question

Which contraceptive method provides protection against sexually transmitted diseases? c. Male or female condoms

answer

c. Male or female condoms

question

A nurse is leading a discussion regarding birth control measures. Which method is considered the most reliable method? d. Intrauterine device

answer

d. Intrauterine device

question

Which woman is a safe candidate for the use of oral contraceptives? d. 43 year old who does not smoke cigarettes

answer

d. 43 year old who does not smoke cigarettes

question

The role of the nurse in family planning is to: b. Educate couples on the various methods of contraception.

answer

b. Educate couples on the various methods of contraception.

question

Informed consent concerning contraceptive use is important because some of the methods: d. Have potentially dangerous side effects.

answer

d. Have potentially dangerous side effects.

question

Which contraceptive method would be contraindicated in a client with a history of toxic shock syndrome? c. Cervical cap

answer

c. Cervical cap

question

When instructing a client in the use of spermicidal foams or gels, it is important to include which of the following? c. Avoid douching for at least 6 hours.

answer

c. Avoid douching for at least 6 hours.

question

Which symptom in a client who is using oral contraceptives should be reported to the physician immediately? c. Leg pain and edema

answer

c. Leg pain and edema

question

Which response by the nurse is most appropriate when a client asks, "What contraceptive do you think I should use?" a. "I can discuss the various methods so you can decide what is best for you."

answer

a. "I can discuss the various methods so you can decide what is best for you."

question

When using the basal body temperature method of family planning, the woman must know that: c. Her temperature will increase about 0.4° to 0.8° F after ovulation.

answer

c. Her temperature will increase about 0.4° to 0.8° F after ovulation.

question

The major difference between the diaphragm and the cervical cap is that the diaphragm: d. Applies pressure on the urethra.

answer

d. Applies pressure on the urethra.

question

The client who has had an intrauterine device (IUD) inserted should be instructed to: b. Check the placement of the string once a week for 4 weeks.

answer

b. Check the placement of the string once a week for 4 weeks.

question

A male client asks, "Why do I have to use another contraceptive? I had a vasectomy last week." The best response is: a. "Complete sterilization doesn't occur until all sperm have left the system."

answer

a. "Complete sterilization doesn't occur until all sperm have left the system."

question

A woman who has a successful career and a busy lifestyle will most likely look for a contraceptive that: b. Is the easiest and most convenient to use.

answer

b. Is the easiest and most convenient to use.

question

The method of contraception that is considered the safest for women is the: c. Male condom.

answer

c. Male condom.

question

Camille 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 best method of birth control to meet their needs is: b. Combination of condoms and foam.

answer

b. Combination of condoms and foam.

question

The most appropriate statement for introducing the topic of family planning in the postpartum setting is: b. "What are your plans for future pregnancies?"

answer

b. "What are your plans for future pregnancies?"

question

Large amounts of leukocytes in the seminal fluid suggest: d. An infection of the genital tract.

answer

d. An infection of the genital tract.

question

A man and a woman who have not achieved a successful pregnancy are scheduled to meet with a fertility specialist. Which simple evaluation is usually the first test to be performed? a. Semen analysis

answer

a. Semen analysis

question

The situation that best describes secondary infertility is a couple that has: c. One child but has not been able to conceive a second time.

answer

c. One child but has not been able to conceive a second time.

question

A woman undergoing evaluation of infertility states, "At least when we're through with all of these tests, we will know what is wrong." The nurse's best response is: a. "Even with diagnostic testing, infertility remains unexplained in about 20% of couples."

answer

a. "Even with diagnostic testing, infertility remains unexplained in about 20% of couples."

question

A newly married woman states, "My friend told me I would never have a baby because I had pelvic inflammatory disease when I was younger. I don't understand how that can affect whether or not I get pregnant." The nurse's best response is: c. "Infection may cause scarring and obstruction of the fallopian tubes, which can prevent the fertilized egg from reaching the uterus."

answer

c. "Infection may cause scarring and obstruction of the fallopian tubes, which can prevent the fertilized egg from reaching the uterus."

question

The procedure in which ova are removed by laparoscopy, mixed with sperm, and the embryo(s) returned to the woman's uterus is called: a. In vitro fertilization.

answer

a. In vitro fertilization.

question

Chromosome analysis is a diagnostic test that should be offered to the couple who has: c. Repeated pregnancy loss.

answer

c. Repeated pregnancy loss.

question

A woman who is undergoing infertility testing states, "My husband won't discuss this with me. I don't think he cares about or wants a baby." The nurse's best response is: a. "It may be harder for him to express his feelings."

answer

a. "It may be harder for him to express his feelings."

question

Which piece of the usual equipment setup for a pelvic examination is omitted with a Pap smear? d. Lubricant

answer

d. Lubricant

question

A 45-year-old woman asks how often she should have a mammogram. The most appropriate answer is: a. Every 1 to 2 years until age 50 and yearly after that.

answer

a. Every 1 to 2 years until age 50 and yearly after that.

question

While interviewing a 48-year-old client during her annual physical examination, the nurse learns that she has never had a mammogram. The American Cancer Society recommends annual mammography screening starting at age 40. Before the nurse encourages this client to begin annual screening, it is important for her to understand the reasons why women avoid testing. These reasons include which of the following? Select all that apply. a. Reluctance to hear bad news b. Fear of x-ray exposure c. Belief that lack of family history makes this test unnecessary d. Expense of the procedure e. Having heard that the test is painful

answer

a. Reluctance to hear bad news b. Fear of x-ray exposure d. Expense of the procedure e. Having heard that the test is painful

question

The most common sites of breast cancer metastasis are: a. Bones and liver.

answer

a. Bones and liver.

question

Which sexually transmitted disease can be cured? d. Chlamydia

answer

d. Chlamydia

question

Which statement by a woman diagnosed with premenstrual syndrome indicates that further health teaching is needed? d. "I'll eat only three meals per day."

answer

d. "I'll eat only three meals per day."

question

A benign breast condition that includes dilation and inflammation of the collecting ducts is called: a. Ductal ectasia.

answer

a. Ductal ectasia.

question

Which client is most at risk for fibroadenoma of the breast? c. Mary, 16 years old

answer

c. Mary, 16 years old

question

Which statement is true about primary dysmenorrhea? c. It may be due to excessive endometrial prostaglandin.

answer

c. It may be due to excessive endometrial prostaglandin.

question

A client states, "I'm sure that I am suffering from PMS. How can I get my doctor to take this seriously?" The nurse's best response is: d. "You should keep a daily record of the occurrence and severity of your symptoms for 3 months."

answer

d. "You should keep a daily record of the occurrence and severity of your symptoms for 3 months."

question

In teaching a client to deal with the symptoms of PMS, the nurse should stress that the client should: b. Decrease her consumption of caffeine.

answer

b. Decrease her consumption of caffeine.

question

Sharon, age 49, confides in the nurse that she has started experiencing pain with intercourse. She asks, "Is there anything I can do about this?" The nurse's best response is: b. "Water-soluble vaginal lubricants may provide relief."

answer

b. "Water-soluble vaginal lubricants may provide relief."

question

Which woman is most likely to have osteoporosis? c. A 55-year-old woman with a sedentary lifestyle

answer

c. A 55-year-old woman with a sedentary lifestyle

question

A woman with a history of a cystocele should contact the physician if she experiences: d. Urinary frequency and burning.

answer

d. Urinary frequency and burning.

question

To assist a woman in regaining control of the urinary sphincter, the nurse should teach her to: a. Do Kegel exercises.

answer

a. Do Kegel exercises.

question

The physician diagnoses a 3-cm cyst in the ovary of a 28-year-old woman. You expect the initial treatment to include: b. Examining the woman after her next menstrual period.

answer

b. Examining the woman after her next menstrual period.

question

The drug of choice to treat gonorrhea is: c. Ceftriaxone.

answer

c. Ceftriaxone.

question

The nurse understands that further health teaching is necessary when her young client who has just had an abortion states, "I guess I'll have to wear a tampon for the next week." True/False

answer

True

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