Question 1

A nurse is working with a young woman planning to become sexually active.She has the nursing diagnosis of knowledge deficit related to contraceptive choices.Which action by the patient would indicate that a priority goal has been met?

Accepted Answer

A)  Can describe how to use method chosen and its side effects 
B)  Is able to choose the "best fit" from contraceptive choices 
C)  Obtains the contraceptive method previously desired 
D)  Willing and able to explain contraceptive method to partner

Question 2

A woman is receiving clomiphene citrate (Clomid).What assessment finding warrants immediate intervention by the nurse?

Accepted Answer

A)  Chest pain worse with inspiration 
B)  Complaints of anxiety and depression 
C)  Headache and bilateral eye pain 
D)  Increase in blood pressure of 10%

Question 3

A nurse reads on a woman's chart that she has a past history of Asherman syndrome.What does the nurse conclude about this patient?

Accepted Answer

A)  Has had an abortion 
B)  Has had multiple miscarriages 
C)  Has never been pregnant 
D)  Has a uterine abnormality

Question 4

A nurse is counseling a woman who wishes to undergo an elective medication abortion.The nurse should assess the woman for what psychosocial considerations?

Accepted Answer

A)  Availability of a close friend who can stay with the woman 
B)  Feeling that medication pregnancy termination is a natural, less stressful process 
C)  Potential for trauma at seeing or handling the products of conception 
D)  Previous use of alcohol or other substances for coping 
E)  Type of birth control the woman plans to use after the abortion

Question 5

The family planning clinic nurse reviews the signs and symptoms of toxic shock syndrome (TSS)with a patient who is being fitted for a diaphragm.The nurse explains that the patient should promptly seek medical attention if she develops which of the following manifestations?

Accepted Answer

A)  Develops a generalized red rash 
B)  Develops a fever over 101.1°F (38.4°
C)  
C)  Experiences difficulty breathing 
D)  Feels lightheaded, is dizzy, or has chills 
E)  Has swelling of the face or neck

Question 6

A woman is interested in the transdermal contraceptive patch.She is 5'5" tall and weighs 200 lb (90.9 kg).What information should the nurse provide this patient as a priority?

Accepted Answer

A)  It may cause skin irritation. 
B)  She can't use the patch at her weight. 
C)  The patch is about 95% effective. 
D)  Withdrawal bleeding occurs monthly.

Question 7

A woman who was recently fitted for a diaphragm is in the clinic for a follow-up visit.Which statement by the patient indicates that teaching was effective?

Accepted Answer

A)  "An added benefit is that it contains my menstrual flow." 
B)  "Baby oil is a cheap and effective lubricant for the diaphragm." 
C)  "I leave the diaphragm in place for 6 hours after intercourse." 
D)  "This diaphragm will have to be replaced within 3 years."

Question 8

A woman is having hysterosalpingography and begins complaining of severe left shoulder pain.What action by the nurse is best?

Accepted Answer

A)  Administer morphine sulfate, 1-2 mg intravenously. 
B)  Ask the patient if she took a nonsteroidal anti-inflammatory drug (NSAI
D)  prior to the procedure. 
C)  Determine exactly where the woman is in her monthly cycle. 
D)  Inform the physician so the procedure can be stopped.

Question 9

A woman is in the clinic complaining of frequent constipation.During the assessment,the patient states that she has been trying to conceive for many months.Which of the following should the nurse ask this patient about using?

Accepted Answer

A)  Bisocodyl (Dulcolax) suppositories 
B)  Fleet enemas 
C)  Psyllium (Metamucil) 
D)  Senna (Senekot)

Question 10

A nurse is counseling a couple about fertility prior to the husband beginning chemotherapy for cancer.The couple wish to delay childbirth until the husband is in remission.What information from the nurse is most accurate?

Accepted Answer

A)  "Donor sperm are usually used in cases such as yours." 
B)  "Have you considered cryopreservation of your sperm?" 
C)  "Most chemotherapeutic drugs don't affect fertility." 
D)  "You shouldn't wait, because remission may not occur."

Question 11

The nurse working in a family practice clinic assesses women for sexual dysfunction.Which woman would the nurse assess as having a sexual dysfunction?

Accepted Answer

A)  Complains about lack of arousal but still has intercourse 
B)  Enjoys a platonic relationship with her "gentleman friend" 
C)  Needs increased foreplay in order to reach an orgasm 
D)  No desire for intimacy and is comfortable with the situation

Question 12

A woman with hypertension is experiencing infertility.After reviewing her medication list,which medication does the nurse advise the woman to discuss with her primary care provider?

Accepted Answer

A)  Atenolol (Tenormin) 
B)  Enalapril (Vasotec) 
C)  Isosorbide dinitrate (Isordil) 
D)  Methyldopa (Aldomet)

Question 13

A woman in the infertility clinic is concerned that her religion may object to assisted reproductive technologies.Which process should the nurse explore with the woman as possibly acceptable?

Accepted Answer

A)  FET (frozen embryo transfer) 
B)  GIFT (gamete intrafallopian transfer) 
C)  IVF-ET (in vitro fertilization-embryo transfer) 
D)  ZIFT (zygote intrafallopian transfer)

Question 14

The clinic nurse obtains a history from women who wish to use a cervical cap as their method of contraception.The nurse assesses for relative or absolute contraindications to this contraceptive device,including which of the following?

Accepted Answer

A)  Patient is a commercial sex worker. 
B)  Patient has history of an abnormal Pap test. 
C)  Patient has human papillomavirus infection. 
D)  Patient has silicone allergy. 
E)  Patient is nulliparous.

Question 15

A woman who desires a second-trimester medical abortion has been educated about the procedure,side effects,and follow-up.What statement by the patient indicates that additional teaching is needed?

Accepted Answer

A)  "I understand that I might need several doses of the prostaglandins." 
B)  "I will get over-the-counter medication to treat any headache that I get." 
C)  "I will watch for dizziness when standing if I have vomiting or diarrhea." 
D)  "If I get a fever with chills, I should go to the emergency department."

Question 16

During the initial visit with a couple in the infertility clinic,what action by the nurse is best to promote a trusting relationship?

Accepted Answer

A)  Explain the process of a workup and its sensitive nature. 
B)  Give written information with a timeline of testing. 
C)  Go over the cost of a workup and insurance coverage. 
D)  Ask the couple if they have considered adoption as an alternative option.

Question 17

The nurse is teaching a group of women about hormonal emergency contraception.Which of the following is not a benefit of this type of contraception?

Accepted Answer

A)  Available in some forms over the counter 
B)  Can be taken up to 120 hours after intercourse 
C)  Over-the-counter version has only two pills 
D)  Typically has no side effects

Question 18

A nurse is teaching a couple about the postcoital test.What information should the nurse provide about the test?

Accepted Answer

A)  It assesses the quality and quantity of cervical mucus at ovulation. 
B)  It assesses the quality of sperm function at the time of ovulation. 
C)  It may cause cramping and discomfort when samples are obtained. 
D)  The woman should have nothing by mouth for 6 hours before the test. 
E)  The woman should return to the clinic 6 to 12 hours after intercourse.

Question 19

A nurse is counseling women about the lactational amenorrhea method of contraception.Which of the following women would the nurse advise to use another method of contraception if pregnancy is not desired?

Accepted Answer

A)  Baby is 5 months old and started on cereals. 
B)  Baby is 8 months old; menses have not resumed. 
C)  Baby is 4 months old; breastfed exclusively. 
D)  Dad feeds 5-month-old baby the mother's stored breast milk. 
E)  Mother uses breast pump while at work.

Question 20

Which of the following women would the nurse advise to use a back-up contraceptive in addition to their birth control pills?

Accepted Answer

A)  Being treated for tuberculosis 
B)  Is a diabetic taking insulin 
C)  On antibiotics for bronchitis 
D)  Takes inhalers for asthma

Exam 6: Human Sexuality and Fertility