Question 1

The nurse is working with a client experiencing infertility. The nurse plans to use a prescriptive intervention. What should the nurse incorporate into the interview?&#10;A) Suggest that the client engage in intercourse during ovulation.&#10;B) Refer the client to a support group.&#10;C) Give feedback regarding the client's lifestyle.&#10;D) Allow the client to cry.

Accepted Answer

In the prescriptive category, the nurse gives advice or instructions to the client. Advice may include frequency of intercourse, referral to physician about a pre-existing disorder, or attention to lifestyle.

Question 2

The nurse is working with a client experiencing infertility and plans to use a confronting intervention. What should the nurse incorporate into the interview?&#10;A) Allow the client to express feelings.&#10;B) Give feedback regarding the client's unhealthy diet.&#10;C) Refer the client to a specialist&#10;D) Give the client a brochure on a class

Accepted Answer

The confronting category involves challenging a restrictive attitude or behavior or giving direct feedback within a caring context.

Question 3

The nurse is working with a client experiencing infertility and plans to use the catalytic category of the Six Category Intervention Analysis. What should the nurse incorporate into the interview?&#10;A) Encourage the client to keep a journal&#10;B) Give the client a brochure on a class&#10;C) Refer the client to a specialist&#10;D) Give feedback to the client

Accepted Answer

The catalytic category involves encouraging the client discover and explore his or her own feelings. There may be relationship issues that are interfering with successful sexual function.

Question 4

The nurse is providing education on lifestyle factors to a client who is trying to conceive. Which statement by the client indicates that teaching has been effective?&#10;A) I can have unlimited caffeine, as it does affect me negatively&#10;B) Smoking can affect semen quality.&#10;C) If my BMI is greater than 18, it may be harder to conceive.&#10;D) Alcohol is not known to inhibit conception.

Accepted Answer

Smoking can affect semen quality; therefore, clients and their partners are encouraged not to smoke.

Question 5

The nurse is assessing a newborn who is suspected of having fetal alcohol syndrome. What does the nurse look for during assessment?&#10;A) Larger than normal size&#10;B) Webbing of the hands and feet&#10;C) Facial anomalies&#10;D) Liver defects

Accepted Answer

During assessment the nurse wound find facial anomalies present in the newborn with fetal alcohol syndrome.

Question 6

The nurse is counseling a client who has been trying to conceive for over a year. What assessment finding would alarm the nurse?&#10;A) Feelings of guilt&#10;B) Mania&#10;C) Depression&#10;D) Anxiety

Accepted Answer

The nurse would be alarmed at an assessment finding of mania. Assessment of medication for women with severe pre-existing or past mental illness, such as bipolar disorder or schizophrenia requires review and adjustment to minimize fetal risks

Question 7

What action can the nurse take to assist couples attempting to conceive before referral to a specialist?&#10;A) Encourage the couple to adapt healthy lifestyle changes&#10;B) Encourage the couple to research remedies online&#10;C) Refer the couple to an infertility support group&#10;D) Tell the couple not to worry

Accepted Answer

The nurse should encourage the couple to adapt healthy lifestyle changes, to see if that affects fertility. Once their lifestyle has been modified, the nurse can assess the need for referral to a specialist.

Question 8

The nurse is caring for a client who is having a cervical screening. How often should the nurse advise the client to have this screening?&#10;A) Every year&#10;B) Every 2 years&#10;C) Every 3 years&#10;D) Every 5 years

Accepted Answer

The nurse should advise the client to have cervical screening performed every 3 years.

Question 9

What percentage of cervical cancer is caused by the human papilloma virus (HPV)?&#10;A) 50%&#10;B) 80%&#10;C) 85%&#10;D) 99%

Accepted Answer

HPV is believed to be the primary cause of cervical cancer. It is estimated that 99% of all cervical cancers are caused by HPV.

Question 10

Which client would the human papillomavirus vaccination be offered to?&#10;A) An 8-year-old female&#10;B) A 12-year-old female&#10;C) A 16-year-old female&#10;D) A 35-year-old female

Accepted Answer

The currently available vaccine is appropriate to girls age 12 to 13.

Deck 10: Subfertility and Its Impact