Question 1

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 2

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 3

A married 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."

Question 4

You (the nurse)are reviewing the educational packet provided to a patient about tubal ligation.What is an important fact you should 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. You won't be able to get pregnant." 
C)  "Sterilization offers some form of protection against sexually transmitted infections (STIs)." 
D)  "Sterilization offers no protection against STIs." 
E)  "Your menstrual cycle will greatly increase after your sterilization."

Question 5

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 6

With regard to the noncontraceptive medical effects of combined oral contraceptive pills (COCs),nurses should be aware that:

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.

Question 7

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.

-Thyroid dysfunction or obesity

Accepted Answer

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

Question 8

A woman is 16 weeks pregnant and has elected to terminate her pregnancy.The nurse knows that the most common technique used for medical termination of a pregnancy in the second trimester is:

Accepted Answer

A)  dilation and evacuation (D&
E) . 
B)  instillation of hypertonic saline into the uterine cavity. 
C)  intravenous administration of Pitocin. 
D)  vacuum aspiration.

Question 9

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.

-Anorexia

Accepted Answer

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

Question 10

A woman has chosen the calendar method of conception control.During the assessment process,it is most important that the nurse:

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 11

In vitro fertilization-embryo transfer (IVF-ET)is a common approach for women with blocked fallopian tubes or unexplained infertility and for men with very low sperm counts.A husband and wife have arrived for their preprocedural interview.The husband asks the nurse to explain what the procedure entails.The nurse's most appropriate response is:

Accepted Answer

A)  "IVF-ET is a type of assisted reproductive therapy that involves collecting eggs from your wife's ovaries, fertilizing them in the laboratory with your sperm, and transferring the embryo to her 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 12

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 13

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).The nurse's most appropriate response is:

Accepted Answer

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

Question 14

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.

-Endometrial or myometrial tumors

Accepted Answer

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

Question 15

Which statement is true about the term contraceptive failure rate?

Accepted Answer

A)  It refers to the percentage of users expected to have an accidental pregnancy over a 5-year span. 
B)  It refers to the minimum level that must be achieved to receive a government license. 
C)  It increases over time as couples become more careless. 
D)  It varies from couple to couple, depending on the method and the users.

Question 16

A male patient asks the nurse why it is better to purchase condoms that are not lubricated with nonoxynol-9 (a common spermicide).The nurse's most appropriate response is:

Accepted Answer

A)  "The lubricant prevents vaginal irritation." 
B)  "It has also been linked to an increase in the transmission of human immunodeficiency virus." 
C)  "The additional lubrication improves sex." 
D)  "Nonoxynol-9 improves penile sensitivity."

Exam 5: Infertility, contraception, and Abortion

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:

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

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

You (the nurse) are reviewing the educational packet provided to a patient about tubal ligation.What is an important fact you should point out? (Select all that apply.)

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?

With regard to the noncontraceptive medical effects of combined oral contraceptive pills (COCs) ,nurses should be aware that:

A woman is 16 weeks pregnant and has elected to terminate her pregnancy.The nurse knows that the most common technique used for medical termination of a pregnancy in the second trimester is:

A woman has chosen the calendar method of conception control.During the assessment process,it is most important that the nurse:

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

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) .The nurse's most appropriate response is:

Which statement is true about the term contraceptive failure rate?

A male patient asks the nurse why it is better to purchase condoms that are not lubricated with nonoxynol-9 (a common spermicide) .The nurse's most appropriate response is: