Question 1

A woman will be taking oral contraceptives using a 28-day pack.What advice should the nurse provide to protect this client from an unintended pregnancy?

Accepted Answer

A)  Limit sexual contact for one cycle after starting the pill. 
B)  Use condoms and foam instead of the pill for as long as the client takes an antibiotic. 
C)  Take one pill at the same time every day. 
D)  Throw away the pack and use a backup method if two pills are missed during week 1 of her cycle. 
A)  Limit sexual contact for one cycle after starting the pill. 
B)  Use condoms and foam instead of the pill for as long as the client takes an antibiotic. 
C)  Take one pill at the same time every day. 
D)  Throw away the pack and use a backup method if two pills are missed during week 1 of her cycle.

Question 2

Nurses should be cognizant of what information with regard to the noncontraceptive medical effects of combination oral contraceptives (COCs)?

Accepted Answer

A)  COCs can cause TSS if the prescription is wrong. 
B)  Hormonal withdrawal bleeding is usually a little more profuse than in normal menstruation and lasts a week for those who use COCs. 
C)  COCs increase the risk of endometrial and ovarian cancers. 
D)  Effectiveness of COCs can be altered by some over-the-counter medications and herbal supplements. 
A)  COCs can cause TSS if the prescription is wrong. 
B)  Hormonal withdrawal bleeding is usually a little more profuse than in normal menstruation and lasts a week for those who use COCs. 
C)  COCs increase the risk of endometrial and ovarian cancers. 
D)  Effectiveness of COCs can be altered by some over-the-counter medications and herbal supplements.

Question 3

Which statement regarding the term contraceptive failure rate is the most accurate?

Accepted Answer

A)  The contraceptive failure rate refers to the percentage of users expected to have an accidental pregnancy over a 5-year span. 
B)  It refers to the minimum rate that must be achieved to receive a government license. 
C)  The contraceptive failure rate increases over time as couples become more careless. 
D)  It varies from couple to couple, depending on the method and the users. 
A)  The contraceptive failure rate refers to the percentage of users expected to have an accidental pregnancy over a 5-year span. 
B)  It refers to the minimum rate that must be achieved to receive a government license. 
C)  The contraceptive failure rate increases over time as couples become more careless. 
D)  It varies from couple to couple, depending on the method and the users.

Question 4

An unmarried young woman describes her sex life as "active" and involving "many" partners.She wants a contraceptive method that is reliable and does not interfere with sex.She requests an intrauterine device (IUD).Which information is most important for the nurse to share?

Accepted Answer

A)  "The IUD does not interfere with sex." 
B)  "The risk of pelvic inflammatory disease will be higher with the IUD." 
C)  "The IUD will protect you from sexually transmitted infections." 
D)  "Pregnancy rates are high with the IUD." 
A)  "The IUD does not interfere with sex." 
B)  "The risk of pelvic inflammatory disease will be higher with the IUD." 
C)  "The IUD will protect you from sexually transmitted infections." 
D)  "Pregnancy rates are high with the IUD."

Question 5

The practice of the calendar rhythm method is based on the number of days in each menstrual cycle.The fertile period is determined after monitoring each cycle for 6 months.The beginning of the fertile period is estimated by subtracting 18 days from the longest cycle and 11 days from the shortest.If the woman's cycles vary in length from 24 to 30 days,then her fertile period would be day _____ through day ______.

Accepted Answer

6; 19
To avoid pregnancy,the c

Question 6

Which nonpharmacologic contraceptive method has a failure rate of less than 25%?

Accepted Answer

A)  Standard days' variation 
B)  Periodic abstinence 
C)  Postovulation 
D)  Coitus interruptus 
A)  Standard days' variation 
B)  Periodic abstinence 
C)  Postovulation 
D)  Coitus interruptus

Question 7

A woman is using the basal body temperature (BBT)method of contraception.She calls the clinic and tells the nurse,"My period is due in a few days,and my temperature has not gone up." What is the nurse's most appropriate response?

Accepted Answer

A)  "This probably means that you're pregnant." 
B)  "Don't worry; it's probably nothing." 
C)  "Have you been sick this month?" 
D)  "You probably didn't ovulate during this cycle." 
A)  "This probably means that you're pregnant." 
B)  "Don't worry; it's probably nothing." 
C)  "Have you been sick this month?" 
D)  "You probably didn't ovulate during this cycle."

Question 8

What is the importance of obtaining informed consent for a number of contraceptive methods?

Accepted Answer

A)  Contraception is an invasive procedure that requires hospitalization. 
B)  The method may require a surgical procedure to insert a device. 
C)  The contraception method chosen may be unreliable. 
D)  The method chosen has potentially dangerous side effects. 
A)  Contraception is an invasive procedure that requires hospitalization. 
B)  The method may require a surgical procedure to insert a device. 
C)  The contraception method chosen may be unreliable. 
D)  The method chosen has potentially dangerous side effects.

Question 9

Which statement is the most complete and accurate description of medical abortions?

Accepted Answer

A)  Medical abortions are performed only for maternal health. 
B)  They can be achieved through surgical procedures or with drugs. 
C)  Medical abortions are mostly performed in the second trimester. 
D)  They can be either elective or therapeutic. 
A)  Medical abortions are performed only for maternal health. 
B)  They can be achieved through surgical procedures or with drugs. 
C)  Medical abortions are mostly performed in the second trimester. 
D)  They can be either elective or therapeutic.

Question 10

Which statement regarding emergency contraception is correct?

Accepted Answer

A)  Emergency contraception requires that the first dose be taken within 72 hours of unprotected intercourse. 
B)  Emergency contraception may be taken right after ovulation. 
C)  Emergency contraception has an effectiveness rate in preventing pregnancy of approximately 50%. 
D)  Emergency contraception is commonly associated with the side effect of menorrhagia. 
A)  Emergency contraception requires that the first dose be taken within 72 hours of unprotected intercourse. 
B)  Emergency contraception may be taken right after ovulation. 
C)  Emergency contraception has an effectiveness rate in preventing pregnancy of approximately 50%. 
D)  Emergency contraception is commonly associated with the side effect of menorrhagia.

Question 11

A woman is 16 weeks pregnant and has elected to terminate her pregnancy.Which is the most common technique used for the termination of a pregnancy in the second trimester?

Accepted Answer

A)  Dilation and evacuation (D&
E)  
B)  Methotrexate administration 
C)  Prostaglandin administration 
D)  Vacuum aspiration 
A)  Dilation and evacuation (D&
E)  
B)  Methotrexate administration 
C)  Prostaglandin administration 
D)  Vacuum aspiration

Question 12

A woman has chosen the calendar method of conception control.Which is the most important action the nurse should perform during the assessment process?

Accepted Answer

A)  Obtain a history of the woman's menstrual cycle lengths for the past 6 to 12 months. 
B)  Determine the client's weight gain and loss pattern for the previous year. 
C)  Examine skin pigmentation and hair texture for hormonal changes. 
D)  Explore the client's previous experiences with conception control. 
A)  Obtain a history of the woman's menstrual cycle lengths for the past 6 to 12 months. 
B)  Determine the client's weight gain and loss pattern for the previous year. 
C)  Examine skin pigmentation and hair texture for hormonal changes. 
D)  Explore the client's previous experiences with conception control.

Exam 8: Contraception and Abortion

A woman will be taking oral contraceptives using a 28-day pack.What advice should the nurse provide to protect this client from an unintended pregnancy?

Nurses should be cognizant of what information with regard to the noncontraceptive medical effects of combination oral contraceptives (COCs)?

Which statement regarding the term contraceptive failure rate is the most accurate?

An unmarried young woman describes her sex life as "active" and involving "many" partners.She wants a contraceptive method that is reliable and does not interfere with sex.She requests an intrauterine device (IUD).Which information is most important for the nurse to share?

Which nonpharmacologic contraceptive method has a failure rate of less than 25%?

A woman is using the basal body temperature (BBT)method of contraception.She calls the clinic and tells the nurse,"My period is due in a few days,and my temperature has not gone up." What is the nurse's most appropriate response?

What is the importance of obtaining informed consent for a number of contraceptive methods?

Which statement is the most complete and accurate description of medical abortions?

Which statement regarding emergency contraception is correct?

A woman is 16 weeks pregnant and has elected to terminate her pregnancy.Which is the most common technique used for the termination of a pregnancy in the second trimester?

A woman has chosen the calendar method of conception control.Which is the most important action the nurse should perform during the assessment process?

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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