Question 1

The nurse is reviewing the educational packet provided to a patient about tubal ligation.What is an important fact he or she should point out?

Accepted Answer

A)  "It is highly unlikely that you will become pregnant after the procedure." 
B)  "This is a 100% effective form of permanent sterilization. You won't be able to get pregnant." 
C)  "Sterilization offers some form of protection against sexually transmitted infections (STIs)." 
D)  "Your menstrual cycle will greatly increase after your sterilization." 
A)  "It is highly unlikely that you will become pregnant after the procedure." 
B)  "This is a 100% effective form of permanent sterilization. You won't be able to get pregnant." 
C)  "Sterilization offers some form of protection against sexually transmitted infections (STIs)." 
D)  "Your menstrual cycle will greatly increase after your sterilization." A

Question 2

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 provide emotional clutter 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 provide emotional clutter 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. B

Question 3

When working with patients who are experiencing infertility,the nurse should be aware of which of the following related to infertility?

Accepted Answer

A)  Infertility is perceived differently by women and men. 
B)  Fertility has a relatively stable prevalence throughout a woman's reproductive years. 
C)  Infertility is more likely the result of a physical deviation in the woman than one in the man. 
D)  Infertility is the same thing as sterility. 
A)  Infertility is perceived differently by women and men. 
B)  Fertility has a relatively stable prevalence throughout a woman's reproductive years. 
C)  Infertility is more likely the result of a physical deviation in the woman than one in the man. 
D)  Infertility is the same thing as sterility. A

Question 4

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

Accepted Answer

A)  "Tell your friends and family so they can help you." 
B)  "Talk only to other friends who are infertile because only they can help." 
C)  "Get involved with a support group. I'll give you some names." 
D)  "Start adoption proceedings immediately because it is a lengthy process." 
A)  "Tell your friends and family so they can help you." 
B)  "Talk only to other friends who are infertile because only they can help." 
C)  "Get involved with a support group. I'll give you some names." 
D)  "Start adoption proceedings immediately because it is a lengthy process."

Question 5

Which of the following contraceptive methods is least effective?

Accepted Answer

A)  Standard days method 
B)  Periodic abstinence 
C)  Postovulation 
D)  Coitus interruptus 
A)  Standard days method 
B)  Periodic abstinence 
C)  Postovulation 
D)  Coitus interruptus

Question 6

A woman will be taking oral contraceptives using a 28-day pack.What should the nurse advise this woman for protection against pregnancy?

Accepted Answer

A)  Limit sexual contact for one cycle after starting the pill. 
B)  Use condoms and foam instead of the pill for as long as she takes an antibiotic. 
C)  Take one pill at the same time every day. 
D)  Stop taking the pills and use a backup method if she misses two pills during week 1 of her cycle. 
A)  Limit sexual contact for one cycle after starting the pill. 
B)  Use condoms and foam instead of the pill for as long as she takes an antibiotic. 
C)  Take one pill at the same time every day. 
D)  Stop taking the pills and use a backup method if she misses two pills during week 1 of her cycle.

Question 7

Injectable progestins ( DMPA,Depo-Provera )are a good contraceptive choice for which of the following women?

Accepted Answer

A)  Women who want menstrual regularity and predictability 
B)  Women who have a history of thrombotic problems or breast cancer 
C)  Women who have difficulty remembering to take oral contraceptives daily 
D)  Women who are homeless or mobile and rarely receive health care 
A)  Women who want menstrual regularity and predictability 
B)  Women who have a history of thrombotic problems or breast cancer 
C)  Women who have difficulty remembering to take oral contraceptives daily 
D)  Women who are homeless or mobile and rarely receive health care

Question 8

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 is the nurse's most appropriate response?

Accepted Answer

A)  "Your sperm count seems to be okay in the first semen analysis." 
B)  "Only marijuana cigarettes affect sperm count." 
C)  "Smoking can give you lung cancer, but it has no effect on sperm." 
D)  "Smoking can reduce the quality of your sperm." 
A)  "Your sperm count seems to be okay in the first semen analysis." 
B)  "Only marijuana cigarettes affect sperm count." 
C)  "Smoking can give you lung cancer, but it has no effect on sperm." 
D)  "Smoking can reduce the quality of your sperm."

Question 9

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 10

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 ).What is the nurse's most appropriate response?

Accepted Answer

A)  "The IUD does not interfere with sex." 
B)  "The risk of pelvic inflammatory disease ( PID ) will be higher for you." 
C)  "The IUD will protect you from sexually transmitted infections ( STIs )." 
D)  "Pregnancy rates are high with the IUDs." 
A)  "The IUD does not interfere with sex." 
B)  "The risk of pelvic inflammatory disease ( PID ) will be higher for you." 
C)  "The IUD will protect you from sexually transmitted infections ( STIs )." 
D)  "Pregnancy rates are high with the IUDs."

Question 11

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 is the nurse's most appropriate response?

Accepted Answer

A)  "Eggs from your wife's ovaries are fertilized in the lab with your 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)  "Don't worry about the technical stuff; that's what we are here for." 
A)  "Eggs from your wife's ovaries are fertilized in the lab with your 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)  "Don't worry about the technical stuff; that's what we are here for."

Question 12

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

Accepted Answer

A)  "The lubricant prevents vaginal irritation." 
B)  "Nonoxynol-9 has been linked to HIV transmission and can cause genital herpes." 
C)  "The additional lubrication improves sex." 
D)  "Nonoxynol-9 improves penile sensitivity." 
A)  "The lubricant prevents vaginal irritation." 
B)  "Nonoxynol-9 has been linked to HIV transmission and can cause genital herpes." 
C)  "The additional lubrication improves sex." 
D)  "Nonoxynol-9 improves penile sensitivity."

Question 13

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." What is the nurse's most appropriate response?

Accepted Answer

A)  "This probably means that you're pregnant." 
B)  "Don't worry; it's probably nothing." 
C)  "Have you been sick this month?" 
D)  "You probably didn't ovulate during this cycle." 
A)  "This probably means that you're pregnant." 
B)  "Don't worry; it's probably nothing." 
C)  "Have you been sick this month?" 
D)  "You probably didn't ovulate during this cycle."

Question 14

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 15

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 16

What should nurses be aware of with regard to the use of intrauterine devices (IUDs)?

Accepted Answer

A)  Return to fertility can take several weeks after the device is removed. 
B)  IUDs containing copper can provide an emergency contraception option if inserted within a few days of unprotected intercourse. 
C)  IUDs offer the same protection against sexually transmitted infections as that of the diaphragm. 
D)  Consent forms are not needed for IUD insertion. 
A)  Return to fertility can take several weeks after the device is removed. 
B)  IUDs containing copper can provide an emergency contraception option if inserted within a few days of unprotected intercourse. 
C)  IUDs offer the same protection against sexually transmitted infections as that of the diaphragm. 
D)  Consent forms are not needed for IUD insertion.

Question 17

A married couple is discussing alternatives for pregnancy prevention and has asked about fertility awareness methods (FAMs).What is the nurse's most appropriate response?

Accepted Answer

A)  "They're not very effective, and it's very likely you'll get pregnant." 
B)  "They can be effective but they require adherence to strict record keeping." 
C)  "These methods have a few advantages and several health risks." 
D)  "You would be much safer going on the pill and not having to worry." 
A)  "They're not very effective, and it's very likely you'll get pregnant." 
B)  "They can be effective but they require adherence to strict record keeping." 
C)  "These methods have a few advantages and several health risks." 
D)  "You would be much safer going on the pill and not having to worry."

Question 18

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

Accepted Answer

A)  "You should avoid nettle leaf, dong quai, and vitamin E while you are trying to get pregnant." 
B)  "You may want to avoid licorice root, lavender, fennel, sage, and thyme while you are trying to conceive." 
C)  "You should not take anything with vitamin E, calcium, or magnesium. They will make you infertile." 
D)  "Herbs have no bearing on fertility." 
A)  "You should avoid nettle leaf, dong quai, and vitamin E while you are trying to get pregnant." 
B)  "You may want to avoid licorice root, lavender, fennel, sage, and thyme while you are trying to conceive." 
C)  "You should not take anything with vitamin E, calcium, or magnesium. They will make you infertile." 
D)  "Herbs have no bearing on fertility."

Question 19

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 20

Although remarkable developments have occurred in reproductive medicine,assisted reproductive therapies are associated with a number of legal and ethical issues.Nurses can provide accurate information about the risks and benefits of treatment alternatives so that couples can make informed decisions about their choice of treatment.Which issue would need to be addressed by an infertile couple before treatment?

Accepted Answer

A)  Risk of multiple gestations 
B)  Ways to avoid disclosing the facts of conception to offspring 
C)  Inability to freeze embryos for later use 
D)  Financial ability to cover the cost of treatment 
A)  Risk of multiple gestations 
B)  Ways to avoid disclosing the facts of conception to offspring 
C)  Inability to freeze embryos for later use 
D)  Financial ability to cover the cost of treatment

Exam 7: Infertility, contraception, and Abortion

The nurse is reviewing the educational packet provided to a patient about tubal ligation.What is an important fact he or she should point out?

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

When working with patients who are experiencing infertility,the nurse should be aware of which of the following related to infertility?

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

Which of the following contraceptive methods is least effective?

A woman will be taking oral contraceptives using a 28-day pack.What should the nurse advise this woman for protection against pregnancy?

Injectable progestins ( DMPA,Depo-Provera )are a good contraceptive choice for which of the following women?

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 is the nurse's most appropriate response?

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?

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 ).What is the nurse's most appropriate response?

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

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." What is the nurse's most appropriate response?

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?

What should nurses be aware of with regard to the use of intrauterine devices (IUDs)?

A married couple is discussing alternatives for pregnancy prevention and has asked about fertility awareness methods (FAMs).What is the nurse's most appropriate response?

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

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?

Contemporary Perinatal Nursing in Canada

The Family and Culture

Community Care

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: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Fetal Health Surveillance During Labour

Nursing Care During Labour and Birth

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing in Canada

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social, cultural, and Religious Influences on Child Health Promotion

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, disability, 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 and Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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