Question 1

If asked to recommend a delivery method of birth control,for which client would the nurse suggest the use of the depot injection method?

Accepted Answer

D

Question 2

A client has decided to terminate a pregnancy using medication.Which medication would not be effective if used for this purpose?

Accepted Answer

Levonorgestrel (Plan B) is not effective for terminating an existing pregnancy. It is used as emergency contraception to prevent pregnancy after unprotected sex or a known or suspected contraceptive failure.

Question 3

A young female client,deciding on which form of birth control to use,tells the nurse she does not want to have to touch "down there." Which form of birth control would be contraindicated for this client?

Accepted Answer

The intrauterine device (IUD) requires insertion into the uterus through the cervix, which involves touching "down there." Therefore, it would be contraindicated for this client who has stated her preference not to touch that area. Options A, B, and C do not involve touching "down there" and would be appropriate for this client.

Question 4

A young female client is beginning to use oral contraceptives.What information should be shared with this client that relates to one of the possible adverse effects of these medications?

Accepted Answer

One of the possible adverse effects of oral contraceptives is an increased risk of breast cancer. Therefore, it is important for the client to be taught self-examination of the breasts so that she can detect any changes early on. The other choices are not directly related to adverse effects of the medication.

Question 5

The nurse is discharging a client who gave birth to her first child two days ago.When discussing birth control,which the most important for the nurse to ask this client?

Accepted Answer

The client's choice of birth control may depend on whether she is breastfeeding or bottle-feeding her baby. Breastfeeding may limit her options for birth control due to the hormones it releases, while bottle-feeding may allow her to use a wider range of birth control methods. The other choices do not directly relate to the client's birth control options.

Question 6

A client has decided to use the oral contraceptive norethindrone (Ortha Micronor).How can the nurse most accurately explain the way progestin-only contraceptives help to prevent pregnancy?

Accepted Answer

Progestin-only pills thicken the cervical mucus, making it difficult for the sperm to pass through the cervix and reach the uterus. This helps to prevent fertilization of the egg. However, it is not as reliable as combination pills or alternative forms of contraception like condoms.

Question 7

A client has decided to use the depot injection delivery method of contraception.What information is most important for the nurse to share with this client to ensure consistent contraception?

Accepted Answer

The most important information for the nurse to share with the client is the necessity of keeping the 3-month appointment for the next injection. Consistency in timing of injections is crucial for effectiveness of depot contraception.

Question 8

A client will be having a second-trimester abortion using misoprostol (Cytotec)and methotrexate.Which statement by the client indicates an understanding of the side effects to be expected with these medications?

Accepted Answer

Chest pain and tingling/weakness in the legs are not common side effects of misoprostol and methotrexate. Bleeding is a common side effect, but specifically when urinating is not typically noted. Fever is a common side effect and should only last for a short period of time. Therefore, the client's understanding of the potential for a fever after taking the medications indicates the best understanding of the side effects.

Question 9

A school nurse is teaching a group of adolescents about oral contraceptives and how they work to prevent pregnancy.The nurse asks the students to name the part of the body that ultimately controls ovulation.Which student gives the nurse the correct answer?

Accepted Answer

The pituitary gland is responsible for producing and releasing follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which regulate the menstrual cycle and control ovulation. The other options do not accurately describe the part of the body that controls ovulation.

Question 10

A client has decided to use a contraceptive sponge for pregnancy prevention.Which statement by the client indicates a need for further instruction?

Accepted Answer

The client needs further instruction because they indicate that they must remove the sponge as soon as possible after sexual intercourse. The contraceptive sponge should be left in place for at least 6 hours after intercourse to effectively prevent pregnancy.

Question 11

A client tells the nurse she wants to use birth control but does not want to have to wait for months before getting pregnant.Which form of birth control would allow a quick return to fertility after it is discontinued?

Accepted Answer

The answer of A client tells the nurse she wants...

Question 12

The school nurse is discussing oral contraceptives with a group of adolescent females.Which factor associated with the use of these medications could prove to be the greatest deterrent to choosing this form of birth control?

Accepted Answer

Weight gain is a common concern and potential side effect of using oral contraceptives, which could deter some females from choosing this form of birth control. While yearly exams are important for overall health, high blood pressure and breast tenderness are also potential side effects but may not be as significant of a deterrent as weight gain.

Question 13

A contraceptive that does not contain estrogen has been recommended for a client with a history of deep vein thrombosis,but the client does not know why.Which statement by the nurse best explains the relationship of estrogen to thromboembolic events?

Accepted Answer

Estrogen causes an increase in several clotting factors in the blood, known as a prothrombotic effect, which increases the risk of blood clot formation. Clients who have a history of deep vein thrombosis or other thromboembolic events are at increased risk and should avoid contraceptive methods that contain estrogen.

Question 14

Which statement by a client using the vaginal delivery method of contraception indicates a need for additional instruction?

Accepted Answer

It is not recommended to remove the ring during intercourse as it may decrease effectiveness and increase the risk of accidental pregnancy. The ring should be left in for three weeks and then removed for one week before a new ring is inserted.

Question 15

A client tells the nurse she has had unprotected sexual intercourse and is worried about becoming pregnant.Which the nurse will elicit information most helpful to this client?

Accepted Answer

Knowing when the client's last period was can help the nurse determine if the client is currently ovulating and therefore more likely to become pregnant.

Question 16

After instruction from the nurse,which statement by the client indicates comprehension of the effectiveness of different birth control methods?

Accepted Answer

This statement accurately reflects the effectiveness of combination oral contraceptives when taken correctly. Depo injections are about 99% effective if given regularly, progestin-only oral contraceptives are about 94% effective if taken correctly, and the Mirena IUD is effective for up to 5 years before needing replacement.

Question 17

A client has decided to use the transdermal delivery method of contraception.What would contraindicate the use of this method?

Accepted Answer

A history of blood clots is a contraindication for transdermal delivery of contraception due to the increased risk of thromboembolic events. Exercise and aspirin use do not contraindicate this method, and a history of scarlet fever is not relevant to the decision.

Question 18

A client tells the nurse that since using the vaginal ring for birth control,it always feels like there is something in her vagina.What information should the nurse give this client?

Accepted Answer

This response acknowledges the client's concern and offers a potential solution while still supporting the use of the vaginal ring for birth control.

Question 19

Which statement by a client taking oral contraceptives requires immediate intervention by the nurse?

Accepted Answer

Missing two or more pills in a row can increase the risk of pregnancy and the client should be advised to use a backup method of contraception and to report any missed pills to their healthcare provider. Delayed periods can also signal a pregnancy or a problem with the efficacy of the oral contraceptives. The nurse should intervene immediately, assess the client's adherence to the medication regimen, and provide education on proper use.

Question 20

A client with four children is asking about options for permanent birth control.Which option would provide the most reliable means of long-term pregnancy prevention for this client?

Accepted Answer

Sterilization, either through tubal ligation in females or vasectomy in males, provides the most reliable long-term method of birth control as it is permanent and has a failure rate of less than 1%. The other options listed, including transdermal delivery, Mirena IUD, and vaginal delivery, are not considered permanent forms of birth control and have higher failure rates.

Quiz 70: Drugs for Modifying Conception