Deck 31: Management of Fertility and Infertility

Question 1

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

A) "No spermicide is used with the cervical cap, so it's less messy."
B) "The diaphragm can be left in place longer after intercourse."
C) "Repeated intercourse with the diaphragm is more convenient."
D) "The cervical cap can safely be used for repeated acts of intercourse without adding more spermicide later."

Answer 1

"The cervical cap can safely be used for repeated acts of intercourse without adding more spermicide later."

Question 2

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

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

Answer 2

Have potentially dangerous side effects

Question 3

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

A) "This is a highly effective method, but it has some side effects."
B) "Your current medications will reduce the effectiveness of the pill."
C) "The pill will reduce the effectiveness of your seizure medication."
D) "This is a good choice for a woman of your age and personal history."

Answer 3

"Your current medications will reduce the effectiveness of the pill."

Question 4

A woman will be taking oral contraceptives using a 28-day pack.The nurse should advise this woman to protect against pregnancy by

A) Limiting sexual contact for one cycle after starting the pill
B) Using condoms and foam instead of the pill for as long as she takes an antibiotic
C) Taking one pill at the same time every day
D) Throwing away the pack and using a backup method if she misses two pills during week 1 of her cycle

Question 5

Injectable progestins (DMPA,Depo-Provera)are a good contraceptive choice for women who

A) Want menstrual regularity and predictability
B) Have a history of thrombotic problems or breast cancer
C) Have difficulty remembering to take oral contraceptives daily
D) Are homeless or mobile and rarely receive health care

Question 6

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

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) "Ten percent is a very low risk, so you don't need to worry too much."

Question 7

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

A) "IVF is a type of assisted reproductive therapy that involves collecting eggs from your wife's ovaries, fertilizing them in the lab 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 8

A couple is trying to cope with an infertility problem.They want to know what they can do to preserve their emotional equilibrium.The nurse's most appropriate response is

A) "Tell your friends and family so that they can help you."
B) "Talk only to other friends who are infertile, because only they can help."
C) "Get involved with a support group. I'll give you some names."
D) "Start adoption proceedings immediately, because obtaining an infant is very difficult."

Question 9

The conscious decision on when to conceive or avoid pregnancy throughout the reproductive years is called

A) Family planning
B) Birth control
C) Contraception
D) Assisted reproductive therapy

Question 10

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

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 diseases as the diaphragm.
D) Consent forms are not needed for IUD insertion.

Question 11

The role of the nurse in family planning is to

A) Advise couples on which contraceptive to use.
B) Educate couples on the various methods of contraception.
C) Decide on the best method of contraception for the couple.
D) Refer the couple to a reliable physician.

Question 12

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

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 13

Which woman is a safe candidate for the use of oral contraceptives?

A) 39-year-old with a history of thrombophlebitis
B) 16-year-old with a benign liver tumor
C) 20-year-old who suspects she may be pregnant
D) 43-year-old who does not smoke cigarettes

Question 14

Which contraceptive method is contraindicated in a woman with a history of toxic shock syndrome?

A) Condom
B) Spermicide
C) Cervical cap
D) Norplant

Question 15

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

Question 16

What is important in instructing a patient in the use of spermicidal foams or gels?

A) Insert 1 to 2 hours before intercourse.
B) One application is effective for several hours.
C) Avoid douching for at least 6 hours.
D) Effectiveness is about 85%.

Question 17

Postcoital contraception with Ovral

A) Requires that the first dose be taken within 72 hours of unprotected intercourse
B) Requires that the woman take second and third doses at 24 and 36 hours after the first dose
C) Must be taken in conjunction with an IUD insertion
D) Is commonly associated with the side effect of menorrhagia

Question 18

While instructing a couple regarding birth control,the nurse should be aware that the method called natural family planning

A) Is the same as coitus interruptus, or "pulling out"
B) Uses the calendar method to align the woman's cycle with the natural phases of the moon
C) Is the only contraceptive practice acceptable to the Roman Catholic Church
D) Relies on barrier methods during fertility phases

Question 19

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

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."

Question 20

Which contraceptive method provides protection against sexually transmitted diseases?

A) Oral contraceptives
B) Tubal ligation
C) Male or female condoms
D) Intrauterine device (IUD)

Question 21

With regard to the assessment of female,male,and couple infertility,nurses should be aware that

A) The couple's religious, cultural, and ethnic backgrounds provide emotional clutter that does not affect the clinical scientific diagnosis.
B) The investigation is lengthy and can be very costly.
C) The woman is assessed first; if she is not the problem, the male partner is analyzed.
D) Semen analysis is for men; the postcoital test is for women.

Question 22

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) "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 diseases."
D) "Sterilization offers no protection against sexually transmitted diseases."
E) "Your menstrual cycle will greatly increase after your sterilization."

Question 23

Three million unintended pregnancies occur each year in the United States.A Healthy People 2020 goal is to increase the number of intended pregnancies to 70%.Is this statement true or false?

Question 24

Conception in the first cycle of treatment for infertility has a success rate of 15% to 25%,falling as subsequent attempts are made.Is this statement true or false?

Question 25

The ____________ is one method used to evaluate the adequacy of coital technique,cervical mucous,sperm quality and penetration.