Question 1

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

Accepted Answer

A)  Hysterosalpingogram 
B)  Endometrial biopsy 
C)  Laparoscopy 
D)  Follicle-stimulating hormone (FSH) level 
A)  Hysterosalpingogram 
B)  Endometrial biopsy 
C)  Laparoscopy 
D)  Follicle-stimulating hormone (FSH) level

Question 2

When completing discharge teaching for the patient after an induced abortion,the nurse should inform the patient to report which of the following immediately to her health care provider?

Accepted Answer

A)  Temperature of 37.8°C 
B)  Spotting or flow on day 4 
C)  Abdominal tenderness when no pressure is applied 
D)  No return of menstrual period within 6 weeks 
A)  Temperature of 37.8°C 
B)  Spotting or flow on day 4 
C)  Abdominal tenderness when no pressure is applied 
D)  No return of menstrual period within 6 weeks

Question 3

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

Accepted Answer

A)  Periodic abstinence 
B)  Barrier methods 
C)  Hormonal methods 
D)  They all offer about the same protection. 
A)  Periodic abstinence 
B)  Barrier methods 
C)  Hormonal methods 
D)  They all offer about the same protection.

Question 4

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.What is the nurse's most appropriate response?

Accepted Answer

A)  "No spermicide is used with the cervical cap, so it's less messy." 
B)  "The diaphragm can be left in place longer after intercourse." 
C)  "Repeated intercourse with the diaphragm is more convenient." 
D)  "The cervical cap can safely be used for repeated acts of intercourse without adding more spermicide later." 
A)  "No spermicide is used with the cervical cap, so it's less messy." 
B)  "The diaphragm can be left in place longer after intercourse." 
C)  "Repeated intercourse with the diaphragm is more convenient." 
D)  "The cervical cap can safely be used for repeated acts of intercourse without adding more spermicide later."

Question 5

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 patient to discuss contraception?

Accepted Answer

A)  Obtain data about the frequency of coitus. 
B)  Determine the woman's level of contraceptive knowledge. 
C)  Assess the woman's willingness to touch her genitals and cervical mucus. 
D)  Evaluate the woman's contraceptive life plan. 
A)  Obtain data about the frequency of coitus. 
B)  Determine the woman's level of contraceptive knowledge. 
C)  Assess the woman's willingness to touch her genitals and cervical mucus. 
D)  Evaluate the woman's contraceptive life plan.

Question 6

Which statement is true about the term contraceptive failure rate?

Accepted Answer

A)  It refers to the percentage of users expected to have an accidental pregnancy over a 5-year span. 
B)  It refers to the minimum level that must be achieved to receive a government license. 
C)  It increases over time as couples become more careless. 
D)  It varies from couple to couple, depending on the method and the users. 
A)  It refers to the percentage of users expected to have an accidental pregnancy over a 5-year span. 
B)  It refers to the minimum level that must be achieved to receive a government license. 
C)  It increases over time as couples become more careless. 
D)  It varies from couple to couple, depending on the method and the users.

Question 7

With regard to the noncontraceptive medical effects of combined oral contraceptive pills (COCs),what should the nurse be aware of?

Accepted Answer

A)  COCs can cause toxic shock syndrome if the prescription is wrong. 
B)  Hormonal withdrawal bleeding usually is a bit more profuse than in normal menstruation and lasts a week. 
C)  COCs increase the risk of endometrial and ovarian cancer. 
D)  The effectiveness of COCs can be altered by some over-the-counter medications and herbal supplements. 
A)  COCs can cause toxic shock syndrome if the prescription is wrong. 
B)  Hormonal withdrawal bleeding usually is a bit more profuse than in normal menstruation and lasts a week. 
C)  COCs increase the risk of endometrial and ovarian cancer. 
D)  The effectiveness of COCs can be altered by some over-the-counter medications and herbal supplements.

Question 8

While instructing a couple regarding birth control,what should the nurse be aware of in relation to the method called natural family planning?

Accepted Answer

A)  It's the same as coitus interruptus, or "pulling out." 
B)  It involves the calendar method to align the woman's cycle with the natural phases of the moon. 
C)  Is the only contraceptive practice acceptable to Catholic-centred organizations. 
D)  It relies on barrier methods during fertility phases. 
A)  It's the same as coitus interruptus, or "pulling out." 
B)  It involves the calendar method to align the woman's cycle with the natural phases of the moon. 
C)  Is the only contraceptive practice acceptable to Catholic-centred organizations. 
D)  It relies on barrier methods during fertility phases.

Question 9

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 underwent 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?

Accepted Answer

A)  Testicular biopsy 
B)  Antisperm antibodies 
C)  Follicle-stimulating hormone (FSH) level 
D)  Examination for testicular infection 
A)  Testicular biopsy 
B)  Antisperm antibodies 
C)  Follicle-stimulating hormone (FSH) level 
D)  Examination for testicular infection

Question 10

A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice.What is the nurse's most appropriate response?

Accepted Answer

A)  "This is a highly effective method, but it has some adverse effects." 
B)  "Your current medications will reduce the effectiveness of the pill." 
C)  "The pill will reduce the effectiveness of your seizure medication." 
D)  "This is a good choice for a woman of your age and personal history." 
A)  "This is a highly effective method, but it has some adverse effects." 
B)  "Your current medications will reduce the effectiveness of the pill." 
C)  "The pill will reduce the effectiveness of your seizure medication." 
D)  "This is a good choice for a woman of your age and personal history."

Question 11

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,which contraceptive method should she and her partner avoid?

Accepted Answer

A)  Cervical cap 
B)  Condom 
C)  Vaginal film 
D)  Vaginal sheath 
A)  Cervical cap 
B)  Condom 
C)  Vaginal film 
D)  Vaginal sheath

Question 12

A woman has chosen the calendar method of conception control.During the assessment process,what is most important for the nurse to do?

Accepted Answer

A)  Obtain a history of menstrual-cycle lengths for the past 6 months. 
B)  Determine the patient's weight gain and loss pattern for the previous year. 
C)  Examine skin pigmentation and hair texture for hormonal changes. 
D)  Explore the patient's previous experiences with conception control. 
A)  Obtain a history of menstrual-cycle lengths for the past 6 months. 
B)  Determine the patient's weight gain and loss pattern for the previous year. 
C)  Examine skin pigmentation and hair texture for hormonal changes. 
D)  Explore the patient's previous experiences with conception control.

Exam 7: Infertility, contraception, and Abortion

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

When completing discharge teaching for the patient after an induced abortion,the nurse should inform the patient to report which of the following immediately to her health care provider?

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

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.What is the nurse's most appropriate response?

Which statement is true about the term contraceptive failure rate?

With regard to the noncontraceptive medical effects of combined oral contraceptive pills (COCs),what should the nurse be aware of?

While instructing a couple regarding birth control,what should the nurse be aware of in relation to the method called natural family planning?

A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice.What is the nurse's most appropriate response?

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,which contraceptive method should she and her partner avoid?

A woman has chosen the calendar method of conception control.During the assessment process,what is most important for the nurse to do?

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Anatomy and Physiology of Pregnancy

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