Deck 21: Fertility Self-Management and Shared Management

Question 1

Who opened the first birth control clinic in the United States in 1916, became an international leader of the birth control movement, and helped establish the organization that would become Planned Parenthood?

A) Havelock Ellis
B)C. V. Drysdale
C) Margaret Sanger
D) Dorothy Bocker

Answer 1

C

Question 2

The Kinsey Report, which revealed that some women masturbated, had premarital sexual experiences, and were orgasmic, was published in which year?

A) 1943
B) 1953
C) 1963
D) 1973

Answer 2

B

Question 3

Among women aged 15 to 44 years who reported (from 2006 to 2010) being sexually active during their lifetimes, what percentage said they had experienced some form of contraception?

A) 69.1%
B) 79.1%
C) 89.1%
D) 99.1%

Answer 3

D

Question 4

Among women who report using contraception, which form is the most commonly used?

A) Male condoms
B) Oral contraceptives
C) Withdrawal
D) Diaphragm

Question 5

Cecilia, a 35-year-old client who is Roman Catholic, tells her nurse that she uses a natural method of contraception, in which she closely monitors changes in her cervix, cervical mucus, and temperature to determine when she is ovulating so that she can abstain from sexual intercourse during that time and avoid conceiving. The nurse recognizes that Cecilia is using which method of contraception?

A) Cervical mucus
B) Basal body temperature
C) Symptothermal
D) Lactational amenorrhea

Question 6

During an office visit with an 18-year-old client named Kimberly, the nurse asks whether she is using any form of birth control. Kimberly responds that she is currently breastfeeding her 6-month-old, so she doesn't need to be on birth control. The nurse recognizes that Kimberly is relying on which type contraception?

A) Abstinence
B) Tubal ligation
C) Symptothermal
D) Lactational amenorrhea

Question 7

The nurse is reviewing contraception options for Olivia, a 37-year-old client who gave birth 3 weeks ago. Olivia is interested in trying a combined oral contraceptive (COC) but is not sure whether it would be safe for her. Which of the following would be contraindications for Olivia beginning COCs now, given her situation? (Select all that apply.)

A) Breastfeeding
B) Smoking
C) History of irregular menses
D) Family history of ovarian cancer
E) Current breast cancer

Question 8

What two hormones are typically included in combined oral contraceptives (COCs)?

A) Estrogen and aldosterone
B) Testosterone and progesterone
C) Cortisol and progesterone
D) Estrogen and progesterone

Question 9

Molly, a 22-year-old client, is planning on beginning a combined oral contraceptive (COC). The nurse should inform Molly about which of the following common side effects of COCs which should cause her no concern unless they persist or worsen? (Select all that apply.)

A) Chest pain
B) Shortness of breath
C) Breakthrough bleeding
D) Nausea
E) Mild headaches

Question 10

April is a 24-year-old client who has recently become sexually active with multiple partners. She knows she has been taking too many risks in her sexual encounters and would like to begin using contraception. She is also concerned about acquiring a sexually transmitted infection. Which method of contraception should the nurse recommend to April?

A) Male condom
B) Injectable depot medroxyprogesterone acetate (DMPA)
C) Nexplanon
D) Intrauterine device

Question 11

Valerie is a 39-year-old client with four children who says she and her husband have decided that their family is complete and that they would like to consider a contraceptive option that is relatively permanent and has the lowest failure rate possible. Both she and her husband are open to undergoing procedures, although they would prefer an option with as little risk of complications as possible. Which contraception method should the nurse recommend?

A) Tubal ligation
B) Vasectomy
C) Transcervical sterilization
D) Diaphragm

Question 12

Lindsey is an 18-year-old client who arrives at the community health clinic in a panic because she had sex with her boyfriend last night and forgot to use a condom. She is worried about getting pregnant. Which of the following are emergency contraception options that the nurse should mention to Lindsey? (Select all that apply.)

A) Contraceptive sponge
B) Levonorgestrel
C) Ulipristal
D) Contraceptive patch
E) Copper intrauterine device

Question 13

Which of the following is the least effective barrier method of contraception?

A) Male condom
B) Female condom
C) Diaphragm
D) Contraceptive sponge

Question 14

Lakesha is a 27-year-old client who has decided to begin receiving injectable depot medroxyprogesterone acetate (DMPA) for contraception. She asks the nurse how often she will have to come in to receive the injections. Which of the following should the nurse tell Lakesha?

A) Every 6 weeks
B) Every 12 weeks
C) Every 24 weeks
D) Every 36 weeks

Question 15

Monica has decided to have a copper intrauterine device placed to meet her contraception needs. She asks the nurse how long it is safe for the device to remain in her. The nurse should explain that it has been approved for use for up to how long?

A) 1 year
B) 3 years
C) 5 years
D) 10 years