Exam 5: Infertility, contraception, and Abortion

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

MATCHING 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 years. 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

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:

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?

MATCHING 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 years. 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

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

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

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

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:

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 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:

A couple comes in for an infertility workup,having attempted to get pregnant for 2 years.The woman,37 years,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?

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

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

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:

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

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

Postcoital contraception with Ella:

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

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: