Deck 18: Reproduction

Question 1

A female college student is planning to become sexually active.She is considering birth control options and desires a method in which ovulation will be prevented.To prevent ovulation while reaching 99% effectiveness in preventing pregnancy,which option should be given the strongest consideration?

A) Intrauterine device
B) Coitus interruptus
C) Natural family planning
D) Oral contraceptive pills

Answer 1

Oral contraceptive pills

Question 2

A female infertility patient is found to be hypoestrogenic at the preconceptual clinic visit.She asks the nurse why she has never been able to get pregnant.Which response is best?

A) Circulating estrogen contributes to secondary sex characteristics.
B) Estrogen deficiency prevents the ovum from reaching the uterus and may be a factor in infertility.
C) Hyperestrogen may be preventing the zona pellucida from forming an ovum protective layer.
D) The corona radiata is preventing fertilization of the ovum.

Answer 2

Estrogen deficiency prevents the ovum from reaching the uterus and may be a factor in infertility.

Question 3

Many females experience problems achieving and maintaining a pregnancy.The ER nursing assessment of a child-bearing-age female shows back pain,elevated blood pressure,and leaking of clear fluid from the vagina.Maternal-fetal complications described above are most often associated with which child-bearing stage?

A) Preconception
B) First trimester
C) Second-third trimester
D) Postpartum

Answer 3

Second-third trimester

Question 4

The RN at the Preconception Counseling Clinic takes a male history for infertility evaluation.Which finding has the greatest implication for this patient's care?

A) Practice of nightly masturbation
B) Primary anovulation
C) High testosterone levels
D) Impotence due to alcohol ingestion

Question 5

A female patient comes to the clinic after missing one menstrual period.She lives in a house beneath electrical power lines which is located near an oil field.She drinks two caffeinated beverages a day,is a daily beer drinker,and has not stopped eating sweets.She takes a multivitamin and exercises daily.She denies drug use.Which finding in the history has the greatest implication for this patient's plan of care?

A) Electrical power lines are a potential hazard to the woman and her fetus.
B) Living near an oil field may mean the water supply is polluted.
C) Alcohol exposure should be avoided during pregnancy due to teratogenicity.
D) Eating sweets may cause gestational diabetes or miscarriage.

Question 6

An obstetric multipara with triplets is placed on bed rest at 24 weeks' gestation.Her perinatologist is managing intrauterine growth restriction with serial ultrasounds.This is an example of

A) antenatal diagnostics.
B) primary prevention.
C) secondary prevention.
D) tertiary prevention.

Question 7

The nurse is admitting a prenatal patient for diagnostic testing.While eliciting the psychosocial history,the nurse learns the patient smokes a pack of cigarettes daily,drinks a cup of cappuccino with breakfast,has smoked weed in the remote past,and is a social drinker.Which action should the nurse first take?

A) Strongly advise immediate tobacco cessation
B) Elimination of all caffeinated beverages
C) Serum and urine testing for drug use and alcohol use
D) Referral to a 12-step program