Question 1

The conscious decision on when to conceive or avoid pregnancy throughout the reproductive years is called&#10;A) family planning.&#10;B) birth control.&#10;C) contraception.&#10;D) assisted reproductive therapy.

Accepted Answer

Family planning is the process of deciding when and if to have children.Birth control is the device and/or practice used to reduce the risk of conceiving or bearing children.Contraception is the intentional prevention of pregnancy during sexual intercourse.Assisted reproductive therapy is one of several possible treatments for infertility.

Question 2

A physician prescribes clomiphene citrate (Clomid,Serophene)for a woman experiencing infertility.She is very concerned about the risk of multiple births.Which response by the nurse is most appropriate?

A) "This is a legitimate concern. Would you like to discuss this further before your treatment begins?"
B) "No one has ever had more than triplets with Clomid."
C) "Ovulation will be monitored with ultrasound so that this will not happen."
D) "That has a very low chance of happening, so you don't need to worry too much."

Accepted Answer

The incidence of multiple pregnancies with the use of these medications is increased.The patient's concern is legitimate and should be discussed so that she can make an informed decision.Women have had more that triplets on this medication.Ultrasound cannot prevent multiple gestation.Telling the woman not to worry is belittling her concerns.

Question 3

With regard to the use of intrauterine devices (IUDs),nurses should be aware that&#10;A) return to fertility can take several weeks after the device is removed.&#10;B) IUDs containing copper can provide an emergency contraception option if inserted within a few days of unprotected intercourse.&#10;C) IUDs offer the same protection against sexually transmitted diseases as the diaphragm.&#10;D) consent forms are not needed for IUD insertion.

Accepted Answer

The woman has up to 5 days to insert the IUD after unprotected sex.Return to fertility is immediate after removal of the IUD.IUDs offer no protection for sexually trAnswermitted diseases.A consent form and a negative pregnancy test are required for insertion.

Question 4

What does the nurse know about postcoital emergency contraception with Ella or Next Choice?&#10;A) Requires that the first dose be taken within 72 hours of unprotected intercourse&#10;B) Requires that the woman take second and third doses at 24 and 36 hours after the first dose&#10;C) Must be taken in conjunction with an IUD insertion&#10;D) Most states require the woman to have a valid prescription

Accepted Answer

Emergency contraception is most effective when used within 72 hours of intercourse but may be used with lessened effectiveness up to 120 hours later.Insertion of the copper IUD within 5 days of intercourse may also be used and is up to 99% effective.Emergency contraception is available without a prescription for women over 17 and for those younger than 17 with prescription.

Question 5

A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice.The nurse's most appropriate response is&#10;A) &#34;This is a highly effective method, but it has some side effects.&#34;&#10;B) &#34;Your current medications will reduce the effectiveness of the pill.&#34;&#10;C) &#34;The pill will reduce the effectiveness of your seizure medication.&#34;&#10;D) &#34;This is a good choice for a woman of your age and personal history.&#34;

Accepted Answer

Because the liver metabolizes oral contraceptives,their effectiveness is reduced when they are taken simultaneously with anticonvulsants.Telling the woman the pill has some side effects or that it is a good choice for some women is not tailoring teaching to her specific situation.The anticonvulsant will reduce the effectiveness of the pill,not the other way around.

Question 6

Which contraceptive method is contraindicated in a woman with a history of toxic shock syndrome?&#10;A) Condom&#10;B) Spermicide&#10;C) Cervical cap&#10;D) Norplant

Accepted Answer

The cervical cap may increase the risk of toxic shock syndrome because it may be left in the vagina for a prolonged period.Condoms,spermicides,and Norplant are not contraindicated in women who have had toxic shock syndrome.

Question 7

Which woman is the safest candidate for the use of oral contraceptives?&#10;A) 39-year-old with a history of thrombophlebitis&#10;B) 16-year-old with a benign liver tumor&#10;C) 20-year-old who suspects she may be pregnant&#10;D) 43-year-old who does not smoke cigarettes

Accepted Answer

Cigarette smoking is a contraindication,especially in women older than 35.Oral contraceptives are contraindicated with a history of thrombophlebitis,liver tumors,or pregnancy.

Question 8

Informed consent concerning contraceptive use is important because some of the methods&#10;A) are invasive procedures that require hospitalization.&#10;B) require a surgical procedure to insert.&#10;C) may not be reliable.&#10;D) have potentially dangerous side effects.

Accepted Answer

It is important for couples to be aware of potential side effects so they can make an informed decision about the use of contraceptives.The only contraceptive method that requires hospitalization is sterilization.The only surgical procedure used would be for permanent sterilization.Some have more effective rates,and this should be included in the teaching.

Question 9

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&#10;A) &#34;No spermicide is used with the cervical cap, so it's less messy.&#34;&#10;B) &#34;The diaphragm can be left in place longer after intercourse.&#34;&#10;C) &#34;Repeated intercourse with the diaphragm is more convenient.&#34;&#10;D) &#34;You can have intercourse several times without removing the cap to add more spermicide.&#34;

Accepted Answer

The cervical cap can be inserted hours before sexual intercourse without the need for additional spermicide later.No additional spermicide is needed inside the cap for repeated acts of intercourse but more is inserted into the vagina.Spermicide should be used inside the cap as an additional chemical barrier.The cervical cap should remain in place for 6 hours after the last act of intercourse but can stay in place up to 48 hours.Repeated intercourse with the cervical cap is more convenient,because no additional spermicide is needed.

Question 10

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?

A) Testicular biopsy
B) Antisperm antibodies
C) FSH level
D) Examination for testicular infection

Accepted Answer

The woman has irregular menstrual cycles.The scenario does not indicate that she has had any testing related to this irregularity.Hormone analysis is performed to assess endocrine function of the hypothalamic-pituitary-ovarian axis when menstrual cycles are absent or irregular.Determination of blood levels of prolactin,FSH,luteinizing hormone (LH),estradiol,progesterone,and thyroid hormones may be necessary to diagnose the cause of irregular menstrual cycles.A testicular biopsy would be indicated only in cases of azoospermia (no sperm cells)or severe oligospermia (low number of sperm cells).Antisperm antibodies are produced by a man against his own sperm.This is unlikely to be the case here,because the husband has already produced children.Examination for testicular infection should be done before semen analysis.Furthermore,infection affects spermatogenesis.However,the woman's hormone levels would likely be tested first.

Question 11

A woman will be taking oral contraceptives using a 28-day pack.The nurse should advise this woman to protect against pregnancy by&#10;A) limiting sexual contact for one cycle after starting the pill.&#10;B) using condoms and foam instead of the pill for as long as she takes an antibiotic.&#10;C) taking one pill at the same time every day.&#10;D) using a backup method if she misses two pills during week 1 of her cycle.

Accepted Answer

The answer of A woman will be taking oral contraceptives...

Question 12

What is important in instructing a patient in the use of spermicidal foams or gels?&#10;A) Insert 1 to 2 hours before intercourse.&#10;B) One application is effective for several hours.&#10;C) Avoid douching for at least 6 hours.&#10;D) There are no known side effects.

Accepted Answer

The answer of What is important in instructing a patient...

Question 13

A nurse is providing information about contraceptives to a couple.Which contraceptive method provides protection against sexually transmitted diseases?&#10;A) Oral contraceptives&#10;B) Tubal ligation&#10;C) Male or female condoms&#10;D) Intrauterine device (IUD)

Accepted Answer

The answer of A nurse is providing information about contraceptives...

Question 14

The role of the nurse in family planning is to&#10;A) advise couples on which contraceptive to use.&#10;B) educate couples on the various methods of contraception.&#10;C) decide on the best method of contraception for the couple.&#10;D) refer the couple to a reliable physician.

Accepted Answer

The answer of The role of the nurse in family...

Question 15

A couple is discussing alternatives for pregnancy prevention and has asked about fertility awareness methods (FAMs).The nurse's most appropriate reply is&#10;A) &#34;They're not very effective, and it's very likely you'll get pregnant.&#34;&#10;B) &#34;They can be effective for many couples, but they require motivation.&#34;&#10;C) &#34;These methods have a few advantages and several health risks.&#34;&#10;D) &#34;You would be much safer going on the pill and not having to worry.&#34;

Accepted Answer

The answer of A couple is discussing alternatives for pregnancy...

Question 16

Injectable progestins (DMPA,Depo-Provera)are a good contraceptive choice for women who&#10;A) want menstrual regularity and predictability.&#10;B) have a history of thrombotic problems or breast cancer.&#10;C) have difficulty remembering to take oral contraceptives daily.&#10;D) are homeless or mobile and rarely receive health care.

Accepted Answer

The answer of Injectable progestins (DMPA,Depo-Provera)are a good contraceptive choice...

Question 17

A 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

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

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Accepted Answer

The answer of A young woman describes her sex life...

Question 18

While instructing a couple regarding birth control,the nurse should be aware that the method called natural family planning&#10;A) is the same as coitus interruptus, or &#34;pulling out.&#34;&#10;B) uses the calendar method to align the woman's cycle with sexual activity.&#10;C) is used by 2% of Roman Catholics.&#10;D) relies on barrier methods during fertility phases.

Accepted Answer

The answer of While instructing a couple regarding birth control,the...

Question 19

A couple are asking the nurse about in vitro fertilization.What explanation by the nurse is best?&#10;A) &#34;IVF places the product of conception from your sperm and her egg into the uterus.&#34;&#10;B) &#34;A donor embryo will be transferred into your wife's uterus.&#34;&#10;C) &#34;Donor sperm will be used to inseminate your wife.&#34;&#10;D) &#34;Don't worry about the technical stuff; that's what we are here for.&#34;

Accepted Answer

The answer of A couple are asking the nurse about...

Question 20

A couple is trying to cope with an infertility problem.They want to know what they can do to preserve their emotional equilibrium.What response by the nurse is most appropriate?&#10;A) &#34;Tell your friends and family so that they can help you.&#34;&#10;B) &#34;Talk only to other friends who are infertile, because only they can help.&#34;&#10;C) &#34;Get involved with a support group. I'll give you some names.&#34;&#10;D) &#34;You might start thinking about adoption to end this roller coaster of emotion.&#34;

Accepted Answer

The answer of A couple is trying to cope with...

Question 21

A nurse is teaching a couple about basal body temperature.What information is most accurate?&#10;A) Measures the man's scrotal temperature related to sperm production.&#10;B) Basal body temperature is the average resting temperature in the woman.&#10;C) It detects slight temperature elevation just prior to ovulation in the woman&#10;D) Ovulation is the only event that affects the change in body temperature.

Accepted Answer

The answer of A nurse is teaching a couple about...

Question 22

The nurse is reviewing the educational packet provided to a patient about tubal ligation.What important facts should the nurse point out? (Select all that apply.)&#10;A) &#34;It is highly unlikely that you will become pregnant after the procedure.&#34;&#10;B) &#34;This is an effective form of 100% permanent sterilization.&#34;&#10;C) &#34;Sterilization offers protection against sexually transmitted diseases.&#34;&#10;D) &#34;Sterilization offers no protection against sexually transmitted diseases.&#34;&#10;E) &#34;Your menstrual cycle will greatly increase after your sterilization.&#34;

Accepted Answer

The answer of The nurse is reviewing the educational packet...

Question 23

The nurse teaches women to recognize signs of complications when using oral contraceptives using the acronym ACHES.What does this acronym stand for? (Select all that apply.)&#10;A) Aching all over&#10;B) Chest pain, dyspnea, hemoptysis, cough&#10;C) Severe headache, weakness or numbness of extremities, and hypertension&#10;D) Eye problems&#10;E) Several swollen areas all over the body

Accepted Answer

The answer of The nurse teaches women to recognize signs...

Question 24

A woman has been prescribed metformin at the infertility clinic.She says &#34;Why am I on this? I am not a diabetic; my sister takes it for her diabetes!&#34; What response by the nurse is best?&#10;A) &#34;It is used to promote ovulation in polycystic ovary disease.&#34;&#10;B) &#34;It will prevent your body from forming antibodies to sperm.&#34;&#10;C) &#34;It helps prepare the uterine lining for eventual implantation.&#34;&#10;D) &#34;I don't know but I will find out and let you know right away.&#34;

Accepted Answer

The answer of A woman has been prescribed metformin at...

Question 25

With regard to the assessment of female,male,and couple infertility,nurses should be aware of which of the following?&#10;A) The couple's religious, cultural, and ethnic backgrounds do not affect the diagnosis.&#10;B) The investigation is lengthy and can be very costly.&#10;C) The woman is assessed first; if she is not the problem, the male partner is analyzed.&#10;D) Semen analysis is for men; the postcoital test is for women.

Accepted Answer

The answer of With regard to the assessment of female,male,and...

Deck 31: Management of Fertility and Infertility