Question 1

Informed consent concerning contraceptive use is important because some of the methods:

Accepted Answer

A) Are invasive procedures that require hospitalization 
B) Require a surgical procedure to insert 
C) May not be reliable 
D) Have potentially dangerous side effects

Question 2

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) Throwing away the pack and using a backup method if she misses two pills during week 1 of her cycle.

Question 3

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,what contraceptive method should she and her partner avoid?

Accepted Answer

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

Question 4

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. 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.

-Thyroid dysfunction or obesity

Accepted Answer

A) Ovarian 
B) Tubal/peritoneal 
C) Uterine 
D) Vaginal/cervical 
E) Other factors

Question 5

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

Question 6

Postcoital contraception with Ovral:

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) Is commonly associated with the side effect of menorrhagia.

Question 7

A man smokes two packs of cigarettes a day.He wants to know if smoking is contributing to the difficulty he and his wife are having getting pregnant.The nurse's most appropriate response is:

Accepted Answer

A) "Your sperm count seems to be okay in the first semen analysis." 
B) "Only marijuana cigarettes affect sperm count." 
C) "Smoking can give you lung cancer, even though it has no effect on sperm." 
D) "Smoking can reduce the quality of your sperm."

Question 8

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

Accepted Answer

A) They are performed only for maternal health. 
B) They can be achieved through surgical procedures or with drugs. 
C) They are mostly performed in the second trimester. 
D) They can be either elective or therapeutic.

Question 9

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

Accepted Answer

A) "You should avoid nettle leaf, dong quai, and vitamin E while you are trying to get pregnant." 
B) "You may want to avoid licorice root, lavender, fennel, sage, and thyme while you are trying to conceive." 
C) "You should not take anything with vitamin E, calcium, or magnesium. They will make you infertile." 
D) "Herbs have no bearing on fertility."

Question 10

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.

Question 11

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:

Accepted Answer

A) It is too late; she needed to begin treatment within 24 hours after intercourse. 
B) Preven, an emergency contraceptive method, is 98% effective at preventing pregnancy. 
C) An over-the-counter antiemetic can be taken 1 hour before each contraceptive dose to prevent nausea and vomiting. 
D) The most effective approach is to use a progestin-only preparation.

Question 12

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. 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.

-Endometrial or myometrial tumors

Accepted Answer

A) Ovarian 
B) Tubal/peritoneal 
C) Uterine 
D) Vaginal/cervical 
E) Other factors

Question 13

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.The nurse's most appropriate response is:

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."

Question 14

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 15

With regard to the use of intrauterine devices (IUDs),nurses should be aware that:

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 (STIs) as the diaphragm. 
D) Consent forms are not needed for IUD insertion.

Question 16

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) Follicle-stimulating hormone (FSH) level 
D) Examination for testicular infection

Question 17

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. 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.

-Anorexia

Accepted Answer

A) Ovarian 
B) Tubal/peritoneal 
C) Uterine 
D) Vaginal/cervical 
E) Other factors

Question 18

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 the natural phases of the moon. 
C) Is the only contraceptive practice acceptable to the Roman Catholic church. 
D) Relies on barrier methods during fertility phases.

Question 19

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. 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

Accepted Answer

A) Ovarian 
B) Tubal/peritoneal 
C) Uterine 
D) Vaginal/cervical 
E) Other factors

Question 20

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?

Accepted Answer

A) Risks of multiple gestation 
B) Whether or how to disclose the facts of conception to offspring 
C) Freezing embryos for later use 
D) Financial ability to cover the cost of treatment

Exam 5: Infertility,contraception,and Abortion

Informed consent concerning contraceptive use is important because some of the methods:

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

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,what contraceptive method should she and her partner avoid?

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

Postcoital contraception with Ovral:

A man smokes two packs of cigarettes a day.He wants to know if smoking is contributing to the difficulty he and his wife are having getting pregnant.The nurse's most appropriate response is:

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

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

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

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:

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.The nurse's most appropriate response is:

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

With regard to the use of intrauterine devices (IUDs) ,nurses should be aware that:

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