Deck 8: Contraception and Abortion

Question 1

What is not a potential pitfall or disadvantage of the fertility awareness methods (FAMs)?

A)Adherence to strict record keeping
B)Alterations in the menstrual flow pattern with chemicals and hormones
C)Decreased effectiveness in women with irregular cycles
D)Time-consuming training sessions

Answer 1

Alterations in the menstrual flow pattern with chemicals and hormones

Question 2

A woman will be taking oral contraceptives using a 28-day pack.The nurse should advise this woman to protect against pregnancy by:

A)Limiting sexual contact for one cycle after starting the pill
B)Using condoms and foam instead of the pill for as long as she takes an antibiotic
C)Taking one pill at the same time every day
D)Throwing away the pack and using a backup method if she misses two pills during week 1 of her cycle

Answer 2

Taking one pill at the same time every day

Question 3

Which contraceptive method best protects against sexually transmitted infections (STIs)and human immunodeficiency virus (HIV)?

A)Periodic abstinence
B)Barrier methods
C)Hormonal methods
D)They all offer about the same protection.

Answer 3

Barrier methods

Question 4

A woman has chosen the calendar method of conception control.During the assessment process,it is most important that the nurse:

A)Obtain a history of 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 5

Postcoital contraception with Ovral:

A)Requires that the first dose be taken within 120 hours of unprotected intercourse
B)Requires that the woman take second and third doses at 24 and 36 hours after the first dose
C)Has an effectiveness rate in preventing pregnancy of approximately 50%
D)Is commonly associated with the side effect of menorrhagia

Question 6

The conscious decision on when to conceive or avoid pregnancy throughout the reproductive years is called:

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

Question 7

A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice.The nurse's most appropriate response would be:

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

Question 8

Injectable progestins (DMPA,Depo-Provera)are a good contraceptive choice for women who:

A)Want menstrual regularity and predictability
B)Have a history of thrombotic problems or breast cancer
C)Have difficulty remembering to take oral contraceptives daily
D)Are homeless or mobile and rarely receive health care

Question 9

A woman currently uses a diaphragm and spermicide for contraception.She asks the nurse what the major differences are between the cervical cap and diaphragm.The nurse's most appropriate response is:

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 safely be used for repeated acts of intercourse without adding more spermicide later."

Question 10

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).The nurse's most appropriate response is:

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

Question 11

A woman had unprotected intercourse 36 hours ago and is concerned that she may become pregnant because it is her "fertile" time.She asks the nurse about emergency contraception.The nurse would tell her that:

A)It is too late;she needed to begin treatment within 24 hours after intercourse
B)Preven,an emergency contraceptive method,is 98% effective at preventing pregnancy
C)An over-the-counter antiemetic can be taken 1 hour before each contraceptive dose to prevent nausea and vomiting
D)The most effective approach is to use a progestin-only preparation

Question 12

A woman is 16 weeks pregnant and has elected to terminate her pregnancy.The nurse knows that the most common technique used for medical termination of a pregnancy in the second trimester is:

A)Administration of prostaglandins
B)Instillation of hypertonic saline into the uterine cavity
C)IV administration of Pitocin
D)Vacuum aspiration

Question 13

With regard to the noncontraceptive medical effects of combination oral contraceptives (COCs),nurses should be aware that:

A)COCs can cause toxic shock syndrome if the prescription is wrong
B)Hormonal withdrawal bleeding usually is a bit more profuse than in normal menstruation and lasts a week
C)COCs increase the risk of endometrial and ovarian cancer
D)The effectiveness of COCs can be altered by some over-the-counter medications and herbal supplements

Question 14

A woman who has just undergone a first-trimester abortion will be using oral contraceptives.To protect against pregnancy,she should be advised to:

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

Question 15

A married couple is discussing alternatives for pregnancy prevention and has asked about fertility awareness methods (FAMs).The nurse's most appropriate reply is:

A)"They're not very effective,and it's very likely you'll get pregnant."
B)"They can be effective for many couples,but 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

While instructing a couple regarding birth control,the nurse should be aware that the method called natural family planning:

A)Is the same as coitus interruptus,or "pulling out"
B)Uses the calendar method to align the woman's cycle with the natural phases of the moon
C)Is the only contraceptive practice acceptable to the Roman Catholic Church
D)Relies on barrier methods during fertility phases

Question 17

Although reported in small numbers,toxic shock syndrome can occur with the use of a diaphragm.If a client is interested in this form of conception control,the nurse should teach the woman how to reduce her risk of TSS.The nurse might say:

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 18

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 "babies."
B)R stands for "reproduction."
C)A stands for "alternatives."
D)I stands for "ineffective."

Question 19

With regard to the use of intrauterine devices (IUDs),nurses should be aware that:

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 sexually transmitted infections as the diaphragm
D)Consent forms are not needed for IUD insertion

Question 20

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

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

Question 21

The ________________ _______________ _________________ (LAM)can be a highly effective,temporary method of birth control.

Question 22

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

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

Question 23

You (the nurse)are reviewing the educational packet provided to a client about tubal ligation.What is an important fact you should point out? Choose all that apply.

A)"It is highly unlikely that you will become pregnant after the procedure."
B)"This 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."
D)"Sterilization offers no protection against sexually transmitted infections."
E)"Your menstrual cycle will greatly increase after your sterilization."