Exam 4: Contraception, Abortion, and Infertility

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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:

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C

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:

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A

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

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B

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

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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:

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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:

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

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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:

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

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

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The nurse working with a patient who has infertility concerns should be aware that Lupron (Leuprolide acetate, a gonadotropin-releasing hormone [GnRH] agonist) may be prescribed for an infertile woman to treat:

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A woman has chosen the calendar method of conception control. During the assessment process, it is most important that the nurse:

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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?

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

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

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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:

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

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

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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:

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You (the nurse) are reviewing the educational packet provided to a patient about tubal ligation. What is an important fact you should point out? Choose all that apply.

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