Chapter 4: Common Reproductive Issues 5-8

an androgen excess secondary to a tumor.

The nurse is assessing a client for amenorrhea. During the assessment, the nurse notes facial hair and acne. The nurse knows this could be related to: anorexia nervosa. enlarged thyroid gland. excessive prostaglandin production. an androgen excess secondary to a tumor.

It can be left in place longer.

What is an advantage of a cervical cap over a diaphragm? No initial fitting is required. It can be left in place longer. It needs no spermicidal jelly. It does not need to be refitted after pregnancy.

Breastfeeding does not protect against pregnancy. Douching after sex will prevent pregnancy. Irregular menstruation prevents pregnancy.

When caring for a client with reproductive issues, the nurse is required to clear up misconceptions. This enables new learning to take hold and a better client response to whichever methods are explored and ultimately selected. Which misconceptions will the nurse needs to clear up? Select all that apply. Breastfeeding does not protect against pregnancy. Taking birth control pills protects against sexually transmitted infections (STIs). Douching after sex will prevent pregnancy. Pregnancy can occur during menses. Irregular menstruation prevents pregnancy.

"Tell me what you are currently doing to manage these symptoms?"

A 52-year-old client reports to the nurse the recent onset of hot flashes, fatigue, and vaginal dryness. Which response by the nurse is most appropriate? "Is this causing any issues between you and your partner?" "I will schedule you an appointment with your gynecologist." "Tell me what you are currently doing to manage these symptoms?" "I will request you have your calcium level checked today."

change in the cervical mucus

A client is being prepared for intrauterine (artificial) insemination. Which finding is the most suggestive to determine if the client is ovulating? slight weight gain change in the cervical mucus abdominal cramps fall in body temperature

Deliver sample for analysis within 1 to 2 hours after ejaculation.

A couple is being assessed for infertility. The male partner is required to collect a semen sample for analysis. What instruction should the nurse give him? Abstain from sexual activity for 10 hours before collecting the sample. Avoid strenuous activity for 24 hours before collecting the sample. Collect a specimen by ejaculating into a condom or plastic bag. Deliver sample for analysis within 1 to 2 hours after ejaculation.

artificial insemination

A healthy 28-year-old female client is planning a pregnancy with the support of a female partner. What does the nurse anticipate will be the first method of assisting this client to achieve a pregnancy? intracytoplasmic sperm injection (ICSI) gestational carrier artificial insemination in vitro fertilization (IVF)

14 days before the next menses is expected

In teaching a fertility class, what is the most appropriate method for the nurse to explain self-ovulation monitoring that promotes conception? 14 days before the next menses is expected At the midpoint between menses cycles Immediately following the menses 14 days after the beginning of the last menses

CycleBeads or medroxyprogesterone injection

The nurse is caring for a client at the ambulatory care clinic who questions the nurse for information about contraception. The client reports that she is not comfortable about using any barrier methods and would like the option of regaining fertility after a couple of years. Which method should the nurse suggest to this client? basal body temperature (BBT) coitus interruptus lactation amenorrhea method CycleBeads or medroxyprogesterone injection

intermittent, sharp suprapubic pain

The nurse is preparing to assess a client who is noted to have a history of dysmenorrhea. The nurse predicts the client will report which potential symptom during the examination? abnormally long, heavy menstrual periods intermittent, sharp suprapubic pain dysphoria chronic pelvic pain

LAM causes suppression of the ovulation process.

Which statement best explains the action of the lactational amenorrhea method (LAM) of fertility control? LAM causes suppression of the ovulation process. LAM prevents introduction of sperm into the vagina. LAM prevents fertilization between the egg and sperm. LAM thickens the cervical mucus and blocks sperm.

incomplete abortion prolonged bleeding infection

A client comes to the clinic for a medical termination of pregnancy. Which potential complications should the nurse point out are possible with this type of procedure? Select all that apply. incomplete abortion prolonged bleeding infection pneumonia hypoglycemia

pelvic laparoscopy

A client is diagnosed with endometriosis. As part of the teaching plan, the nurse is explaining the condition, including the ways that the diagnosis would be confirmed. The nurse determines that the teaching was successful when the client states that which test would confirm the diagnosis? bimanual exam pelvic ultrasound pelvic laparoscopy Papanicolaou test

The client was diagnosed with thyroid cancer 2 years ago.

Which of these findings should a nurse investigate first when assessing a female client who has been unable to conceive for 14 months? The client has been female circumcised. The client experienced a miscarriage 3 years ago. The client was diagnosed with thyroid cancer 2 years ago. The client takes a daily folic acid supplement.

CycleBeads

A newly married couple is meeting with the nurse to discuss a temporary method of birth control that is both a natural form and does not employ birth control pills/devices, in keeping with their religious beliefs. Which method should the nurse point out will best meet their request to delay conception until they are ready? lactation amenorrhea method vasectomy CycleBeads coitus interruptus

ovulation tubal transport iabetesimpaired implantation

A clinic nurse is interviewing a young client during a subfertility work up. When the client asks the nurse what causes infertility, the nurse informs the client that the problem can rest with the man, the woman, or both. What does the nurse tell the client are common problem areas related to the woman? Select all that apply. ovulation tubal transport diabetes impaired implantation lack of exercise

"The primary care provider will transfer the egg and sperm into the fallopian tube where the egg will become fertilized."

A client is scheduled to have in vitro fertilization (IVF) in 1 week. Which statement made by the client indicates that the client needs further teaching? "The primary care provider will transfer my fertilized eggs into the uterus." "The primary care provider will transfer the egg and sperm into the fallopian tube where the egg will become fertilized." "I will receive fertility drugs to stimulate ovulation." "The primary care provider will harvest eggs from my ovary."

smokes 1 pack per day blood pressure 138/88 mm Hg migraine headaches

A nurse is assessing a 26-year-old married female client for use of oral contraceptive pills (OCPs). Which findings in her health history would suggest that natural family planning may be a better option? Select all that apply. abortion (elective termination of pregnancy) at age 18 menses at age 11 smokes 1 pack per day blood pressure 138/88 mm Hg migraine headaches

a woman who has one partner and three children

A nurse is counseling women on birth control choices. Which woman is the best candidate for an IUD? a woman who has multiple sex partners a woman who has a history of PID a woman who is in her early twenties and wants children later in life a woman who has one partner and three children

hysterosalpingography

A woman and her partner have been unable to conceive. The female client's chart reveals a history of pelvic inflammatory disease (PID), oral contraceptive usage for 5 years, blood pressure 98/72 mm Hg, pulse 78 beats/min, temperature 99°F (37.2°C), and white blood cell (WBC) count 9,500 mm3 (9.5 x 109/l). Which order will the nurse anticipate for this client? serum estrogen and progesterone testing urinalysis hysterosalpingography oral antibiotic therapy

"A tubal ligation is an effective method for permanent sterilization in women."

A pregnant client states they are interested in having a tubal ligation following the birth of the child. Which statement by the nurse is a priority at this time? "A tubal ligation is an effective method for permanent sterilization in women." "There are risks and complications associated with having this procedure." "You need to discuss other forms of birth control with your health care provider first." "Your partner needs to understand the permanence of this procedure as well."

"Cervical caps are most effective when used along with a spermicidal agent."

An 18-year-old female client who is sexually active asks the nurse for information on barrier contraceptives. Which statement is appropriate for the nurse to include in the response? "The use of a diaphragm is a good choice if you have frequent urinary tract infections." "A cervical cap is a barrier contraceptive that you can purchase over the counter." "A diaphragm must be inserted 1 hour prior to sexual intercourse." "Cervical caps are most effective when used along with a spermicidal agent."

employment as a taxi driver

The nurse is assessing the health history of a male partner. Which data is most likely to be related to an infertility problem? 30 years of age employment as a taxi driver intercourse approximately every third day immunization against mumps as a child

Insert the product by applicator in the vagina prior to intercourse.

A client is requesting information on the various available contraceptives. When explaining a vaginal spermicide, which information should the nurse prioritize? Wash with clean water and soap after intercourse. Insert the product by applicator in the vagina prior to intercourse. Apply the spermicide directly to the glans penis to kill the sperm when they exit the penis. Leave the product in place for 24 hours after intercourse.

decreased incidence of dysmenorrhea decreased acne improved cycle regularity decreased acute pelvic inflammatory disease

A sexually active client comes to the clinic requesting some form of birth control but is concerned about the bad side effects she has heard are caused by oral contraceptive pills (OCPs). Which information should the nurse point out about the positive aspects of this type of contraceptive? Select all that apply. decreased incidence of dysmenorrhea decreased acne increased menstrual flow improved cycle regularity decreased acute pelvic inflammatory disease

It carries the same safety profile as the 28-day regimen.

A client has been following the conventional 28-day regimen for contraception. She is now considering switching to an extended oral contraceptive pills (OCPs) regimen. She is seeking information about specific safety precautions. Which is true for the extended OCP regimen? It is not as effective as the conventional regimen. It prevents pregnancy for 3 months at a time. It carries the same safety profile as the 28-day regimen. It does not ensure restoration of fertility if discontinued.

Use a second form of contraception for the initial seven days on the OCPs.

A nurse is providing medication teaching related to oral contraceptive pills (OCPs) that a client is being given to prevent unwanted pregnancy. Which is the most important intervention for the nurse to include? Use a second form of contraception for the initial seven days on the OCPs. Begin the pills as soon as they are prescribed. Eliminate the 7 placebo pills to skip your menses. Take the pill at the same time every day and never double the dose.

suppresses follicle-stimulating hormone (FSH)

The estrogen content in the contraceptive pill performs which action? decreases the permeability of cervical mucus increases the level of luteinizing hormone (LH) interferes with endometrial proliferation suppresses follicle-stimulating hormone (FSH)