Which benefits should the nurse explain to the student?

Accepted Answer

A)  Improves chances of fertilization 
B)  Increases sperm motility 
C)  Makes the sperm denser 
D)  May correct sperm clumping 
E)  Removes sperm impurities 
A)  Improves chances of fertilization 
B)  Increases sperm motility 
C)  Makes the sperm denser 
D)  May correct sperm clumping 
E)  Removes sperm impurities

Question 18

A nurse is working with women and issues of reproductive health practices to help meet the National Health Goals related to reproductive life planning.Which goals are included in this document?

Accepted Answer

A)  Increase the number of private pharmacies that supply emergency contraception. 
B)  Increase the proportion of subsequent births to 18 months from 12 months. 
C)  Increase the proportion of young males who receive reproductive health care. 
D)  Reduce the number of publicly funded family planning clinics that offer abortion. 
E)  Reduce the proportion of women with unplanned pregnancy despite contraception. 
A)  Increase the number of private pharmacies that supply emergency contraception. 
B)  Increase the proportion of subsequent births to 18 months from 12 months. 
C)  Increase the proportion of young males who receive reproductive health care. 
D)  Reduce the number of publicly funded family planning clinics that offer abortion. 
E)  Reduce the proportion of women with unplanned pregnancy despite contraception.

Question 19

A teenage girl wishes to obtain birth control and is interested in a diaphragm.What advice does the nurse provide?

Accepted Answer

A)  Good choice because it is cheap 
B)  Good choice because it is easy to use 
C)  Poor choice because it is not effective 
D)  Poor choice because it requires planning 
A)  Good choice because it is cheap 
B)  Good choice because it is easy to use 
C)  Poor choice because it is not effective 
D)  Poor choice because it requires planning

Question 20

The nurse is concerned about a woman who is undergoing her second in vitro fertilization (IVF)cycle.The patient is anxious,sad,and worried that her partner does not feel as motivated as she does to try to achieve a pregnancy.Which actions by the nurse are most appropriate?

Accepted Answer

A)  Ask the woman to consider herbal supplements like blue cohosh. 
B)  Encourage the woman to talk honestly with her partner. 
C)  Explain that it takes an average of five attempts to become pregnant with IVF. 
D)  Instruct the woman to engage in relaxation techniques. 
E)  Encourage the woman and her partner to contact a support group such as RESOLVE. 
A)  Ask the woman to consider herbal supplements like blue cohosh. 
B)  Encourage the woman to talk honestly with her partner. 
C)  Explain that it takes an average of five attempts to become pregnant with IVF. 
D)  Instruct the woman to engage in relaxation techniques. 
E)  Encourage the woman and her partner to contact a support group such as RESOLVE.

Exam 6: Human Sexuality and Fertility

A woman asks the nurse about taking chasteberry tree supplements.What response by the nurse is best?

The nurse is assessing a sexually active heterosexual woman who does not use birth control.The nurse explains that the chance of becoming pregnant with each act of unprotected intercourse is what percentage?

A woman has been taking progesterone via intramuscular injection.She calls the clinic to complain of swollen ankles.What response by the nurse is best?

Prior to a sterilization procedure,which action by the nurse takes priority?

A woman had an elective surgical abortion 7 weeks ago and calls the clinic to ask when her menstrual periods should return.What response by the nurse is most appropriate?

A couple is interested in fertility-awareness-based (FAB)family planning.The nurse should advise them about what drawbacks that accompany this method?

A woman who is 10 weeks pregnant is being counseled by the nurse regarding her upcoming elective abortion.What information should the nurse provide?

A patient has been taught about the vaginal contraceptive ring.Which statement by the patient indicates that further teaching is needed?

A nurse is reviewing a 36-year-old woman's chart.The woman has the diagnosis of infertility.What does the nurse conclude about this woman?

A nurse is working with a young couple whose contraceptive choice is latex condoms.What statement by either partner indicates the need for more teaching?

A nurse is explaining that a woman will undergo follicular monitoring to evaluate her response to ovulation induction.For what test does the nurse prepare her?

A nurse is explaining contraceptive options to a young woman.What benefits of an IUD does the nurse describe?

A nurse is assessing a couple who are in the clinic complaining of an inability to get pregnant.Which questions are most important at this time?

A nurse is working with a patient who has the nursing diagnosis of altered sexuality patterns.What action by the nurse takes priority?

Place the following methods of birth control in order of their effectiveness,starting with the most effective. Condoms Depo-Provera Diaphragm Natural family planning Oral contraceptive pills Withdrawal

The nurse teaches a patient the acronym "ACHES" for the serious symptoms that must be reported immediately when taking oral contraceptive pills.Which manifestations does this include?

An infertility clinic nurse explains to the student that the process of sperm washing has several benefits.Which benefits should the nurse explain to the student?

A nurse is working with women and issues of reproductive health practices to help meet the National Health Goals related to reproductive life planning.Which goals are included in this document?

A teenage girl wishes to obtain birth control and is interested in a diaphragm.What advice does the nurse provide?

The nurse is concerned about a woman who is undergoing her second in vitro fertilization (IVF)cycle.The patient is anxious,sad,and worried that her partner does not feel as motivated as she does to try to achieve a pregnancy.Which actions by the nurse are most appropriate?

Traditional and Community Nursing Care for Women, Families, and Children

Contemporary Issues in Women’s, Families’, and Children’s Health Care

The Evolving Family

Caring for Women, Families, and Children Across the Life Span

Reproductive Anatomy and Physiology

Conception and Development of the Embryo and Fetus

Physiological and Psychosocial Changes During Pregnancy

The Prenatal Assessment

Promoting a Healthy Pregnancy

Caring for the Woman Experiencing Complications During Pregnancy

The Process of Labor and Birth

Promoting Patient Comfort During Labor and Birth

Caring for the Woman Experiencing Complications During Labor and Birth

Caring for the Postpartal Woman and Her Family

Caring for the Woman Experiencing Complications During the Postpartal Period

Physiological Transition of the Newborn

Caring for the Normal Newborn

Caring for the Newborn at Risk

Caring for the Developing Child

Caring for the Child in the Hospital,the Community,and Across Care Settings

Caring for the Child With a Psychosocial or Condition

Caring for the Child With a Respiratory Condition

Caring for the Child With a Gastrointestinal Condition

Caring for the Child With an Immunological or Infectious Condition

Caring for the Child With a Cardiovascular Condition

Caring for the Child With an Endocrinological or Metabolic Condition

Caring for the Child With a Neurological or Sensory Condition

Caring for the Child With a Musculoskeletal Condition

Caring for the Child With a Integumentary Condition

Caring for the Child With a Genitourinary Condition

Caring for the Child With a Hematological Condition

Caring for the Child With Cancer

Caring for the Child With a Chronic Condition or the Dying Child

Caring for the Critically Ill Child

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