Question 1

What does the nurse know about postcoital emergency contraception with Ella or Next Choice?

Accepted Answer

A)  Requires that the first dose be taken within 72 hours of unprotected intercourse 
B)  Requires that the woman take second and third doses at 24 and 36 hours after the first dose 
C)  Must be taken in conjunction with an IUD insertion 
D)  Most states require the woman to have a valid prescription 
A)  Requires that the first dose be taken within 72 hours of unprotected intercourse 
B)  Requires that the woman take second and third doses at 24 and 36 hours after the first dose 
C)  Must be taken in conjunction with an IUD insertion 
D)  Most states require the woman to have a valid prescription A

Question 2

Which contraceptive method is contraindicated in a woman with a history of toxic shock syndrome?

Accepted Answer

A)  Condom 
B)  Spermicide 
C)  Cervical cap 
D)  Norplant 
A)  Condom 
B)  Spermicide 
C)  Cervical cap 
D)  Norplant C

Question 3

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

Accepted Answer

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

Question 4

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

Accepted Answer

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

Question 5

The nurse is reviewing the educational packet provided to a patient about tubal ligation.What important facts should the nurse point out? (Select all that apply.)

Accepted Answer

A)  "It is highly unlikely that you will become pregnant after the procedure." 
B)  "This is an effective form of 100% permanent sterilization." 
C)  "Sterilization offers protection against sexually transmitted diseases." 
D)  "Sterilization offers no protection against sexually transmitted diseases." 
E)  "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 an effective form of 100% permanent sterilization." 
C)  "Sterilization offers protection against sexually transmitted diseases." 
D)  "Sterilization offers no protection against sexually transmitted diseases." 
E)  "Your menstrual cycle will greatly increase after your sterilization."

Question 6

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

Accepted Answer

A)  is the same as coitus interruptus, or "pulling out." 
B)  uses the calendar method to align the woman's cycle with sexual activity. 
C)  is used by 2% of Roman Catholics. 
D)  relies on barrier methods during fertility phases. 
A)  is the same as coitus interruptus, or "pulling out." 
B)  uses the calendar method to align the woman's cycle with sexual activity. 
C)  is used by 2% of Roman Catholics. 
D)  relies on barrier methods during fertility phases.

Question 7

What is important in instructing a patient in the use of spermicidal foams or gels?

Accepted Answer

A)  Insert 1 to 2 hours before intercourse. 
B)  One application is effective for several hours. 
C)  Avoid douching for at least 6 hours. 
D)  There are no known side effects. 
A)  Insert 1 to 2 hours before intercourse. 
B)  One application is effective for several hours. 
C)  Avoid douching for at least 6 hours. 
D)  There are no known side effects.

Question 8

A physician prescribes clomiphene citrate (Clomid,Serophene)for a woman experiencing infertility.She is very concerned about the risk of multiple births.Which response by the nurse is most appropriate?

Accepted Answer

A)  "This is a legitimate concern. Would you like to discuss this further before your treatment begins?" 
B)  "No one has ever had more than triplets with Clomid." 
C)  "Ovulation will be monitored with ultrasound so that this will not happen." 
D)  "That has a very low chance of happening, so you don't need to worry too much." 
A)  "This is a legitimate concern. Would you like to discuss this further before your treatment begins?" 
B)  "No one has ever had more than triplets with Clomid." 
C)  "Ovulation will be monitored with ultrasound so that this will not happen." 
D)  "That has a very low chance of happening, so you don't need to worry too much."

Question 9

A 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

Accepted Answer

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

Question 10

Which woman is the safest candidate for the use of oral contraceptives?

Accepted Answer

A)  39-year-old with a history of thrombophlebitis 
B)  16-year-old with a benign liver tumor 
C)  20-year-old who suspects she may be pregnant 
D)  43-year-old who does not smoke cigarettes 
A)  39-year-old with a history of thrombophlebitis 
B)  16-year-old with a benign liver tumor 
C)  20-year-old who suspects she may be pregnant 
D)  43-year-old who does not smoke cigarettes

Question 11

The nurse teaches women to recognize signs of complications when using oral contraceptives using the acronym ACHES.What does this acronym stand for? (Select all that apply.)

Accepted Answer

A)  Aching all over 
B)  Chest pain, dyspnea, hemoptysis, cough 
C)  Severe headache, weakness or numbness of extremities, and hypertension 
D)  Eye problems 
E)  Several swollen areas all over the body 
A)  Aching all over 
B)  Chest pain, dyspnea, hemoptysis, cough 
C)  Severe headache, weakness or numbness of extremities, and hypertension 
D)  Eye problems 
E)  Several swollen areas all over the body

Question 12

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

Accepted Answer

A)  "They're not very effective, and it's very likely you'll get pregnant." 
B)  "They can be effective for many couples, but they require motivation." 
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 for many couples, but they require motivation." 
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 13

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

Accepted Answer

A)  "Tell your friends and family so that 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)  "You might start thinking about adoption to end this roller coaster of emotion." 
A)  "Tell your friends and family so that 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)  "You might start thinking about adoption to end this roller coaster of emotion."

Question 14

A couple are asking the nurse about in vitro fertilization.What explanation by the nurse is best?

Accepted Answer

A)  "IVF places the product of conception from your sperm and her egg into the 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)  "IVF places the product of conception from your sperm and her egg into the 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 15

A nurse is teaching a couple about basal body temperature.What information is most accurate?

Accepted Answer

A)  Measures the man's scrotal temperature related to sperm production. 
B)  Basal body temperature is the average resting temperature in the woman. 
C)  It detects slight temperature elevation just prior to ovulation in the woman 
D)  Ovulation is the only event that affects the change in body temperature. 
A)  Measures the man's scrotal temperature related to sperm production. 
B)  Basal body temperature is the average resting temperature in the woman. 
C)  It detects slight temperature elevation just prior to ovulation in the woman 
D)  Ovulation is the only event that affects the change in body temperature.

Question 16

A woman has been prescribed metformin at the infertility clinic.She says "Why am I on this? I am not a diabetic; my sister takes it for her diabetes!" What response by the nurse is best?

Accepted Answer

A)  "It is used to promote ovulation in polycystic ovary disease." 
B)  "It will prevent your body from forming antibodies to sperm." 
C)  "It helps prepare the uterine lining for eventual implantation." 
D)  "I don't know but I will find out and let you know right away." 
A)  "It is used to promote ovulation in polycystic ovary disease." 
B)  "It will prevent your body from forming antibodies to sperm." 
C)  "It helps prepare the uterine lining for eventual implantation." 
D)  "I don't know but I will find out and let you know right away."

Question 17

With regard to the assessment of female,male,and couple infertility,nurses should be aware of which of the following?

Accepted Answer

A)  The couple's religious, cultural, and ethnic backgrounds do not affect the diagnosis. 
B)  The investigation is lengthy and can be very costly. 
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 do not affect the diagnosis. 
B)  The investigation is lengthy and can be very costly. 
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.

Question 18

The role of the nurse in family planning is to

Accepted Answer

A)  advise couples on which contraceptive to use. 
B)  educate couples on the various methods of contraception. 
C)  decide on the best method of contraception for the couple. 
D)  refer the couple to a reliable physician. 
A)  advise couples on which contraceptive to use. 
B)  educate couples on the various methods of contraception. 
C)  decide on the best method of contraception for the couple. 
D)  refer the couple to a reliable physician.

Question 19

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 is

Accepted Answer

A)  "This is a highly effective method, but it has some side 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 side 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 20

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?

Accepted Answer

A)  Testicular biopsy 
B)  Antisperm antibodies 
C)  FSH level 
D)  Examination for testicular infection 
A)  Testicular biopsy 
B)  Antisperm antibodies 
C)  FSH level 
D)  Examination for testicular infection

Exam 31: Management of Fertility and Infertility

What does the nurse know about postcoital emergency contraception with Ella or Next Choice?

Which contraceptive method is contraindicated in a woman with a history of toxic shock syndrome?

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

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

The nurse is reviewing the educational packet provided to a patient about tubal ligation.What important facts should the nurse point out? (Select all that apply.)

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

What is important in instructing a patient in the use of spermicidal foams or gels?

A physician prescribes clomiphene citrate (Clomid,Serophene)for a woman experiencing infertility.She is very concerned about the risk of multiple births.Which response by the nurse is most appropriate?

A 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

Which woman is the safest candidate for the use of oral contraceptives?

The nurse teaches women to recognize signs of complications when using oral contraceptives using the acronym ACHES.What does this acronym stand for? (Select all that apply.)

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

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

A couple are asking the nurse about in vitro fertilization.What explanation by the nurse is best?

A nurse is teaching a couple about basal body temperature.What information is most accurate?

A woman has been prescribed metformin at the infertility clinic.She says "Why am I on this? I am not a diabetic; my sister takes it for her diabetes!" What response by the nurse is best?

With regard to the assessment of female,male,and couple infertility,nurses should be aware of which of the following?

The role of the nurse in family planning is to

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 is

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating with Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion During Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family with Special Needs

Pregnancy-Related Complications

Concurrent Disorders during Pregnancy

The Woman with an Intrapartum Complication

The Woman with a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High-Risk Newborn: Acquired and Congenital Conditions

Women’s HealthCare

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child with a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child with a Fluid and Electrolyte Alteration

The Child with an Infectious Disease

The Child with an Immunologic Alteration

The Child with a Gastrointestinal Alteration

The Child with a Genitourinary Alteration

The Child with a Respiratory Alteration

The Child with a Cardiovascular Alteration

The Child with a Hematologic Alteration

The Child with Cancer

The Child with an Alteration in Tissue Integrity

The Child with a Musculoskeletal Alteration

The Child with an Endocrine or Metabolic Alteration

The Child with a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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