Question 1

A client who was raped is extremely upset when a pregnancy test confirms that she is pregnant, and requests information regarding pregnancy termination. Which statement is best for the nurse to make?

Accepted Answer

A)   "Abortion is morally wrong, and should not be undertaken."
B)   "Hypertension is a risk with any abortion."
C)   "Surgical abortion in the first trimester is technically easier and safer than abortion in the second trimester."
D)   "The most accurate method to determine gestational age are the results of a pregnancy test."E) A) and B)
F) None of the above

Question 2

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

Accepted Answer

A)   "Take your temperature every evening at the same time and keep a record for a period of several weeks. A noticeable drop in temperature indicates that ovulation has occurred."
B)   "Take your temperature every day at the same time and keep a record of the findings. A noticeable rise in temperature indicates ovulation."
C)   "Take your temperature each day, immediately upon awakening, and keep a record of each finding. A noticeable rise in temperature indicates that ovulation is about to occur."
D)   "This is an unscientific and unproven method of determining ovulation, and is not recognized as a means of birth control."E) A) and B)
F) A) and C)

Question 3

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

Accepted Answer

A)   "I need to use a lubricant prior to insertion."
B)   "I need to add spermicidal cream prior to intercourse."
C)   "I need to moisten it with water prior to use."
D)   "I need to leave it in no longer than 6 hours."E) B) and C)
F) A) and B)

Question 4

The nurse is reviewing the spermicidal agent nonoxynol-9 (N-9)  with a client planning to use the barrier method to prevent pregnancy. What should the nurse emphasize when teaching about this preparation?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

A)   It does not cause toxicity.
B)   It is inserted after intercourse.
C)   It has no systemic side effects.
D)   It can be purchased over-the-counter.
E)   It reduces the risk of sexually transmitted infections.F) B) and E)
G) A) and C)

Question 5

The nurse is developing a teaching plan for a client undergoing a tubal ligation. What information should be included in the plan?

Accepted Answer

A)   The surgical procedure is easily reversible.
B)   Laparotomy is performed following a vaginal birth.
C)   Minilaparotomy is performed in the postpartum period soon after a vaginal birth.
D)   Tubal ligation can be done at any time the woman is either pregnant or not pregnant.E) None of the above
F) A) and D)

Question 6

During a follow-up wellness visit, the nurse determines that a female client is experiencing favorable outcomes after starting combined oral contraceptives. What data did the nurse use to determine this?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

A)   Reduced appetite
B)   Reduced menstrual flow
C)   Fewer menstrual cramps
D)   No pain with ovulation
E)   Cycle is regular at 28 daysF) B) and E)
G) A) and E)

Question 7

The nurse is preparing educational materials at a family planning clinic. The client who is an appropriate candidate for using emergency contraception would be one who reports which of the following?

Accepted Answer

A)   Forgetting to start her pill pack yesterday
B)   Unprotected intercourse during her menses
C)   That a condom broke yesterday in the middle of her cycle
D)   Increased dysmenorrhea since I U C insertionE) A) and B)
F) A) and C)

Question 8

Extended use of combined oral contraceptives (C O Cs)  reduces the side effects of C O Cs such as which of the following?

Accepted Answer

A)   Cramping
B)   Hypertension
C)   Breast tenderness
D)   BloatingE) None of the above
F) A) and D)

Question 9

A client scheduled to have a Mirena levonorgestrel intrauterine system (L N g-I U C)  inserted asks how this device stops conception. What should the nurse say in response to this client?

Accepted Answer

A)   "It stops ovulation."
B)   "It slows sperm motility."
C)   "It shortens the menstrual cycle."
D)   "It causes the lining of the uterus to waste away."E) A) and B)
F) A) and C)

Question 10

A female college student comes into the student health clinic, concerned about being pregnant from unprotected intercourse the evening before. What should the school nurse counsel this student?

Accepted Answer

A)   "Take Plan B One Step now."
B)   "Take 1 pill of Plan B now and the second pill in 5 days."
C)   "Take one half of Plan B One Step now and the second half in 3 days."
D)   "Wait 5 days and take 1 pill of Plan B followed by the second pill in 2 days."E) C) and D)
F) B) and C)

Question 11

A client at 10 weeks' gestation is scheduled for a surgical abortion. Which approaches may be used to dilate the cervix for the procedure?
Note: Credit will be given only if all correct choices and no incorrect choices are elected.

Accepted Answer

A)   Misoprostol
B)   Mifepristone
C)   Metal dilators
D)   Sterile seaweed
E)   Paracervical blockF) A) and C)
G) All of the above

Question 12

A female client 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 client?

Accepted Answer

A)   Intrauterine device
B)   Vaginal sponge
C)   Combined oral contraceptives
D)   Transdermal hormonal contraceptionE) B) and C)
F) C) and D)

Question 13

A female client comes into the clinic for a pregnancy test because she took the morning after pill immediately after having unprotected intercourse 3 days ago and has not had a menstrual period. What should the nurse respond to this client?

Accepted Answer

A)   "I'll make sure you have one during this visit."
B)   "You should wait for two weeks before having a pregnancy test."
C)   "It's unlikely that you are pregnant. Wait a few days and then take a pregnancy test."
D)   "How long did you wait to take the morning after pill after having unprotected intercourse?"E) All of the above
F) B) and D)

Question 14

The nurse is discussing the use of contraception with a client who has just become sexually active. What factors should the nurse include when educating the client on contraceptive methods?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

A)   Contraindications in the client's health history
B)   Religious or moral beliefs
C)   Partner's belief in the effectiveness of the choice
D)   Personal preferences to use method
E)   Future childbearing plansF) A) and E)
G) C) and E)

Question 15

A patient using the calendar rhythm method of birth control asks for assistance to calculate her most fertile period. She states that her shortest cycle is 22 days and her longest cycle is 40 days. Using this information, which day should the nurse identify as being the end of the patient's fertile period?

Accepted Answer

The answer of A patient using the calendar rhythm method...

Exam 4: Family Planning

Correct Answer
verified

The nurse is reviewing the spermicidal agent nonoxynol-9 (N-9) with a client planning to use the barrier method to prevent pregnancy. What should the nurse emphasize when teaching about this preparation? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Correct Answer
verified

The nurse is discussing the use of contraception with a client who has just become sexually active. What factors should the nurse include when educating the client on contraceptive methods? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Correct Answer
verified

A female college student comes into the student health clinic, concerned about being pregnant from unprotected intercourse the evening before. What should the school nurse counsel this student?

Correct Answer
verified

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

Correct Answer
verified

A client scheduled to have a Mirena levonorgestrel intrauterine system (L N g-I U C) inserted asks how this device stops conception. What should the nurse say in response to this client?

Correct Answer
verified

During a follow-up wellness visit, the nurse determines that a female client is experiencing favorable outcomes after starting combined oral contraceptives. What data did the nurse use to determine this? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Correct Answer
verified

The nurse is developing a teaching plan for a client undergoing a tubal ligation. What information should be included in the plan?

Correct Answer
verified

The nurse is preparing educational materials at a family planning clinic. The client who is an appropriate candidate for using emergency contraception would be one who reports which of the following?

Correct Answer
verified

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

Correct Answer
verified

A female client comes into the clinic for a pregnancy test because she took the morning after pill immediately after having unprotected intercourse 3 days ago and has not had a menstrual period. What should the nurse respond to this client?

Correct Answer
verified

A client at 10 weeks' gestation is scheduled for a surgical abortion. Which approaches may be used to dilate the cervix for the procedure? Note: Credit will be given only if all correct choices and no incorrect choices are elected.

Correct Answer
verified

Extended use of combined oral contraceptives (C O Cs) reduces the side effects of C O Cs such as which of the following?

Correct Answer
verified

A female client 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 client?

Correct Answer
verified

A client who was raped is extremely upset when a pregnancy test confirms that she is pregnant, and requests information regarding pregnancy termination. Which statement is best for the nurse to make?

Correct Answer
verified

Exam 4: Family Planning

Correct AnswerverifiedShow Answer

The nurse is reviewing the spermicidal agent nonoxynol-9 (N-9) with a client planning to use the barrier method to prevent pregnancy. What should the nurse emphasize when teaching about this preparation? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Correct AnswerverifiedShow Answer

The nurse is discussing the use of contraception with a client who has just become sexually active. What factors should the nurse include when educating the client on contraceptive methods? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Correct AnswerverifiedShow Answer

A female college student comes into the student health clinic, concerned about being pregnant from unprotected intercourse the evening before. What should the school nurse counsel this student?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

A client scheduled to have a Mirena levonorgestrel intrauterine system (L N g-I U C) inserted asks how this device stops conception. What should the nurse say in response to this client?

Correct AnswerverifiedShow Answer

During a follow-up wellness visit, the nurse determines that a female client is experiencing favorable outcomes after starting combined oral contraceptives. What data did the nurse use to determine this? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Correct AnswerverifiedShow Answer

The nurse is developing a teaching plan for a client undergoing a tubal ligation. What information should be included in the plan?

Correct AnswerverifiedShow Answer

The nurse is preparing educational materials at a family planning clinic. The client who is an appropriate candidate for using emergency contraception would be one who reports which of the following?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

A female client comes into the clinic for a pregnancy test because she took the morning after pill immediately after having unprotected intercourse 3 days ago and has not had a menstrual period. What should the nurse respond to this client?

Correct AnswerverifiedShow Answer

A client at 10 weeks' gestation is scheduled for a surgical abortion. Which approaches may be used to dilate the cervix for the procedure? Note: Credit will be given only if all correct choices and no incorrect choices are elected.

Correct AnswerverifiedShow Answer

Extended use of combined oral contraceptives (C O Cs) reduces the side effects of C O Cs such as which of the following?

Correct AnswerverifiedShow Answer

A female client 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 client?

Correct AnswerverifiedShow Answer

A client who was raped is extremely upset when a pregnancy test confirms that she is pregnant, and requests information regarding pregnancy termination. Which statement is best for the nurse to make?

Correct AnswerverifiedShow Answer

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