Maternity Chpt. 4 Common Reproductive Issues 1-4

three days before and three days after ovulation

A couple has chosen fertility awareness as their method of contraception. The nurse explains that the unsafe period for them during the menstrual cycle would be at which time? midway between the normal menstrual cycle six days before the onset of menstruation three days before and three days after ovulation five days after the first day of the menstrual cycle

The man will still have full erection capacity.

A couple is considering vasectomy as a contraception option. However, the husband is nervous about how such a procedure would affect his sexual functioning. Which information should the nurse mention to the man? The man will continue to ejaculate sperm. The man will still have full erection capacity. The man will no longer produce testosterone. The man will no longer ejaculate seminal fluid.

medroxyprogesterone

A nurse is providing a client with information on hormonal contraception. Which could the nurse use as an example of hormonal contraception? sildenafil tadalafil mifepristone medroxyprogesterone

Chart body temperature for at least a month

A nurse is teaching a female client who is unable to conceive how to monitor her basal body temperature. Which instruction would the nurse prioritize for this client? Record body weight along with the temperature Record menses and time of intercourse Record body temperature every night Chart body temperature for at least a month

Thin, slippery, and stretchy

The nurse is conducting a well-visit physical assessment on a 29-year-old female. The nurse determines the client is probably ovulating based on which condition of the cervical mucus? Thin and red-tinged Clear and of large quantity Thin, slippery, and stretchy Cloudy, thick, and watery

radiograph of the uterus and fallopian tubes following introduction of a radiopaque medium through the cervix

Which description best explains the hysterosalpingogram procedure? radiograph of the uterus and fallopian tubes following introduction of a radiopaque medium through the cervix instillation of carbon dioxide through the cervix into the uterus and fallopian tubes passage of an endoscope through a small abdominal incision to inspect the reproductive organs insertion of an endoscope through the posterior fornix to visualize the reproductive organs

a hysterosalpingography

A female client is having a procedure this morning that involves radiologic examination of the fallopian tubes using a radiopaque medium. What procedure should the nurse document as being performed? a hysterosalpingography a sonohysterography a hysteroscopy a uterine endometrial biopsy

This is a permanent and irreversible procedure for birth control.

The nurse is preparing a teaching session for a client considering tubal ligation. Which factor should the nurse prioritize in this session? Wait several months after birth, and schedule the surgery as an outpatient. This is a permanent and irreversible procedure for birth control. She must have signed consent from her partner. The procedure is easy to perform and will be painless.

Relatively easy procedure with few complications

A nurse is preparing a presentation for a health fair on the topic of vasectomy. Which information should the nurse point out in the presentation? Procedure is effective immediately Regular sperm counts are not essential Birth control measures are not required Relatively easy procedure with few complications

"Unfortunately you are past the time frame to take that prescription."

A client is seen in the clinic requesting an emergency postcoital contraception pill levonorgestrel (Plan B). The client states that she had unprotected sex 3 ½ days ago. What is the most appropriate response by the nurse? "Unfortunately you are past the time frame to take that prescription." "The pill will cause you to begin menstruating within a day." "You should contact the local abortion clinic to set up an appointment." "You will need to also be treated with antibiotics for an STI."

"Start taking the medication when you first get your period."

A woman is diagnosed with primary dysmenorrhea and is prescribed ibuprofen as part of her treatment plan. When teaching the woman about using this medication, which instruction would be important for the nurse to emphasize? "Start taking the medication when you first get your period." "It is normal for your bowel movements to be black." "Add an aspirin to the regimen if you do not get relief right away." "Take the medication on an empty stomach."

Spiritual distress related to inability to conceive

A couple consults with the nurse regarding their infertility issues. The female says "I don't know what I have done so bad that God would punish me like this." What would be the most appropriate nursing diagnosis for this couple? Spiritual distress related to inability to conceive Hopelessness related to inability to conceive Anticipatory grieving related to infertility Powerlessness related to infertility

abdominal pain

A client prescribed oral contraceptive pills (OCPs) has presented for a routine visit. Which finding, if reported by the client upon assessment, should the nurse prioritize? abdominal pain small amount of breakthrough bleeding cramping during menses light menstrual flow

ECs simply prevent embryo creation and uterine implantation from occurring in the first place.

A client presents at the clinic and is interested in obtaining emergency contraception (EC). The nurse explains that EC must be used within 72 hours of unprotected sex to be effective. This is because: ECs are more effective than regular birth control. ECs can help prevent STIs. ECs can induce an abortion (elective termination of pregnancy) of a recently implanted embryo. ECs simply prevent embryo creation and uterine implantation from occurring in the first place.

oral doxycycline

A client presents to the clinic with a temperature of 102.4°F (39.1°C) and lower abdominal pain. The client had an intrauterine device (IUD) inserted 1 week ago. Which prescription will the nurse anticipate from the health care provider? IUD removal abdominal ultrasound oral doxycycline admit for inpatient treatment

ovulation monitoring semen analysis tubal patency

A couple comes to the clinic and states to the nurse, "I don't think we are ever going to be able to have children. We have been trying but have had no luck." What assessments does the nurse anticipate will be performed for this couple? Select all that apply. fertility drugs ovulation monitoring in vitro fertilization counseling semen analysis tubal patency

"Obesity may interfere with effective penetration and deposition of sperm. We will look at several factors to discover what issues you may be encountering."

A couple is seeking guidance for their inability to conceive a child after trying for 15 months. They are morbidly obese but state they have friends with the same weight problem who have had no difficulty conceiving. What education can the nurse provide this couple to increase their chances of success? "Being this overweight is unhealthy for you and for any child that you may bring into the world. Before you consider conceiving, you should lose weight." "Weight has no bearing on the ability to conceive. Something else must be going on with your reproductive organs." "Obesity may interfere with effective penetration and deposition of sperm. We will look at several factors to discover what issues you may be encountering." "If you have been trying for this long without success, something must be wrong. So we will need to run a series of tests to see what that is."

proper condom application encouragement of abstinence sexually transmitted infection statistics

A nurse is conducting education classes at the local high school on reproductive life planning. Which would be appropriate for the nurse to implement during the teaching? Select all that apply. proper condom application encouragement of abstinence various religious viewpoints nurse's personal opinion on abortion (elective termination of pregnancy) sexually transmitted infection statistics

causing uterine contractions to expel the uterine contents.

A woman is to receive methotrexate and misoprostol to terminate a first-trimester pregnancy. When preparing the teaching plan for this client, the nurse understands that misoprostol works by: blocking the action of progesterone on the endometrium. acting as a toxin to the trophoblastic tissue. causing uterine contractions to expel the uterine contents. dilating the cervix.

transdermal contraception

A young woman says she needs a temporary contraceptive but has a latex allergy. She mentions that she has had a papillomavirus infection. Also, she says she is terrible about remembering to take pills. Which method should the nurse recommend? transdermal contraception sterilization diaphragm cervical cap

Temperature should be taken prior to any activity every morning.

The nurse is preparing to teach a client how to conduct the basal body temperature method to determine her fertile window. Which instruction should the nurse prioritize? Temperature should be taken prior to any activity every morning. It depends on the average temperature taken each morning. It is the best method for predicting ovulation. Avoid intercourse only on the days the temperature drops.

a 55-year-old white client who smokes and has family history of osteoporosis

The nurse has assessed several clients who have arrived for routine appointments. The nurse predicts the health care provider will prioritize a bone density scan for which client? a 40-year-old black client, 5 ft 4 in (1.62 m) tall, 172 lbs (78 kg), inactive lifestyle a 45-year-old Hispanic client with a vitamin D deficiency a 25-year-old Asian client, 5 ft 7 in (1.7 m) tall, 129 lbs (58.5 kg), with two children a 55-year-old white client who smokes and has family history of osteoporosis