Question 1

What issues should the nurse consider when counseling a patient on contraceptive methods?

Accepted Answer

A,B,C

Question 2

The OB-GYN nurse is teaching a patient at the clinic that use of a spermicide has an increased effectiveness if used with:

Accepted Answer

B,C,E

Question 3

A nurse is teaching contraception to a group of college students during a health class. What reason will the nurse include as to why couples might choose to use contraception?

Accepted Answer

Couples use contraception to avoid pregnancy, space future pregnancies, control the number of children conceived, and prevent sexually transmitted diseases.

Question 4

The nurse instructing a patient in the use combined oral contraceptives knows that additional teaching is required when the patient makes the statement, "Taking combined oral contraceptives will give me a:

Accepted Answer

Combined oral contraceptives have been shown to decrease the risk of ovarian cancer.

Question 5

The nurse in the clinic instructs a patient using the natural method of contraception to begin counting the first day of her cycle as:

Accepted Answer

The natural method of contraception, also known as the fertility awareness method, involves tracking a woman's menstrual cycle to determine the fertile period. The counting starts on the first day of the menstrual period, as this is the beginning of a new cycle. Therefore, choice C is the best answer.

Question 6

The nurse educator is planning a class about contraception, and includes information about the effects of various contraceptive methods on sexually transmitted diseases. Which statement will the nurse include concerning spermicides?

Accepted Answer

Spermicides are not effective against sexually transmitted diseases and may increase susceptibility to HIV by damaging the vaginal epithelium and causing inflammation. This can create portals for entry of HIV during intercourse. It is important for the nurse to provide accurate information during the contraception class to help individuals make informed decisions about their sexual health.

Question 7

The nurse is planning an educational session about contraception. What will the nurse emphasize as being the most significant factor in determining the effectiveness of a specific method of contraception to avoid pregnancy?

Accepted Answer

The consistency of use is the most significant factor in determining the effectiveness of a specific method of contraception to avoid pregnancy. Even the most reliable and easy-to-use contraceptives will not be effective if they are not used consistently as directed. Cost is also a consideration for many individuals, but it is not the most significant factor in determining effectiveness.

Question 8

A patient who is 36 years old, weighs 200 pounds, is monogamous, and does not smoke desires birth control. The nurse understands that which contraceptive method is inappropriate for this patient?

Accepted Answer

Transdermal hormonal contraception is less effective in women who weigh more than 198 pounds, making it an inappropriate choice for this patient.

Question 9

When teaching a woman about the use of a diaphragm, it is important to instruct her that the diaphragm should be rechecked for correct size:

Accepted Answer

The answer of When teaching a woman about the use...

Question 10

A patient in the clinic asks the nurse about available contraceptives. Before responding, the nurse must assess:

Accepted Answer

The answer of A patient in the clinic asks the...

Question 11

A patient asks the nurse, "Can you explain to us how to use the basal body temperature method to detect ovulation and prevent pregnancy?" What response by the nurse is best?

Accepted Answer

The basal body temperature method involves taking your temperature each day immediately upon awakening. A slight drop in temperature may occur just before ovulation, followed by a noticeable rise, indicating ovulation has occurred.

Question 12

The culturally sensitive nurse will assess cultural attitudes and beliefs about contraception, which can include:

Accepted Answer

Cultural attitudes and beliefs about contraception can be influenced by a variety of factors including gender inequities (A), where the roles and power dynamics between genders can affect contraceptive use and decisions; religion (B), which can have specific doctrines or beliefs regarding the use of contraception; deference to authority figures (C), where individuals may prioritize the opinions and advice of elders or community leaders over personal or medical advice; and attitudes about bleeding (E), as some cultures have specific beliefs and taboos about bleeding that may affect their willingness to use certain types of contraceptives that can alter menstrual cycles. Option (D) is not included because the devaluation of large families is not a universally applicable cultural attitude towards contraception; in fact, in some cultures, large families are highly valued.

Question 13

A patient who wants to use the vaginal sponge method of contraception shows that she understands the appropriate usage when she makes which statement?

Accepted Answer

The vaginal sponge is designed to be moistened with water prior to use, which activates the spermicide contained within the sponge and makes it easier to insert.

Question 14

A couple asks the nurse what the safest method of sterilization would be. The nurse should reply, "Generally, the safest method of permanent sterilization would be a:

Accepted Answer

Vasectomy is considered a safer and less invasive procedure than female sterilization methods such as laparotomy or minilaparotomy. It is also considered a permanent form of male sterilization as opposed to female sterilization methods which may potentially be reversed.

Question 15

A woman is asking the nurse about using the calendar method of contraception. She reports that her last six menstrual cycles were 28, 32, 29, 36, 30, and 27 days long, respectively. Based on this information, when should the nurse tell the patient to abstain from intercourse?

Accepted Answer

To use the calendar method effectively, the woman subtracts 18 from the length of her shortest cycle (27 days) to find the first fertile day, which is day 9 (27-18=9), and subtracts 11 from the length of her longest cycle (36 days) to find the last fertile day, which is day 25 (36-11=25). Therefore, she should abstain from intercourse or use another form of contraception from days 9 to 25 of her cycle.

Question 16

During a counseling session on natural family planning techniques, the nurse explains that cervical mucus at the time of ovulation should be of what consistency?

Accepted Answer

Cervical mucus at the time of ovulation should be thin and elastic, resembling the consistency of raw egg white. This is because the mucus becomes more permeable to allow sperm to travel to the fallopian tube to fertilize the egg.

Question 17

When assessing a patient asking about birth control, the nurse knows that the patient would not be a good candidate for Depo-Provera (DMPA) if she:

Accepted Answer

Depo-Provera (DMPA) is a long-acting form of birth control that provides contraception for 12-14 weeks. It takes an average of 3-6 months for fertility to return after discontinuing use of DMPA. Therefore, a patient who wishes to get pregnant within 3 months would not be a good candidate for this form of birth control.

Question 18

A patient in the women's clinic asks the nurse, "How is the cervical mucus method of contraception different from the rhythm method?" The appropriate response by the nurse is that the cervical mucus method:

Accepted Answer

The cervical mucus method of contraception is based on the changes in cervical mucus throughout a woman's menstrual cycle, while the rhythm method is based on the length of the menstrual cycle. Thus, the cervical mucus method is generally more effective for women with irregular cycles as it monitors changes in cervical mucus instead of relying solely on a regular cycle. The other options are incorrect because religious beliefs do not typically determine the acceptance of a specific contraceptive method, the cervical mucus method does not require an artificial substance or device, and it is not necessarily harder to work with than the rhythm method.

Question 19

The nurse teaching a group of new mothers explains that barrier methods of contraception are appropriate if the woman:

Accepted Answer

The answer of The nurse teaching a group of new...

Question 20

A nurse is teaching a group of college students at a Catholic university about natural family planning (NFP). Teaching was successful if the students say "Natural family planning:

Accepted Answer

Natural family planning is free, safe, and aligns with Catholic teachings (A). It helps in planning pregnancies by identifying fertile periods (C). It does not involve artificial substances or devices, relying on natural body signals (E).

Quiz 5: Womens Health: Family Planning