Question 1

The nurse is discharging a client who gave birth to her first child two days ago.When discussing birth control,which is the most important for the nurse to ask this client?

Accepted Answer

Whether the client is breastfeeding or bottle-feeding her baby can determine which type of birth control method is appropriate for her. Breastfeeding can affect hormone levels and therefore the effectiveness of certain methods, such as hormonal contraceptives.

Question 2

A young female client,deciding on which form of birth control to use,tells the nurse she does not want to have to touch down there." Which form of birth control would be contraindicated for this client?

Accepted Answer

The intrauterine device (IUD) requires insertion into the cervix, which would likely involve touching the genital area. Therefore, it would be contraindicated for a client who does not want to have to touch down there. Oral contraceptives, transdermal delivery methods, and depot injections would be better options for this client as they do not require insertion into the genital area.

Question 3

A client will be having a second-trimester abortion using misoprostol (Cytotec)and methotrexate.Which statement by the client indicates an understanding of the side effects to be expected with these medications?

Accepted Answer

Misoprostol and methotrexate commonly cause fever as a side effect. Chest pain, bleeding during urination, tingling, and weakness in legs are not typically associated with these medications.

Question 4

A school nurse is teaching a group of adolescents about oral contraceptives and how they work to prevent pregnancy.The nurse asks the students to name the part of the body that ultimately controls ovulation.Which student gives the nurse the correct answer?

Accepted Answer

The pituitary gland is responsible for producing and releasing hormones, including follicle-stimulating hormone (FSH) and luteinizing hormone (LH), that stimulate the growth and maturation of follicles in the ovaries and ultimately trigger ovulation. Oral contraceptives work by suppressing the release of FSH and LH, thereby preventing ovulation. The uterus, ovary, and corpus luteum are all involved in the reproductive process but do not control ovulation.

Question 5

Which statement by a client taking oral contraceptives requires immediate intervention by the nurse?

Accepted Answer

Forgetting to take the pill twice last month and not having started her period yet indicates that the client may be pregnant. This requires immediate intervention from the nurse.

Question 6

If asked to recommend a delivery method of birth control,for which client would the nurse suggest the use of the depot injection method?

Accepted Answer

The depot injection method is often recommended for young mothers who may benefit from a long-acting, reversible contraceptive method. The 16-year-old with one child may find this method convenient and effective in preventing another pregnancy soon after childbirth.

Question 7

A young female client is beginning to use oral contraceptives.What information should be shared with this client that relates to one of the possible adverse effects of these medications?

Accepted Answer

Oral contraceptives can increase the risk of breast cancer, and the client should be taught about the importance of breast self-examination to detect any changes early.

Question 8

A client tells the nurse that since using the vaginal ring for birth control,it always feels like there is something in her vagina.What information should the nurse give this client?

Accepted Answer

The nurse should inform the client that feeling like there is something in the vagina is a common side effect of using a vaginal ring for birth control. The feeling should go away within a few weeks. However, if it persists, the client can consider trying another form of birth control. Option B is incorrect as it implies that the client inserted the ring incorrectly without verifying this with the client. Option C is incorrect as it is not necessary to replace the ring immediately unless it has already been in use for 3 weeks. Option D is incorrect as there is no indication for immediate removal of the ring or need for the client to seek medical attention.

Question 9

A client with four children is asking about options for permanent birth control.Which option would provide the most reliable means of long-term pregnancy prevention for this client?

Accepted Answer

Sterilization provides the most reliable means of long-term pregnancy prevention, as it involves the surgical removal or blocking of the fallopian tubes or vas deferens. This is a permanent method of birth control and is more effective than methods such as hormonal contraceptives or intrauterine devices.

Question 10

A client has decided to use the depot injection delivery method of contraception.What information is most important for the nurse to share with this client to ensure consistent contraception?

Accepted Answer

It is crucial for the client to understand the importance of keeping their 3-month appointment for the next injection to ensure consistent contraception. Missing the appointment could lead to unintended pregnancy. It is also important for the client to be aware of potential side effects and to notify their healthcare provider if they experience any concerning symptoms.

Question 11

A client has decided to use a contraceptive sponge for pregnancy prevention.Which statement by the client indicates a need for further instruction?

Accepted Answer

The contraceptive sponge should be left in place for at least 6 hours after sexual intercourse, but no longer than 30 hours total. Leaving the sponge in place for too long after intercourse can increase the risk of toxic shock syndrome. Therefore, the client needs further instruction on the appropriate timing for removal of the sponge.

Question 12

A client has decided to terminate a pregnancy using medication.Which medication would not be effective if used for this purpose?

Accepted Answer

Levonorgestrel (Plan B) is not effective for terminating an existing pregnancy. It is used as emergency contraception to prevent pregnancy after unprotected sex or a known or suspected contraceptive failure.

Question 13

Which statement by a client using the vaginal delivery method of contraception indicates a need for additional instruction?

Accepted Answer

The correct use of the vaginal ring for contraception involves leaving it in place during intercourse. Removing the ring during intercourse could compromise its effectiveness as a contraceptive method.

Question 14

A client has decided to use the transdermal delivery method of contraception.What would contraindicate the use of this method?

Accepted Answer

A history of blood clots is a contraindication for transdermal contraception as it increases the risk of developing thromboembolic disorders. The other options are not contraindications for this method.

Question 15

A client tells the nurse she wants to use birth control but does not want to have to wait for months before getting pregnant.Which form of birth control would allow a quick return to fertility after it is discontinued?

Accepted Answer

The answer of A client tells the nurse she wants...

Question 16

After instruction from the nurse,which statement by the client indicates comprehension of the effectiveness of different birth control methods?

Accepted Answer

The statement "Combination oral contraceptives are about 100% effective if taken correctly" indicates correct comprehension of the effectiveness of this birth control method. Option A is incorrect because while depot injections are highly effective, they are given every 3 months, not weekly. Option C is incorrect because progestin-only oral contraceptives are actually up to 99% effective if taken correctly. Option D is incorrect because while the Mirena IUD is highly effective, its effectiveness lasts up to 5 years, not 10.

Question 17

A client tells the nurse she has had unprotected sexual intercourse and is worried about becoming pregnant.Which by the nurse will elicit information most helpful to this client?

Accepted Answer

Asking "When was your last period?" helps determine the timing of the client's menstrual cycle, which is crucial for assessing the risk of pregnancy and the potential effectiveness of emergency contraception.

Question 18

A contraceptive that does not contain estrogen has been recommended for a client with a history of deep vein thrombosis,but the client does not know why.Which statement by the nurse best explains the relationship of estrogen to thromboembolic events?

Accepted Answer

Estrogen causes the production of several clotting factors in the blood, which increases the chances of a blood clot occurring. Women taking estrogen-containing contraceptives have a higher risk of developing venous thromboembolism, which includes deep vein thrombosis. Therefore, clients with a history of deep vein thrombosis should avoid estrogen-containing contraceptives.

Question 19

A client has decided to use the oral contraceptive norethindrone (Ortha Micronor).How can the nurse most accurately explain the way progestin-only contraceptives help to prevent pregnancy?

Accepted Answer

Progestin-only pills thicken the cervical mucus, making it difficult for the sperm to pass through the cervix and reach the uterus. This helps to prevent fertilization of the egg. However, it is not as reliable as combination pills or alternative forms of contraception like condoms.

Question 20

The school nurse is discussing oral contraceptives with a group of adolescent females.Which factor associated with the use of these medications could prove to be the greatest deterrent to choosing this form of birth control?

Accepted Answer

Weight gain is a common concern and potential side effect of using oral contraceptives, which could deter some females from choosing this form of birth control. While yearly exams are important for overall health, high blood pressure and breast tenderness are also potential side effects but may not be as significant of a deterrent as weight gain.

Quiz 70: Drugs for Disorders and Conditions of the Male Reproductive System