Deck 8: Contraception and Abortion

Question 1

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?

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.

Answer 1

This practice is the only contraceptive method acceptable to the Roman Catholic Church.

Question 2

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?

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.

Answer 2

Take one pill at the same time every day.

Question 3

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

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

Answer 3

A stands for alternatives.

Question 4

Which contraceptive method should the nurse identify as protecting against sexually transmitted infections (STIs)and the human immunodeficiency virus (HIV)?

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

Question 5

What is the importance of obtaining informed consent when educating a client regarding contraceptive methods?

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 6

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) "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 7

Which information is most important to provide to the client interested in using the lactational amenorrhea method for contraception?

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.

Question 8

Which action should the nurse first take when meeting with a new client to discuss contraception?

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

Question 9

Which is the most common technique used for the termination of a pregnancy in the second trimester?

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

Question 10

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

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 11

A woman has chosen the calendar method of conception control.Which is the most important action the nurse should perform during the assessment process in preparation to discuss the implementation of this method?

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.

Question 12

Which statement regarding emergency contraception is correct?

A) Emergency contraception requires that the first dose be taken within 120 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 13

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

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

Question 14

Importantly,the nurse must be aware of which information related to the use of intrauterine devices (IUDs)?

A) Return to fertility can take several weeks after the device is removed.
B) Copper IUDs can serve as an emergency contraception under certain situations.
C) IUDs offer the same protection against STIs as the diaphragm.
D) Consent forms are not needed for IUD insertion.

Question 15

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?

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 16

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. )

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 sexually transmitted infections (STIs)."
D) "Sterilization offers no protection against sexually transmitted infections (STIs)."
E) "Your menstrual cycle will greatly increase after your sterilization."

Question 17

Nurses should be cognizant of what information regarding the non-contraceptive medical effects of combination oral contraceptives (COCs)?

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 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?

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

Which client would be an ideal candidate for injectable progestins such as medroxyprogesterone acetate as a contraceptive choice?

A) The ideal candidate 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 20

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?

A) "The lubricant prevents vaginal irritation."
B) "Nonoxynol-9 does not provide protection against STIs as originally thought"
C) "The additional lubrication improves sex."
D) "Nonoxynol-9 improves penile sensitivity."

Question 21

While educating the client regarding the risks and benefits of a vasectomy,which information should the nurse include? (Select all that apply. )

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

Question 22

A woman who has undergone an induced abortion be instructed to return to the emergency department when what situation exists? (Select all that apply. )

A) Fever higher than 38 $\degree$ C
B) Chills
C) Foul-smelling vaginal discharge
D) Bleeding greater than 2 pads in 2 hours
E) Abdominal tenderness and or pain

Question 23

The nurse,responsible for providing health teaching regarding the side effects of combined oral contraceptives (COCs),should discuss what issues? (Select all that apply. )

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

Question 24

Which comment by the nurse would be most helpful in instruct the woman on how best to reduce her risk of developing toxic shock syndrome (TSS)? (Select all that apply. )

A) "You should always leave your diaphragm in place for at 6 hours after intercourse."
B) "You should remove your diaphragm right after intercourse to prevent TSS."
C) "You can use your diaphragm during your menstrual cycle as long as you clean it well."
D) CHOICE BLANK
E) "Make sure you don't leave your diaphragm in for longer than 24 hours"
Report a fever of 38.4 ⁰ C to your health care provider immediately."

Question 25

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 ______.