Deck 36: The Challenge of Unintended Pregnancies

Question 1

At a population level, which of the following factors are associated with the likelihood of experiencing an unintended pregnancy?

A) Marital status
B) Income
C) Education level
D) Age

Answer 1

A, B, C, D

Question 2

Which symptoms, in a person of reproductiveage with female sexual organs, should prompt the nurse to obtain a pregnancy test?

A) Nausea/vomiting
B) Headaches
C) Confusion
D) Missed menses

Answer 2

A and D

Question 3

The nurse is assessing a client who has come in to confirm that she is pregnant. Which type of screening should the nurse include as a matter of routine in this assessment?

A) Intimate partner violence
B) Mental illness
C) Alcoholism
D) Cholesterol

Answer 3

A

Question 4

Emma, a 16-year-old client, came into the office to have a pregnancy test. She appears anxious and tears up at one point. After conducting the pregnancy test and finding that it is positive, the nurse approaches Emma to deliver the news. Which of the following would be the best thing for the nurse to tell the client?

A) "Congratulations! You're pregnant. I'm so happy for you."
B) "The test is positive. That means you are pregnant."
C) "The bad news is, 'you're pregnant'. The good news is, 'I have some helpful literature on abortion for you to peruse.'"
D) "Well, you are pregnant. But don't worry-I had my first child when I was your age, and everything has turned out fine."

Question 5

A client's pregnancy test results are negative. After conveying this news to the client, what else should the nurse discuss with her? (Select all that apply.)

A) Preconception counseling, if the client wants to be pregnant
B) The high level of accuracy of modern pregnancy tests
C) Contraception options, if the client does not want to be pregnant
D) The exact date of the onset of the client's last menstrual period
E) Symptoms associated with morning sickness

Question 6

Ruby, a 39-year-old client, has just learned that she is pregnant. As part of pregnancy options counseling, what is the first thing the nurse should say?

A) "What kind of support systems do you have to help you during your pregnancy?"
B) "Let's discuss your options. I have some literature on adoption, as well as some on abortion."
C) "Are you aware of the risks of delivering a baby at your age?"
D) "How do feel about being pregnant?"

Question 7

In what year did the landmark Supreme Court ruling in the case of Roe vs. Wade result in the legalization of abortion?

A) 1968
B) 1973
C) 1978
D) 1983

Question 8

By the age of 45 years, what proportion of women will have an abortion?

A) Two out of every 10
B) Three out of every 10
C) Four out of every 10
D) Five out of every 10

Question 9

There are many reasons that people choose to end a pregnancy. Which of the following are among the most common reasons for seeking an abortion?

A) Finances
B) Partner factors
C) Difficulty locating prenatal care
D) Using drugs or alcohol during the pregnancy

Question 10

During which trimester do most abortion occur?

A) First
B) Second
C) Third
D) Equally divided between first and second trimesters

Question 11

Which of the following are advantages of medication abortion over aspiration abortion? (Select all that apply.)

A) Requires only one office visit to complete the abortion
B) Usually allows avoiding an invasive procedure
C) Typically involves only light bleeding after the procedure
D) Most of the experience occurs at home
E) The client may be more likely to feel that she has control over the experience

Question 12

Valencia is a 19-year-old client who is in the 18th week of pregnancy and would like to have an abortion. She lives in a large city with abundant women's health facilities and clinicians. What method of abortion is Valencia most likely to undergo?

A) Aspiration
B) Medication
C) Dilation and evacuation
D) Labor induction

Question 13

How many states currently allow nurse practitioners to perform both medication and aspiration abortions?

A) 4
B) 14
C) 24
D) 34

Question 14

Which of the following is a non-pharmacological support measure that can be offered to women undergoing an abortion?

A) Analgesics like ibuprofen
B) Doula support
C) Verbal support
D) General anesthesia

Question 15

Angel is a 17-year-old client in her 10th week of pregnancy, who has arrived seeking an abortion. Which of the following are the highest priority actions for the nurse to take in this situation?

A) Provide information on health-related public assistance programs
B) Review the state's parental consent laws related to abortion
C) Screen for safety at home and intimate partner violence
D) Screen for sexually transmitted infections