Maternity Chpt. 4 Common Reproductive Issues 5-8
Periods become lighter.
A client has opted to use an intrauterine device (IUD) for contraception. About which effect of the device on monthly periods should the nurse inform the client? Periods reduce in number. Periods become more painful. Periods become longer. Periods become lighter.
vaginal dryness hot flashes decreased bone density increased abdominal fat
A nurse is preparing a presentation for a local community women's group about menopause. When describing the body system changes that occur, the nurse would include which changes? Select all that apply. decreased waist size vaginal dryness hot flashes decreased bone density increased abdominal fat moist, supple skin
Abnormal uterine shape
After assessing a client, a nurse determines that an IUD as a method of contraceptive would be contraindicated based on a history of which finding? Thromboembolic disease Smoking Hypertension Abnormal uterine shape
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)
"Abstinence is the only way to prevent the spread of sexually transmitted infections."
The nurse is educating a class of high school students on safe sexual practices. The nurse knows the group understood the content when a group member makes which statement? "Spermicide should be applied immediately following intercourse." "A diaphragm can be used by males and females." "Abstinence is the only way to prevent the spread of sexually transmitted infections." "A condom is the best way to prevent pregnancy."
"Have you and your spouse considered using a surrogate mother?"
The nurse is providing care to a female client and spouse who have completed several rounds of unsuccessful in vitro fertilization. The client still desires to have a child. Which response by the nurse is appropriate? "Have you and your spouse considered using a surrogate mother?" "Can you tell me more about your desire to have children?" "It would be wise for you and your spouse to consider life without children." "I recommend you continue trying in vitro fertilization if you desire to have a child."
Surgical history Sexual history General health Medication history
When conducting a health history with a couple who are experiencing subfertility, the nurse will include which of the following? Select all that apply. School history Surgical history Sexual history General health Medication history
"Women older than 35 may have difficulty conceiving." "A history of sexually transmitted infections may cause infertility." "Abnormalities of the uterus may contribute to infertility."
A 35-year-old client visits the clinic reporting the inability to conceive after trying for the past year. The nurse discusses reasons for infertility with the client. The nurse evaluates client understanding of the causes of infertility. Drag words from the choices below to fill in each blank in the following sentence. The nurse determines client understanding of causes of infertility when the client states the following: ________,_______ ,__________ and . Client Statements "Environmental factors have little effect on fertility." "Women older than 35 may have difficulty conceiving." "Abnormalities of the uterus may contribute to infertility." "A history of sexually transmitted infections may cause infertility." "Nutritional status does not affect fertility."
Readiness for enhanced knowledge regarding contraception options
A nurse is planning care for a client and her husband recently diagnosed with multiple sclerosis and wanting to prevent pregnancy for now. What is the most appropriate nursing diagnosis for this couple? Readiness for enhanced knowledge regarding contraception options Risk for ineffective health maintenance related to lack of knowledge Decisional conflict regarding choice of birth control because of health concerns Altered sexuality pattern related to fear of pregnancy
spermicide
A perimenopausal woman asks for help in selecting a contraceptive. She reports vaginal dryness during intercourse and says that her partner does not like the feel of condoms. Which method should the nurse recommend? spermicide female condom diaphragm cervical cap
"I do not have any spermicidal allergies, so this method is OK for me."
A female client who has chosen the cervical cap as her method of contraception states that she knows how to use it. Which statement by the client would indicate to the nurse that the client does understand this method of contraception? "I will remove the cap immediately after every intercourse and reinsert it later." "I do not need any follow-up procedures for this method." "This method will help protect me from getting sexually transmitted infections." "I do not have any spermicidal allergies, so this method is OK for me."
Speak both separately and together with both partners.
The nurse has been working with a subfertile couple through the process of determining their best plan of action to conceive a child. Which action should the nurse prioritize to provide emotional support to this couple? Speak only with both partners present so they will feel more comfortable. Only speak with the woman, who is the client. Speak separately with each partner so both will feel more free to talk. Speak both separately and together with both partners.
