Question 1

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)   It is the contraceptive practice most commonly acceptable to Catholic-centred organizations.
D)   It relies on barrier methods during fertility phases. C

Question 2

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. B

Question 3

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. D

Question 4

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 basis for the nurse's response?

Accepted Answer

A)   An IUD does not interfere with sex.
B)   The risk of pelvic inflammatory disease (PI
D)  is higher with the use of an IUD.
C)   The IUD provides protection against sexually transmitted infections (STIs) .
D)   Pregnancy rates are high with the use of an IUD.

Question 5

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

Question 6

A couple comes in for an infertility appointment,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

Question 7

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.

Question 8

When working with patients who are experiencing infertility,which should the nurse be aware of 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.

Question 9

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

Question 10

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 basis for the nurse's response?

Accepted Answer

A)   Encourage the couple to share the information with friends so they can talk more about it.
B)   Suggest they only discuss their infertility problem with friends that do not have children.
C)   Provide information about local support groups for infertile couples.
D)   Suggest they initiate adoption proceedings immediately because it is a lengthy process.

Question 11

Which test used to diagnose the basis of infertility is done during the late follicular or early proliferative phase of the menstrual cycle?

Accepted Answer

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

Question 12

When completing discharge teaching for the patient after an induced abortion,the nurse should inform the patient to report which symptom 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

Question 13

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

Question 14

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.

Question 15

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." How should the nurse respond?

Accepted Answer

A)   Inform the patient that she is probably pregnant.
B)   Assure the patient that this is nothing to worry about.
C)   Ask the patient if she has been sick this month.
D)   Tell the patient that she probably did not ovulate during this cycle.

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.

Question 17

Why it is better to purchase condoms that are not lubricated with nonoxynol-9 (a common spermicide)?

Accepted Answer

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

Question 18

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.

Question 19

Which fact would the nurse expect in an educational packet provided to a patient about tubal ligation?

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.

Question 20

Which contraceptive method is least effective?

Accepted Answer

A)   Standard days method
B)   Periodic abstinence
C)   Post-ovulation
D)   Coitus interruptus

Exam 8: Infertility, Contraception, and Abortion

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

Which action should the nurse take first when meeting with a new patient to discuss contraception?

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

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 basis for the nurse's response?

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

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

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

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?