OB Ch. 4

a

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? a. pelvic laparoscopy b. bimanual exam c. pelvic ultrasound d. Pap smear

b

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

c, d, e

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. a. in vitro fertilization counseling b. fertility drugs c. semen analysis d. ovulation monitoring e. tubal patency

c, d, e

A nurse is providing medication education to a teen client who is being prescribed an oral contraceptive. Which of the side effects are more important for the nurse to discuss with the client? Select all that apply. a. Nausea b. Breast tenderness c. Breakthrough bleeding d. Depression e. Weight gain

b, d, e

A woman at the infertility clinic for the first time asks, "What could have caused my infertility?" After teaching the woman about possible causes, the nurse determines that the teaching was successful when the woman identifies which condition as a common cause? (select all that apply) a. Vaginal pH of 4.2 b. Endometriosis c. History of ovarian tumor d. Pelvic inflammatory disease e. Anovulation

d, e

A woman at the infertility clinic for the first time asks, "What could have caused my infertility?" Learning has taken place when the woman can identify which common causes of infertility? a. cervical factors b. endometriosis c. absence of uterus d. blocked fallopian tubes e. ovarian dysfunction

a

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

d

A client is to be examined for the presence and extent of endometriosis. For which test should the nurse prepare the client? a. tissue biopsy b. hysterosalpingogram c. clomiphene citrate challenge test d. laparoscopy

D

A client who has come to the clinic is diagnosed with endometriosis. What would the nurse expect the primary care provider to prescribe as a first-line treatment? a. progestins b. antiestrogens c. gonadotropin-releasing hormone analogues d. NSAIDs

a, b, c, e

A mother presents to the clinic with her 15-year-old daughter who is reporting amenorrhea. The girl's menarche was at age 12. Which findings might the nurse identify as indicating the cause? Select all that apply. a. extreme rapid weight gain b. pregnancy c. hypothyroidism d. lack of exercise e. emotional distress

d

About which childhood communicable disease should the nurse question the male client who is seeking information about subfertility? a. measles b. rubella c. chicken pox d. mumps

c

After teaching a woman who has chosen the vaginal ring as her method of contraception, the nurse determines that the client needs additional teaching when she makes which statement? a. "It must be centered on my cervix to be effective ." b. "I'll compress the ring, inserting it as far back as possible." c. "I will insert a new ring at the same time and day of every week." d. "Once I remove the ring, I'll discard it."

d

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

d

A woman visits the family planning clinic to request a prescription for birth control pills. Which factor would indicate that an ovulation suppressant would not be the best contraceptive method for her? a. She is 30 years old. b. She has irregular menstrual cycles. c. She has a history of allergy to foreign protein. d. She has a family history of thromboembolism.

a, b, d

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. a. Encouragement of abstinence b. Proper condom application c. Various religious viewpoints d. Sexual transmitted infection statistics

b, c, e

A nurse is preparing a presentation for a client who is considering contraception. When discussing oral contraceptives, the nurse would identify which advantages? Select all that apply. a. decreased risk of breast cancer b. shortening of the menstrual period c. reduction in severe cramping d. lowered risk of migraine headaches e. reduction in risk for osteoporosis

a

The client has heard of extended oral contraceptive regimens and desires more information. The nurse explains that these regimens consist of active combination pills, followed by placebo pills. How many days of active combination pills and placebo pills are contained in these regimens? a. 84 active; 7 placebo b. 70 active; 6 placebo c. 56 active; 5 placebo d. 42 active; 4 placebo

b

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

a, b, c, e, f

What are methods for delivering hormonal contraception? Select all that apply. a. orally b. transdermally c. vaginally d. rectally e. implantation f. injection

b

When teaching a group of postmenopausal women about hot flashes and night sweats, the nurse would address which primary cause? a. poor dietary intake b. estrogen deficiency c. active lifestyle d. changes in vaginal pH