Question 1

Which benefit regarding FAMs makes it an appealing choice for some women?

Accepted Answer

A)  Adherence to strict recordkeeping 
B)  Absence of chemicals and hormones 
C)  Decreased involvement and intimacy of partner 
D)  Increased spontaneity of coitus 
A)  Adherence to strict recordkeeping 
B)  Absence of chemicals and hormones 
C)  Decreased involvement and intimacy of partner 
D)  Increased spontaneity of coitus B

Question 2

A male client asks the nurse why it is better to purchase condoms that are not lubricated with nonoxynol-9 (a common spermicide).Which response by the nurse is the most accurate?

Accepted Answer

A)  "The lubricant prevents vaginal irritation." 
B)  "Nonoxynol-9 does not provide protection against STIs as originally thought; it has also been linked to an increase in the transmission of the HIV and can cause genital lesions." 
C)  "The additional lubrication improves sex." 
D)  "Nonoxynol-9 improves penile sensitivity." 
A)  "The lubricant prevents vaginal irritation." 
B)  "Nonoxynol-9 does not provide protection against STIs as originally thought; it has also been linked to an increase in the transmission of the HIV and can cause genital lesions." 
C)  "The additional lubrication improves sex." 
D)  "Nonoxynol-9 improves penile sensitivity." B

Question 3

The lactational amenorrhea method (LAM)of birth control is popular in developing countries and has had limited use in the United States.As breastfeeding rates increase,more women may rely upon this method for birth control.Which information is most important to provide to the client interested in using the LAM for contraception?

Accepted Answer

A)  LAM is effective until the infant is 9 months of age. 
B)  This popular method of birth control works best if the mother is exclusively breastfeeding. 
C)  Its typical failure rate is 5%. 
D)  Feeding intervals should be 6 hours during the day. 
A)  LAM is effective until the infant is 9 months of age. 
B)  This popular method of birth control works best if the mother is exclusively breastfeeding. 
C)  Its typical failure rate is 5%. 
D)  Feeding intervals should be 6 hours during the day. B

Question 4

Postabortion instructions may differ among providers regarding tampon use and the resumption of intercourse.However,education should be provided regarding serious complications.When should the woman who has undergone an induced abortion be instructed to return to the emergency department?
(Select all that apply).

Accepted Answer

A)  Fever higher than 39° C 
B)  Chills 
C)  Foul-smelling vaginal discharge 
D)  Bleeding greater than four pads in 2 hours 
E)  Severe abdominal pain 
A)  Fever higher than 39° C 
B)  Chills 
C)  Foul-smelling vaginal discharge 
D)  Bleeding greater than four pads in 2 hours 
E)  Severe abdominal pain

Question 5

Which client would be an ideal candidate for injectable progestins such as Depo-Provera (DMPA)as a contraceptive choice?

Accepted Answer

A)  The ideal candidate for DMPA wants menstrual regularity and predictability. 
B)  The client has a history of thrombotic problems or breast cancer. 
C)  The ideal candidate has difficulty remembering to take oral contraceptives daily. 
D)  The client is homeless or mobile and rarely receives health care. 
A)  The ideal candidate for DMPA wants menstrual regularity and predictability. 
B)  The client has a history of thrombotic problems or breast cancer. 
C)  The ideal candidate has difficulty remembering to take oral contraceptives daily. 
D)  The client is homeless or mobile and rarely receives health care.

Question 6

Which term best describes the conscious decision concerning when to conceive or avoid pregnancy as opposed to the intentional prevention of pregnancy during intercourse?

Accepted Answer

A)  Family planning 
B)  Birth control 
C)  Contraception 
D)  Assisted reproductive therapy 
A)  Family planning 
B)  Birth control 
C)  Contraception 
D)  Assisted reproductive therapy

Question 7

In the acronym BRAIDED,which letter is used to identify the key components of informed consent that the nurse must document?

Accepted Answer

A)  B stands for birth control. 
B)  R stands for reproduction. 
C)  A stands for alternatives. 
D)  I stands for ineffective. 
A)  B stands for birth control. 
B)  R stands for reproduction. 
C)  A stands for alternatives. 
D)  I stands for ineffective.

Question 8

If consistently and correctly used,which of the barrier methods of contraception has the lowest failure rate?

Accepted Answer

A)  Spermicides 
B)  Female condoms 
C)  Male condoms 
D)  Diaphragms 
A)  Spermicides 
B)  Female condoms 
C)  Male condoms 
D)  Diaphragms

Question 9

The nurse is responsible for providing health teaching regarding the side effects of COCs.These side effects are attributed to estrogen,progesterone,or both.Which side effects are related to the use of COCs?
(Select all that apply).

Accepted Answer

A)  Gallbladder disease 
B)  Myocardial infarction and stroke 
C)  Hypotension 
D)  Breast tenderness and fluid retention 
E)  Dry skin and scalp 
A)  Gallbladder disease 
B)  Myocardial infarction and stroke 
C)  Hypotension 
D)  Breast tenderness and fluid retention 
E)  Dry skin and scalp

Question 10

Although reported in small numbers,toxic shock syndrome (TSS)can occur with the use of a diaphragm.If a client is interested in this form of conception control,then the nurse must instruct the woman on how best to reduce her risk of TSS.Which comment by the nurse would be most helpful in achieving this goal?

Accepted Answer

A)  "You should always remove your diaphragm 6 to 8 hours after intercourse. Don't use the diaphragm during menses, and watch for danger signs of TSS, including a sudden onset of fever over 38.4° C, hypotension, and a rash." 
B)  "You should remove your diaphragm right after intercourse to prevent TSS." 
C)  "It's okay to use your diaphragm during your menstrual cycle. Just be sure to wash it thoroughly first to prevent TSS." 
D)  "Make sure you don't leave your diaphragm in for longer than 24 hours, or you may get TSS." 
A)  "You should always remove your diaphragm 6 to 8 hours after intercourse. Don't use the diaphragm during menses, and watch for danger signs of TSS, including a sudden onset of fever over 38.4° C, hypotension, and a rash." 
B)  "You should remove your diaphragm right after intercourse to prevent TSS." 
C)  "It's okay to use your diaphragm during your menstrual cycle. Just be sure to wash it thoroughly first to prevent TSS." 
D)  "Make sure you don't leave your diaphragm in for longer than 24 hours, or you may get TSS."

Question 11

Nurses,certified nurse-midwives,and other advanced practice nurses have the knowledge and expertise to assist women in making informed choices regarding contraception.A multidisciplinary approach should ensure that the woman's social,cultural,and interpersonal needs are met.Which action should the nurse first take when meeting with a new client to discuss contraception?

Accepted Answer

A)  Obtain data about the frequency of coitus. 
B)  Determine the woman's level of knowledge concerning contraception and her commitment to any particular method. 
C)  Assess the woman's willingness to touch her genitals and cervical mucus. 
D)  Evaluate the woman's contraceptive life plan. 
A)  Obtain data about the frequency of coitus. 
B)  Determine the woman's level of knowledge concerning contraception and her commitment to any particular method. 
C)  Assess the woman's willingness to touch her genitals and cervical mucus. 
D)  Evaluate the woman's contraceptive life plan.

Question 12

The client and her partner are considering male sterilization as a form of permanent birth control.While educating the client regarding the risks and benefits of the procedure,which information should the nurse include?
(Select all that apply).

Accepted Answer

A)  Sterilization should be performed under general anesthesia. 
B)  Pain, bleeding, and infection are possible complications. 
C)  Pregnancy may still be possible. 
D)  Vasectomy may affect potency. 
E)  Secondary sex characteristics are unaffected. 
A)  Sterilization should be performed under general anesthesia. 
B)  Pain, bleeding, and infection are possible complications. 
C)  Pregnancy may still be possible. 
D)  Vasectomy may affect potency. 
E)  Secondary sex characteristics are unaffected.

Question 13

A woman who has just undergone a first-trimester abortion will be using oral contraceptives.To protect against pregnancy,the client should be advised to do what?

Accepted Answer

A)  Avoid sexual contact for at least 10 days after starting the pill. 
B)  Use condoms and foam for the first few weeks as a backup. 
C)  Use another method of contraception for 1 week after starting the pill. 
D)  Begin sexual relations once vaginal bleeding has ended. 
A)  Avoid sexual contact for at least 10 days after starting the pill. 
B)  Use condoms and foam for the first few weeks as a backup. 
C)  Use another method of contraception for 1 week after starting the pill. 
D)  Begin sexual relations once vaginal bleeding has ended.

Question 14

Importantly,the nurse must be aware of which information related to the use of IUDs?

Accepted Answer

A)  Return to fertility can take several weeks after the device is removed. 
B)  IUDs containing copper can provide an emergency contraception option if inserted within a few days of unprotected intercourse. 
C)  IUDs offer the same protection against STIs as the diaphragm. 
D)  Consent forms are not needed for IUD insertion. 
A)  Return to fertility can take several weeks after the device is removed. 
B)  IUDs containing copper can provide an emergency contraception option if inserted within a few days of unprotected intercourse. 
C)  IUDs offer the same protection against STIs as the diaphragm. 
D)  Consent forms are not needed for IUD insertion.

Question 15

A married couple is discussing alternatives for pregnancy prevention and has asked about fertility awareness methods (FAMs).Which response by the nurse is most appropriate?

Accepted Answer

A)  "They're not very effective, and it is very likely that you'll get pregnant." 
B)  "FAMs can be effective for many couples; however, they require motivation." 
C)  "These methods have a few advantages and several health risks." 
D)  "You would be much safer going on the pill and not having to worry." 
A)  "They're not very effective, and it is very likely that you'll get pregnant." 
B)  "FAMs can be effective for many couples; however, they require motivation." 
C)  "These methods have a few advantages and several health risks." 
D)  "You would be much safer going on the pill and not having to worry."

Question 16

Which contraceptive method best protects against STIs and the HIV?

Accepted Answer

A)  Periodic abstinence 
B)  Barrier methods 
C)  Hormonal methods 
D)  Same protection with all methods 
A)  Periodic abstinence 
B)  Barrier methods 
C)  Hormonal methods 
D)  Same protection with all methods

Question 17

A client currently uses a diaphragm and spermicide for contraception.She asks the nurse to explain the major differences between the cervical cap and the diaphragm.What is the most appropriate response by the nurse?

Accepted Answer

A)  "No spermicide is used with the cervical cap, so it's less messy." 
B)  "The diaphragm can be left in place longer after intercourse." 
C)  "Repeated intercourse with the diaphragm is more convenient." 
D)  "The cervical cap can be safely used for repeated acts of intercourse without adding more spermicide later." 
A)  "No spermicide is used with the cervical cap, so it's less messy." 
B)  "The diaphragm can be left in place longer after intercourse." 
C)  "Repeated intercourse with the diaphragm is more convenient." 
D)  "The cervical cap can be safely used for repeated acts of intercourse without adding more spermicide later."

Question 18

A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice.What is the nurse's best response?

Accepted Answer

A)  "Oral contraceptives are a highly effective method, but they have some side effects." 
B)  "Your current medications will reduce the effectiveness of the pill." 
C)  "Oral contraceptives will reduce the effectiveness of your seizure medication." 
D)  "The pill is a good choice for a woman of your age and with your personal history." 
A)  "Oral contraceptives are a highly effective method, but they have some side effects." 
B)  "Your current medications will reduce the effectiveness of the pill." 
C)  "Oral contraceptives will reduce the effectiveness of your seizure medication." 
D)  "The pill is a good choice for a woman of your age and with your personal history."

Question 19

The nurse is providing contraceptive instruction to a young couple who are eager to learn.The nurse should be cognizant of which information regarding the natural family planning method?

Accepted Answer

A)  The natural family planning method is the same as coitus interruptus or "pulling out." 
B)  This contraception method uses the calendar method to align the woman's cycle with the natural phases of the moon. 
C)  This practice is the only contraceptive method acceptable to the Roman Catholic Church. 
D)  The natural family planning method relies on barrier methods during the fertility phases. 
A)  The natural family planning method is the same as coitus interruptus or "pulling out." 
B)  This contraception method uses the calendar method to align the woman's cycle with the natural phases of the moon. 
C)  This practice is the only contraceptive method acceptable to the Roman Catholic Church. 
D)  The natural family planning method relies on barrier methods during the fertility phases.

Question 20

The nurse is reviewing the educational packet provided to a client about tubal ligation.Which information regarding this procedure is important for the nurse to share?
(Select all that apply).

Accepted Answer

A)  "It is highly unlikely that you will become pregnant after the procedure." 
B)  "Tubal ligation is an effective form of 100% permanent sterilization. You won't be able to get pregnant." 
C)  "Sterilization offers some form of protection against STIs." 
D)  "Sterilization offers no protection against STIs." 
E)  "Your menstrual cycle will greatly increase after your sterilization." 
A)  "It is highly unlikely that you will become pregnant after the procedure." 
B)  "Tubal ligation is an effective form of 100% permanent sterilization. You won't be able to get pregnant." 
C)  "Sterilization offers some form of protection against STIs." 
D)  "Sterilization offers no protection against STIs." 
E)  "Your menstrual cycle will greatly increase after your sterilization."

Exam 8: Contraception and Abortion

Which benefit regarding FAMs makes it an appealing choice for some women?

A male client asks the nurse why it is better to purchase condoms that are not lubricated with nonoxynol-9 (a common spermicide).Which response by the nurse is the most accurate?

Which client would be an ideal candidate for injectable progestins such as Depo-Provera (DMPA)as a contraceptive choice?

Which term best describes the conscious decision concerning when to conceive or avoid pregnancy as opposed to the intentional prevention of pregnancy during intercourse?

In the acronym BRAIDED,which letter is used to identify the key components of informed consent that the nurse must document?

If consistently and correctly used,which of the barrier methods of contraception has the lowest failure rate?

The nurse is responsible for providing health teaching regarding the side effects of COCs.These side effects are attributed to estrogen,progesterone,or both.Which side effects are related to the use of COCs? (Select all that apply).

The client and her partner are considering male sterilization as a form of permanent birth control.While educating the client regarding the risks and benefits of the procedure,which information should the nurse include? (Select all that apply).

A woman who has just undergone a first-trimester abortion will be using oral contraceptives.To protect against pregnancy,the client should be advised to do what?

Importantly,the nurse must be aware of which information related to the use of IUDs?

A married couple is discussing alternatives for pregnancy prevention and has asked about fertility awareness methods (FAMs).Which response by the nurse is most appropriate?

Which contraceptive method best protects against STIs and the HIV?

A client currently uses a diaphragm and spermicide for contraception.She asks the nurse to explain the major differences between the cervical cap and the diaphragm.What is the most appropriate response by the nurse?

A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice.What is the nurse's best response?

The nurse is providing contraceptive instruction to a young couple who are eager to learn.The nurse should be cognizant of which information regarding the natural family planning method?

The nurse is reviewing the educational packet provided to a client about tubal ligation.Which information regarding this procedure is important for the nurse to share? (Select all that apply).

21st Century Maternity and Women’s Health Nursing

Community Care: The Family and Culture

Nursing and Genomics

Assessment and Health Promotion

Violence Against Women

Reproductive System Concerns

Sexually Transmitted and Other Infections

Infertility

Problems of the Breast

Structural Disorders and Neoplasms of the Reproductive System

Conception and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Postpartum Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Assessment of High Risk Pregnancy

Hypertensive Disorders

Hemorrhagic Disorders

Endocrine and Metabolic Disorders

Medical-Surgical Disorders

Mental Health Disorders and Substance Abuse

Labor and Birth Complications

Postpartum Complications

Nursing Care of the High Risk Newborn

Acquired Problems of the Newborn

Hemolytic Disorders and Congenital Anomalies

Perinatal Loss, Bereavement, and Grief

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