Chapter 4: common reproductive issues

A nurse is reviewing sperm count results for a couple trying to conceive. Which results would concern the nurse? 20 million per ml of seminal fluid 40 million per ml of seminal fluid 10 million per ml of seminal fluid 30 million per ml of seminal fluid

10 million per ml of seminal fluid p. 109

A client presents at the clinic and is interested in obtaining emeterm-5rgency contraception (EC). The nurse explains that EC must be used within 72 hours of unprotected sex to be effective. This is because: ECs can help prevent STIs. ECs are more effective than regular birth control. ECs can induce an abortion of a recently implanted embryo. ECs simply prevent embryo creation and uterine implantation from occurring in the first place.

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

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

Relatively easy procedure with few complications p. 123

The nurse in a primary care clinic and a client have come to see the primary care provider because the client is getting married and wants to have a prenuptial gynecologic examination. After the exam, the nurse asks about the woman's plan to have a family. The woman responds, "Why do I have to plan for a family?" What would be the nurses's best response? Families are always best when pregnancies are not planned. The couple can control the time between births when they plan their family. The couple can decide on a method of birth control. An unwanted pregnancy can always be aborted.

The couple can control the time between births when they plan their family.

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

This is a permanent and irreversible procedure for birth control.

A client with liver disease is seen in the clinic wanting to begin contraception. The nurse recognizes that which type of contraception is best for this client? Vaginal estrogen/progestin ring Intramuscular injections Subdermal hormone implant Oral combination contraception

Vaginal estrogen/progestin ring

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: an androgen excess secondary to a tumor. enlarged thyroid gland. anorexia nervosa. excessive prostaglandin production.

an androgen excess secondary to a tumor. p. 86

A nurse is asked to teach a woman to take her basal body temperature daily to assess the time of ovulation. She can detect her day of ovulation, following ovulation, because her temperature will: increase a degree. fluctuate a degree daily. no longer reflect basal body temperature. decrease a degree.

increase a degree.

A young woman is newly married and is seeking advice on contraception. She is in a monogamous relationship and would like a temporary contraceptive, as she plans to have children in the future. Her husband dislikes the feel of condoms. Also, she mentions that she typically experiences dysmenorrhea and has a history of recurrent urinary tract infections. Which method should the nurse recommend? diaphragm postcoital douching oral contraceptive vasectomy

oral contraceptive

When using the contraceptive patch, a client should understand that it: should be covered when swimming in a pool because of chlorine's effect on the adhesive. is immediately effective after application. should be applied to the abdomen, buttocks, or back. should be applied to the breasts, hips, or back.

should be applied to the abdomen, buttocks, or back. should be applied to the breasts, hips, or back. p.119