Question 1

A client being treated for rape asks why ulipristal (Ella)has been prescribed when the "morning after" pill can be obtained without a prescription.How should the nurse respond? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The answer of A client being treated for rape asks...

Question 2

A client who has been prescribed an estrogen-progestin combination oral contraceptive asks the nurse how the medication works.What can the nurse respond to the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

An estrogen-progestin combination oral contraceptive works by preventing ovulation by stopping the secretion of some hormones from the pituitary gland (A), making the uterine lining less favorable to an embryo (B), and making the cervical mucus thicker to slow the sperm down (C). It does not kill the sperm (D) and may or may not stop menstruation (E), depending on the type of oral contraceptive and how it is taken.

Question 3

The nurse is preparing to instruct a nonpregnant client on the use of misoprostol (Cytotec)for a health problem.For which purposes other than medical abortion can this medication be used? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is preparing to instruct a...

Question 4

A client calls the clinic and reports that her contraceptive transdermal patch (Ortho-Evra)fell off while she was swimming in the ocean,and she is unable to find it.What advice should the nurse give to this client?

Accepted Answer

The client should use another form of birth control until it is time for her to put on a new patch, to ensure continued contraceptive protection. Using a new patch immediately after the previous one falls off could result in an increased risk of side effects and decreased effectiveness of the medication. Cutting a new patch in half and putting it on the shoulder is not recommended as it could alter the delivery of the medication and reduce effectiveness. The medication will not remain in the system until it is time for a new patch, as the patch needs to be continually worn to maintain a consistent level of contraceptive hormones in the body.

Question 5

A client has been taking estradiol and norethindrone (Ortho-Novum)for birth control for the last 3 years.Which condition might require the client to change to another form of birth control?

Accepted Answer

Gallbladder disease is a contraindication to the use of oral contraceptives containing estrogen. The client should switch to a non-hormonal form of birth control.

Question 6

A client asks about the benefits of having a copper intrauterine device (IUD)inserted for birth control.What is the nurse's most accurate response? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

- A) Copper ions released by the IUD are toxic to sperm, reducing their motility and viability, thus preventing fertilization.- B) The copper IUD creates an inflammatory reaction in the uterus that is toxic to sperm and eggs, and alters the uterine lining, making it less suitable for implantation.- C) Copper IUDs are approved for long-term use, typically up to 10 years, providing a long-term contraception option.- D) Because copper IUDs do not contain hormones, they are a suitable option for individuals who cannot use hormonal birth control methods due to health reasons or personal preference.

Question 7

The nurse instructs a client taking oral combination contraceptives to have periodic serum liver function studies done and to report symptoms of liver dysfunction,including: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The nurse should instruct the client to have periodic serum liver function studies done and to report symptoms of liver dysfunction which includes abdominal pain, yellowing of the skin, clay-colored stools, and darkened urine. Constipation is not a symptom of liver dysfunction and should not be reported to the healthcare provider.

Question 8

A client has requested a pregnancy termination using mifepristone (RU-486)and misoprostol (Cytotec).Which statement by the client indicates the need for further instruction about these medications?

Accepted Answer

Taking the medication while away on vacation without proper medical supervision and follow-up could be dangerous. It is important for the client to remain under medical care during a medication-induced pregnancy termination.

Question 9

A client tells the nurse that the ideal form of birth control is something she would not have to take every day and that cannot be seen by others.Which forms of birth control would be appropriate for this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

Progestin injections and intrauterine devices (IUDs) are forms of birth control that do not require daily administration and are not visible to others, meeting the client's criteria.

Question 10

An adolescent client has been taking oral contraceptives for the last 6 months for treatment of an irregular menstrual cycle.Which statement indicates that the client has met the goals of treatment?

Accepted Answer

The goal of oral contraceptive treatment for irregular menstrual cycles is to regulate the menstrual cycle and promote regularity. The client reporting a period occurring every 30 days indicates that the goal of treatment has been met. While premenstrual symptoms, acne, and migraine headaches may also be improved with oral contraceptives, they are not the primary indication for their use in this case.

Question 11

A client will be starting oral combination contraceptives.What should the nurse instruct the client to report to the health care provider as possible symptoms of a deep vein thrombosis? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

Calf tenderness and pain with walking are both symptoms of a deep vein thrombosis and should be reported immediately to the healthcare provider. Dizziness, numbness of an extremity, and blurred vision are not typically associated with a deep vein thrombosis.

Question 12

A client is taking oral contraceptives.The nurse instructs her to use another form of birth control when she takes which prescribed medications? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

Ampicillin and Tetracycline are antibiotics that can reduce the effectiveness of oral contraceptives, necessitating the use of an additional form of birth control to prevent pregnancy.

Question 13

The nurse is completing the health assessment of a client who is interested in taking oral contraceptives.Which set of data would indicate that the client should consider another form of birth control?

Accepted Answer

The client's weight of 187 pounds puts her at a higher risk for potentially serious side effects of oral contraceptives, such as blood clots and stroke. The nurse should consider discussing alternative forms of birth control with the client.

Question 14

The nurse teaches a client about contraceptive choices.Which client statement about contraception requires clarification?

Accepted Answer

The statement "I don't want to use birth control pills because it increases my chances of getting cancer" requires clarification as there is a common misconception about birth control pills increasing the risk of cancer. While some types of birth control may increase the risk of certain types of cancer, other types may actually reduce the risk. It is important to have an informed discussion with a healthcare provider about the benefits and risks of each type of contraceptive method.

Question 15

After talking with the nurse,a client has decided to not proceed with the use of an intrauterine device as a contraceptive method because of the possible disadvantages,which include: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

Irregular bleeding, pelvic pain, and uterine perforation are all possible disadvantages of using an intrauterine device as a contraceptive method. Allergic reaction and vaginal dryness are not commonly cited as disadvantages.

Question 16

A client is surprised to learn she is pregnant in spite of using a contraceptive sponge for the last 5 years.Which condition might have altered the contraceptive ability of this form of birth control?

Accepted Answer

Vaginal yeast infection can alter the contraceptive ability of contraceptive sponges. Yeast infections can interfere with the absorption and retention of the spermicide contained within the sponge, reducing its effectiveness as a contraceptive method.

Question 17

A client is prescribed an oral contraceptive that has less progestin than her previous prescription.What assessment findings would support the use of a contraceptive with less progestin? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The answer of A client is prescribed an oral contraceptive...

Question 18

A client is scheduled to receive mifepristone (Mifeprex)to end a pregnancy and asks the nurse how the medication works.What should the nurse respond? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The answer of A client is scheduled to receive mifepristone...

Quiz 70: Drugs for Modifying Conception

A client who has been prescribed an estrogen-progestin combination oral contraceptive asks the nurse how the medication works.What can the nurse respond to the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A client calls the clinic and reports that her contraceptive transdermal patch (Ortho-Evra) fell off while she was swimming in the ocean,and she is unable to find it.What advice should the nurse give to this client?

A client has been taking estradiol and norethindrone (Ortho-Novum) for birth control for the last 3 years.Which condition might require the client to change to another form of birth control?

A client asks about the benefits of having a copper intrauterine device (IUD) inserted for birth control.What is the nurse's most accurate response? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A client has requested a pregnancy termination using mifepristone (RU-486) and misoprostol (Cytotec) .Which statement by the client indicates the need for further instruction about these medications?

An adolescent client has been taking oral contraceptives for the last 6 months for treatment of an irregular menstrual cycle.Which statement indicates that the client has met the goals of treatment?

A client is taking oral contraceptives.The nurse instructs her to use another form of birth control when she takes which prescribed medications? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

The nurse is completing the health assessment of a client who is interested in taking oral contraceptives.Which set of data would indicate that the client should consider another form of birth control?

The nurse teaches a client about contraceptive choices.Which client statement about contraception requires clarification?

A client is surprised to learn she is pregnant in spite of using a contraceptive sponge for the last 5 years.Which condition might have altered the contraceptive ability of this form of birth control?

A client is scheduled to receive mifepristone (Mifeprex) to end a pregnancy and asks the nurse how the medication works.What should the nurse respond? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.