OB Study Guide Ch. 4

12. A client in her second trimester of pregnancy asks the nurse for infor regarding certain oral medications to induce a miscarriage. What information should this client be given about such medications?

Ans: They can be taken only in the first trimester

18. A 30-year old client tells the nurse that she would like to use a contraceptive sponge but doesn't know about its use and whether it will protect her against STIs. Which of the following information should the nurse provide the client about using a contraceptive sponge? Select all that apply.

Ans: Wet the sponge with water before inserting it Ans: Insert the sponge 24 hours before intercourse Ans: Leave the sponge in place for at least 6 hr following intercourse

16. A 49-year old client who is in the perimenopausal phase of life reports to the nurse a loss of lubrication during intercourse, which she feels is hampering her sex life. Which of the following responses is appropriate for the nurse?

Ans: "You can manage the condition by using OTC moisturizers or lubricants"

6. A client needs additional info about the cervical mucus ovulation method after having read about it in a magazine. She asks the nurse about cervical changes during ovulation. Which of the following should the nurse inform the client about?

Ans: Cervix is high or deep in the vagina

11. A healthy 28 yo female client who has a sedentary lifestyle and is a chain smoker is seeking info about contraception. The nurse informs the client of the various options available and the benefits and the risks of each. Which of the following should the nurse recognize as contraindicated in the case of this client?

Ans: Combination Ocs

4. A client is to be examined for the presence and extent of endometriosis. Which of the following tests should the nurse prepare the client for?

Ans: Laparoscopy

15. A 52-year old client is seeking tx for menopause. She is not very active and has a history of cardiac problems. Which of the following therapy options should the nurse recognize as contraindicated for this client?

Ans: Long hormone replacement therapy

13. A client reports that she has multiple sex partners and has a lengthy hx of various pelvic infections. She would like to know if there is any temporary contraceptive method that would suit her condition. Which of the following should the nurse suggest for this client?

Ans: Condoms

9. The nurse is caring for a client at the ambulatory care clinic who questions the nurse for info about contraception. The client reports that she isn't comfortable about using barrier methods and would like the option of regaining fertility after a couple of years. Which of the following methods should the nurse suggest to this client?

Ans: Cycle beads or depo-provera

5. 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?

Ans: Deliver sample for analysis within 1 to 2 hour after ejaculation.

1. The Nurse is assessing a client for amenorrhea. Which of the following should the nurse document as evidence of androgen excess secondary to a tumor?

Ans: Facial hair and acne

3. The nurse is instructing a client with dysmenorrhea on how to manage her symptoms. Which of the following should the nurse include in teaching plan? Select all that apply.

Ans: Increase water consumption Ans: Use heating pads or take warm baths Ans: Increase exercise and physical activity

10. A client would like some information about the use of cervical caps. which of the following should the nurse include in the teaching plan of this client? Select all that apply.

Ans: Inspect the cervical cap before insertion Ans: Wait for 30 minutes after insertion before engaging in intercourse Ans: Dont use the cervical cap during menses.

7. A client has been following the conventional 28 day regimen for contraception. she is now considering switching to an extended OC regimen. She is seeking info about specific safety precautions. Which of the following is true for the extended OC regimen?

Ans: It carries the same safety profile as the 28 day regimen.

17. A client has opted to use an intrauterine device for contraception. Which of the following effects of the device on monthly periods should the nurse inform the client about?

Ans: Periods become lighter

8. A 30 yo client would like to try using basal body temp as a fertility awareness method. Which of the following instructions should the nurse provide the client?

Ans: Take temp before rising and record it on a chart.

14. 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 of the following are misconceptions that the nurse needs to clear up? select all that apply.

Ans: Taking birth control pills protects against STIs Ans: Douching after sex will prevent pregnancy Ans: Irregular menstruation prevents pregnancy

2. A nurse is teaching a female client about fertility awareness as a method of contraception. Which of the following should the nurse mention as an assumption for this method?

Ans: The "unsafe period" is approximately 6 days