Question 1

Which of the following statements is correct regarding the use of contraception and the occurrence of sexually transmitted diseases (STDs)?

Accepted Answer

A)  As long as the oral contraception method is used correctly, there is no transmission of STDs during sexual activity. 
B)  Oral contraceptives provide the greatest protection against getting STDs. 
C)  Barrier methods, if used correctly, are more likely to protect individuals from STDs as compared with other contraceptive methods. 
D)  It is less likely to see transmission of STDs if patients engage in oral sex as opposed to vaginal penetration. 
A)  As long as the oral contraception method is used correctly, there is no transmission of STDs during sexual activity. 
B)  Oral contraceptives provide the greatest protection against getting STDs. 
C)  Barrier methods, if used correctly, are more likely to protect individuals from STDs as compared with other contraceptive methods. 
D)  It is less likely to see transmission of STDs if patients engage in oral sex as opposed to vaginal penetration. C

Question 2

A patient is 27 years old and delivered her first baby yesterday. She and her husband do not want to have another baby for at least 3 to 4 years. The most appropriate method of birth control to meet their needs is

Accepted Answer

A)  withdrawal. 
B)  fertility awareness method. 
C)  combination of condoms and foam. 
D)  vasectomy with a reversal in 3 years. 
A)  withdrawal. 
B)  fertility awareness method. 
C)  combination of condoms and foam. 
D)  vasectomy with a reversal in 3 years. C

Question 3

The method of contraception that is considered the safest for women is a(n)

Accepted Answer

A)  IUD. 
B)  diaphragm. 
C)  male condom. 
D)  oral contraceptive. 
A)  IUD. 
B)  diaphragm. 
C)  male condom. 
D)  oral contraceptive. C

Question 4

The most appropriate statement for introducing the topic of family planning in the postpartum setting is

Accepted Answer

A)  "What are your plans for future pregnancies?" 
B)  "Do you plan on being sexually active in the future?" 
C)  "Let's talk about birth control, because breastfeeding is not 100% effective for preventing pregnancy." 
D)  "Here are some pamphlets on available methods of birth control. I'll come back later and discuss them with you." 
A)  "What are your plans for future pregnancies?" 
B)  "Do you plan on being sexually active in the future?" 
C)  "Let's talk about birth control, because breastfeeding is not 100% effective for preventing pregnancy." 
D)  "Here are some pamphlets on available methods of birth control. I'll come back later and discuss them with you."

Question 5

A male patient asks, "Why do I have to use another contraceptive? I had a vasectomy last week." The best response is

Accepted Answer

A)  "A vasectomy is only 80% effective." 
B)  "A vasectomy is not effective in all men." 
C)  "Semen may contain sperm for 6 months following a vasectomy." 
D)  "Complete sterilization doesn't occur until all sperm have left the system." 
A)  "A vasectomy is only 80% effective." 
B)  "A vasectomy is not effective in all men." 
C)  "Semen may contain sperm for 6 months following a vasectomy." 
D)  "Complete sterilization doesn't occur until all sperm have left the system."

Question 6

You are teaching a group of adolescents regarding myths and facts related to contraception. Which statement indicates that additional teaching is needed for this group?

Accepted Answer

A)  Adolescents are more likely to become pregnant even if they use available contraception methods correctly. 
B)  The withdrawal technique provides a higher likelihood that a teen will not get pregnant. 
C)  Pregnancy can occur in the presence or absence of orgasm. 
D)  Pregnancy can occur even if a teen is menstruating at the time of coitus. 
A)  Adolescents are more likely to become pregnant even if they use available contraception methods correctly. 
B)  The withdrawal technique provides a higher likelihood that a teen will not get pregnant. 
C)  Pregnancy can occur in the presence or absence of orgasm. 
D)  Pregnancy can occur even if a teen is menstruating at the time of coitus.

Question 7

Informed consent concerning contraceptive use is important since some of the methods

Accepted Answer

A)  may not be reliable. 
B)  require a surgical procedure to insert. 
C)  have potentially dangerous side effects. 
D)  are invasive procedures that require hospitalization. 
A)  may not be reliable. 
B)  require a surgical procedure to insert. 
C)  have potentially dangerous side effects. 
D)  are invasive procedures that require hospitalization.

Question 8

A woman who has a successful career and a busy lifestyle will most likely look for which type of contraceptive?

Accepted Answer

A)  Requires extensive education to use 
B)  Is the easiest and most convenient to use 
C)  Costs the least 
D)  Is permanent 
A)  Requires extensive education to use 
B)  Is the easiest and most convenient to use 
C)  Costs the least 
D)  Is permanent

Question 9

The major difference between the diaphragm and the cervical cap is that the diaphragm

Accepted Answer

A)  is more effective. 
B)  requires spermicide. 
C)  applies pressure on the urethra. 
D)  has no contribution to toxic shock syndrome. 
A)  is more effective. 
B)  requires spermicide. 
C)  applies pressure on the urethra. 
D)  has no contribution to toxic shock syndrome.

Question 10

When instructing a patient in the use of spermicidal foam or gel, it is important to include the information that

Accepted Answer

A)  effectiveness is about 85%. 
B)  douching should be avoided for at least 6 hours. 
C)  it should be inserted 1 to 2 hours before intercourse. 
D)  one application is effective for several hours. 
A)  effectiveness is about 85%. 
B)  douching should be avoided for at least 6 hours. 
C)  it should be inserted 1 to 2 hours before intercourse. 
D)  one application is effective for several hours.

Question 11

The patient who has had an intrauterine device (IUD) inserted should be instructed to

Accepted Answer

A)  use a vinegar douche weekly for 4 weeks. 
B)  have the IUD replaced every 2 to 4 years. 
C)  check the placement of the string once a week for 4 weeks. 
D)  use another method of contraception for 2 weeks after insertion. 
A)  use a vinegar douche weekly for 4 weeks. 
B)  have the IUD replaced every 2 to 4 years. 
C)  check the placement of the string once a week for 4 weeks. 
D)  use another method of contraception for 2 weeks after insertion.

Question 12

Which of the following is a potential disadvantage for the patient who wishes to use an intrauterine device (IUD) as a method of birth control?

Accepted Answer

A)  Insertion of the device prior to coitus resulting in decreased spontaneity 
B)  Ectopic pregnancy 
C)  Protection against STDs 
D)  Decrease in dysmenorrhea 
A)  Insertion of the device prior to coitus resulting in decreased spontaneity 
B)  Ectopic pregnancy 
C)  Protection against STDs 
D)  Decrease in dysmenorrhea

Question 13

You are evaluating a patient in the clinic setting who has been taking oral contraceptives for several years, without side effects. Vital signs are stable and the patient denies any pain or tenderness. On examination, you note a small erythematous area of approximately 2 cm on her right lower leg. She denies any traumatic injury and says this is a recent onset of a few days. Based on this information you would

Accepted Answer

A)  instruct the patient to use warm compresses for several days and keep the leg elevated as much as possible. 
B)  have the patient wear flats rather than heels to modify her gait and help alleviate this issue. 
C)  refer the patient to the health care provider for additional diagnostic work up. 
D)  have the patient take an over-the-counter (OT
C)  nonsteroidal antiinflammatory drug (NSAI
D)  and return to the clinic if the problem persists. 
A)  instruct the patient to use warm compresses for several days and keep the leg elevated as much as possible. 
B)  have the patient wear flats rather than heels to modify her gait and help alleviate this issue. 
C)  refer the patient to the health care provider for additional diagnostic work up. 
D)  have the patient take an over-the-counter (OT
C)  nonsteroidal antiinflammatory drug (NSAI
D)  and return to the clinic if the problem persists.

Question 14

The role of the nurse in family planning is to

Accepted Answer

A)  refer the couple to a reliable physician. 
B)  decide on the best method for the couple. 
C)  advise couples on which contraceptive to use. 
D)  educate couples on the various methods of contraception. 
A)  refer the couple to a reliable physician. 
B)  decide on the best method for the couple. 
C)  advise couples on which contraceptive to use. 
D)  educate couples on the various methods of contraception.

Question 15

Which contraceptive method provides protection against sexually transmitted diseases?

Accepted Answer

A)  Oral contraceptives 
B)  Tubal ligation 
C)  Male or female condoms 
D)  Intrauterine device (IU
D)  
A)  Oral contraceptives 
B)  Tubal ligation 
C)  Male or female condoms 
D)  Intrauterine device (IU
D)

Question 16

A patient presents to the Women's Health Clinic for continuation of her contraceptive method. She has been using Depo-Provera (medroxyprogesterone acetate) for 24 months. In preparation for instituting a plan of care, the nurse would consider which option as a priority?

Accepted Answer

A)  Schedule the patient for follow-up baseline diagnostic testing to confirm that the patient is not pregnant. 
B)  Obtain information for an alternate contraception method. 
C)  Ask the patient for additional information related to her menstrual cycle. 
D)  Inspect the skin for site selection of contraceptive method. 
A)  Schedule the patient for follow-up baseline diagnostic testing to confirm that the patient is not pregnant. 
B)  Obtain information for an alternate contraception method. 
C)  Ask the patient for additional information related to her menstrual cycle. 
D)  Inspect the skin for site selection of contraceptive method.

Question 17

Which symptom in a patient using oral contraceptives should be reported to the physician immediately?

Accepted Answer

A)  5-lb weight gain 
B)  Leg pain and edema 
C)  Decrease in menstrual flow 
D)  Increased pigmentation of the face 
A)  5-lb weight gain 
B)  Leg pain and edema 
C)  Decrease in menstrual flow 
D)  Increased pigmentation of the face

Question 18

A patient has had a prior history of endometriosis and comes to the clinic asking about which method of birth control might be helpful to alleviate her symptoms. Which birth control method would provide the greatest benefit to this patient?

Accepted Answer

A)  Withdrawal method 
B)  Oral contraceptives 
C)  Depo-Provera 
D)  Intrauterine device (IU
D)  
A)  Withdrawal method 
B)  Oral contraceptives 
C)  Depo-Provera 
D)  Intrauterine device (IU
D)

Question 19

When using the basal body temperature method of family planning, the woman should understand that

Accepted Answer

A)  she will remain fertile for 5 days after ovulation. 
B)  she should take her temperature each night before going to bed. 
C)  her temperature will increase about 0.2 to 0.4°C (0.4 to 0.8°F) after ovulation. 
D)  her temperature is normally lower during the second half of her cycle. 
A)  she will remain fertile for 5 days after ovulation. 
B)  she should take her temperature each night before going to bed. 
C)  her temperature will increase about 0.2 to 0.4°C (0.4 to 0.8°F) after ovulation. 
D)  her temperature is normally lower during the second half of her cycle.

Question 20

Which patient is a safe candidate for the use of oral contraceptives?

Accepted Answer

A)  39-year-old with a history of thrombophlebitis. 
B)  16-year-old with a benign liver tumor. 
C)  20-year-old who suspects she may be pregnant. 
D)  43-year-old who does not smoke cigarettes. 
A)  39-year-old with a history of thrombophlebitis. 
B)  16-year-old with a benign liver tumor. 
C)  20-year-old who suspects she may be pregnant. 
D)  43-year-old who does not smoke cigarettes.

Exam 25: Family Planning

Which of the following statements is correct regarding the use of contraception and the occurrence of sexually transmitted diseases (STDs)?

A patient is 27 years old and delivered her first baby yesterday. She and her husband do not want to have another baby for at least 3 to 4 years. The most appropriate method of birth control to meet their needs is

The method of contraception that is considered the safest for women is a(n)

The most appropriate statement for introducing the topic of family planning in the postpartum setting is

A male patient asks, "Why do I have to use another contraceptive? I had a vasectomy last week." The best response is

You are teaching a group of adolescents regarding myths and facts related to contraception. Which statement indicates that additional teaching is needed for this group?

Informed consent concerning contraceptive use is important since some of the methods

A woman who has a successful career and a busy lifestyle will most likely look for which type of contraceptive?

The major difference between the diaphragm and the cervical cap is that the diaphragm

When instructing a patient in the use of spermicidal foam or gel, it is important to include the information that

The patient who has had an intrauterine device (IUD) inserted should be instructed to

Which of the following is a potential disadvantage for the patient who wishes to use an intrauterine device (IUD) as a method of birth control?

The role of the nurse in family planning is to

Which contraceptive method provides protection against sexually transmitted diseases?

A patient presents to the Women's Health Clinic for continuation of her contraceptive method. She has been using Depo-Provera (medroxyprogesterone acetate) for 24 months. In preparation for instituting a plan of care, the nurse would consider which option as a priority?

Which symptom in a patient using oral contraceptives should be reported to the physician immediately?

A patient has had a prior history of endometriosis and comes to the clinic asking about which method of birth control might be helpful to alleviate her symptoms. Which birth control method would provide the greatest benefit to this patient?

When using the basal body temperature method of family planning, the woman should understand that

Which patient is a safe candidate for the use of oral contraceptives?

Maternity and Women’s Health Care Today

Social, Ethical, and Legal Issues

Reproductive Anatomy and Physiology

Hereditary and Environmental Influences on Childbearing

Conception and Prenatal Development

Maternal Adaptations to Pregnancy

Antepartum Assessment, Care, and Education

Nutrition for Childbearing

Assessing the Fetus

Complications of Pregnancy

The Childbearing Family with Special Needs

Processes of Birth

Pain Management During Childbirth

Intrapartum Fetal Surveillance

Nursing Care During Labor and Birth

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Postpartum Adaptations and Nursing Care

Postpartum Maternal Complications

Normal Newborn: Processes of Adaptation

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High-Risk Newborn: Complications Associated with Gestational Age and Development

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