Question 1

A client who was raped is extremely upset when a pregnancy test confirms that she is pregnant, and requests information regarding pregnancy termination. Which statement is best for the nurse to make?

Accepted Answer

The best statement for the nurse to make is factual and non-judgmental, providing the client with accurate information about the procedure. Statement C is correct because it provides factual information about the timing of surgical abortions without imposing moral judgments or irrelevant clinical risks not directly related to the question of timing.

Question 2

After reviewing approaches for contraception with a female client, the nurse is concerned that barrier methods will not achieve the client's goal to prevent pregnancy. What did the client say to cause the nurse to draw this conclusion?

Accepted Answer

Barrier methods of contraception, such as diaphragms, cervical caps, and spermicides, require insertion into the vagina before intercourse. The client's statement, "I don't want to have to put anything in myself," indicates a reluctance to use these methods, leading the nurse to conclude that barrier methods may not meet the client's needs for preventing pregnancy.

Question 3

What issues should the nurse consider when counseling a client on contraceptive methods?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

When counseling on contraceptive methods, it's important to consider cultural perspectives, the effectiveness of the method, and future childbearing plans, as these factors can influence the client's choice and satisfaction with the method. Being a vegetarian or age at menarche are not directly relevant to contraceptive counseling.

Question 4

The nurse in the clinic instructs a client who is using the natural method of contraception to begin counting the first day of her cycle as which day?

Accepted Answer

The first day of the menstrual cycle is considered to be the first day of menstrual bleeding. This is a standard way to measure and track the cycle, especially relevant for natural methods of contraception which rely on understanding and predicting the fertile window based on cycle length.

Question 5

When the nurse is teaching a woman about the use of a diaphragm, it is important to instruct her that the diaphragm should be rechecked for correct size how often?

Accepted Answer

The answer of When the nurse is teaching a woman...

Question 6

A client asks the nurse, "Can you explain to us how to use the basal body temperature method to detect ovulation and prevent pregnancy?" What is the nurse's best response?

Accepted Answer

The basal body temperature method involves taking the temperature each day immediately upon awakening. A noticeable rise in temperature indicates that ovulation has occurred.

Question 7

Extended use of combined oral contraceptives (C O Cs) reduces the side effects of C O Cs such as which of the following?

Accepted Answer

The answer of Extended use of combined oral contraceptives (C...

Question 8

The nurse is preparing educational materials at a family planning clinic. The client who is an appropriate candidate for using emergency contraception would be one who reports which of the following?

Accepted Answer

Emergency contraception is most appropriate for situations where there is a significant risk of pregnancy due to contraceptive failure or absence, such as when a condom breaks during intercourse.

Question 9

A female patient comes into the community clinic with the following chart and asks the nurse for help understanding what needs to be done. Which method of birth control should the nurse review with the patient?

Accepted Answer

The answer of A female patient comes into the community...

Question 10

A couple asks the nurse what is the safest method of sterilization. What should the nurse reply?

Accepted Answer

Vasectomy is considered safer than female sterilization methods as it is less invasive, has fewer complications, and a quicker recovery time.

Question 11

A client in the women's clinic asks the nurse, "How is the cervical mucus method of contraception different from the rhythm method?" The appropriate response by the nurse is that the cervical mucus method is which of the following?

Accepted Answer

The cervical mucus method, also known as the ovulation method, relies on the observation of changes in cervical mucus to predict fertility. It is more effective for women with irregular cycles than the rhythm method, which calculates fertile days based on cycle regularity.

Question 12

The nurse is developing a teaching plan for a client undergoing a tubal ligation. What information should be included in the plan?

Accepted Answer

Tubal ligation can be performed through a minilaparotomy in the postpartum period soon after a vaginal birth, which is a less invasive procedure compared to a laparotomy and is often chosen for its convenience and timing after childbirth.

Question 13

The nurse is discussing the use of contraception with a client who has just become sexually active. What factors should the nurse include when educating the client on contraceptive methods?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The nurse should consider contraindications in the client's health history, religious or moral beliefs, personal preferences, and future childbearing plans when discussing contraceptive methods. These factors ensure that the chosen method is safe, acceptable, and aligns with the client's lifestyle and future goals. The partner's belief in the effectiveness is not a primary factor in the client's decision-making process.

Question 14

When assessing a client asking about birth control, the nurse knows that the client would not be a good candidate for Depo-Provera (D M P A) if which of the following is true?

Accepted Answer

Depo-Provera can cause a delay in the return of fertility for up to 10 months after the last injection, making it unsuitable for someone who wishes to get pregnant within 3 months.

Question 15

A client who wants to use the vaginal sponge method of contraception shows that she understands the appropriate usage when she makes which statement?

Accepted Answer

The vaginal sponge is designed to be moistened with water prior to use, which activates the spermicide contained within the sponge and makes it easier to insert.

Question 16

The nurse is reviewing the insertion of a diaphragm with a female patient. At which step in the process is the following diagram to be used?

Accepted Answer

The answer of The nurse is reviewing the insertion of...

Question 17

The nurse is coordinating educational materials in the patient training room. For which method of birth control should the nurse place the following diagram?

Accepted Answer

The answer of The nurse is coordinating educational materials in...

Question 18

A patient using the calendar rhythm method of birth control asks for assistance to calculate her most fertile period. She states that her shortest cycle is 22 days and her longest cycle is 40 days. Using this information, which day should the nurse identify as being the end of the patient's fertile period?

Accepted Answer

The answer of A patient using the calendar rhythm method...

Question 19

A female client who is 36 years old, weighs 200 pounds, is monogamous, and does not smoke desires birth control. The nurse understands that which contraceptive method is inappropriate for this client?

Accepted Answer

Transdermal hormonal contraception is less effective in women who weigh over 198 pounds, making it inappropriate for this client who weighs 200 pounds.

Question 20

The nurse is preparing to meet with a female patient to review the most appropriate contraceptive method. In which order should the nurse complete the steps of this process?

Accepted Answer

The nurse should first learn about the patient's lifestyle, attitudes, religious beliefs, and plans for children to understand her needs and preferences (E). Next, assess for any medical contraindications to specific contraceptive methods (D). Then, review the side effects and warning symptoms of the options (C). After selecting a method, instruct the patient on its use (B). Finally, emphasize actions to take if pregnancy occurs (A).

Quiz 4: Family Planning