Exam 5: Infertility,contraception,and Abortion

Evaluation for infertility should be offered to couples who have failed to become pregnant after 1 year of regular intercourse or after 6 months if the woman is older than 35. Impaired fertility in women may be the result of numerous factors. Careful identification of the cause of infertility assists in determining the correct treatment plan. The nurse who chooses to work in the specialty of infertility must have an excellent understanding of these factors and causes. Match each factor affecting female infertility with the likely cause. -Endometriosis

With regard to the assessment of female,male,and couple infertility,nurses should be aware that:

In their role of implementing a plan of care for infertile couples,nurses should:

A male client asks the nurse why it is better to purchase condoms that are not lubricated with nonoxynol-9 (a common spermicide).The nurse's most appropriate response is:

Nurses should be aware that infertility:

An unmarried young woman describes her sex life as "active" and involving "many" partners.She wants a contraceptive method that is reliable and does not interfere with sex.She requests an intrauterine device (IUD).The nurse's most appropriate response is:

A woman has chosen the calendar method of conception control.During the assessment process,it is most important that 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.The nurse's most appropriate response would be:

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.The nurse's most appropriate response is:

Which statement is true about the term contraceptive failure rate?

A married couple is discussing alternatives for pregnancy prevention and has asked about fertility awareness methods (FAMs).The nurse's most appropriate reply is:

Which contraceptive method has a failure rate of less than 25%?

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,what would her fertile period be? ________ to _________

A woman is 16 weeks pregnant and has elected to terminate her pregnancy.The nurse knows that the most common technique used for medical termination of a pregnancy in the second trimester is:

A couple is trying to cope with an infertility problem.They want to know what they can do to preserve their emotional equilibrium.The nurse's most appropriate response is:

You (the nurse)are reviewing the educational packet provided to a client about tubal ligation.What is an important fact you should point out (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." The nurse's most appropriate response is:

Nurses,certified nurse-midwives,and other advanced practice nurses have the knowledge and expertise to assist women in making informed choices regarding contraception.A multidisciplinary approach should ensure that the woman's social,cultural,and interpersonal needs are met.Which action should the nurse take first when meeting with a new client to discuss contraception?

With regard to the noncontraceptive medical effects of combined oral contraceptive pills (COCs),nurses should be aware that:

A physician prescribes clomiphene citrate (Clomid,Serophene)for a woman experiencing infertility.She is very concerned about the risk of multiple births.The nurse's most appropriate response is: