Exam 5: Infertility,contraception,and Abortion

Informed consent concerning contraceptive use is important because some of the methods:

A woman will be taking oral contraceptives using a 28-day pack.The nurse should advise this woman to protect against pregnancy by:

A woman was treated recently for toxic shock syndrome (TSS).She has intercourse occasionally and uses over-the-counter protection.On the basis of her history,what contraceptive method should she and her partner avoid?

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. -Thyroid dysfunction or obesity

Which test used to diagnose the basis of infertility is done during the luteal or secretory phase of the menstrual cycle?

Postcoital contraception with Ovral:

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.The nurse's most appropriate response is:

Which of the following statements is the most complete and accurate description of medical abortions?

A woman inquires about herbal alternative methods for improving fertility.Which statement by the nurse is the most appropriate when instructing the client in which herbal preparations to avoid while trying to conceive?

Injectable progestins (DMPA,Depo-Provera)are a good contraceptive choice for women who:

A woman had unprotected intercourse 36 hours ago and is concerned that she may become pregnant because it is her "fertile" time.She asks the nurse about emergency contraception.The nurse tells her that:

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. -Endometrial or myometrial tumors

A woman currently uses a diaphragm and spermicide for contraception.She asks the nurse what the major differences are between the cervical cap and diaphragm.The nurse's most appropriate response is:

Which contraceptive method best protects against sexually transmitted infections (STIs)and human immunodeficiency virus (HIV)?

With regard to the use of intrauterine devices (IUDs),nurses should be aware that:

A couple comes in for an infertility workup,having attempted to get pregnant for 2 years.The woman,37,has always had irregular menstrual cycles but is otherwise healthy.The man has fathered two children from a previous marriage and had a vasectomy reversal 2 years ago.The man has had two normal semen analyses,but the sperm seem to be clumped together.What additional test is needed?

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. -Anorexia

While instructing a couple regarding birth control,the nurse should be aware that the method called natural family planning:

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. -Isoimmunization

Although remarkable developments have occurred in reproductive medicine,assisted reproductive therapies are associated with numerous legal and ethical issues.Nurses can provide accurate information about the risks and benefits of treatment alternatives so couples can make informed decisions about their choice of treatment.Which issue would not need to be addressed by an infertile couple before treatment?