Contraceptives and Family Planning
A client is being taught about the care and use of the diaphragm. Which of the following comments by the woman shows that she understands the teaching that was provided?
I should regularly put the diaphragm up to the light and look at it carefully
if a woman states she is embarrassed about touching herself, which would be bad options for her
diaphragm- must touch herself cervical cap- must touch herself IUD- has to palpate for string after each menses= vaginal manipulation
A women is being taught how to use a diaphragm as a contraceptive device. Which of the following statements by the woman indicates that the teaching was effective?
- the device must be refitted if the woman gains or loses 10 pounds or more - the anterior lip must be pushed under the symphysis pubis - additional spermicide must be added if the devicd has been in place over 6 hours
A man just have a vasectomy. Which of the following postprocedure teachings should the nurse provide the client? Select all that apply
- the surgeon should be contacted immediately if marked enlargement of the scrotal sac is noted after the procedure - an athletic supporter should be worn to protect the surgical site
A post partum woman is using the lactational amenorrhea method of birth control. The nurse should advise the client that the method is effective only if which of the following conditions are present?
Being less than six months, postpartum, and being amenorrhenic since delivery of the baby
A breast-feeding woman is requesting that she be prescribed seasonal ethinyl estradiol and levonorgestrel as a birth control method. Which of the following information should be included in the patient teaching session?
Breakthrough bleeding is a common side effect
A woman has a history of toxic shock syndrome. Which of the following forms of birth control should she be taught to avoid?
Diaphragm TSS is associated with women who use tampons and women who use barrier types of contraceptives
An adolescent woman who confides to the school nurse that she is sexually active. The young woman asks the nurse to recommend a very reliable birth control method, but she refuses to be seen by a gynecologist. Which of the following methods would be best for the nurse to recommend?
Female condom The female condom is about 95% effective as a contraceptive device and is also effective as an infection control device
The nurse has given postvasectomy teaching to a clent. Which of the following responses by the client indicates that the teaching was effective?
I will ejaculate the same amount of semen as I did before the surgery
Which statement by the client indicates that she understands the teaching provided about the intrauterine device (IUD)?
IUD's can remain in place for extended periods of time
During a counseling session on natural family, planning techniques, how should the nurse explain the consistency of cervical mucus at the time of ovulation?
It becomes thin and elastic
A couple seeking contraception and infection prevention counseling states "we know that the best way for us to prevent both pregnancy and infection is to use condoms plus spermicide every time we have sex". Which of the following is the best response by the nurse?
It has been shown that condoms alone are very effective and that Spermicidal creams have been shown to increase the transmission of some sexually transmitted infections
The nurse teaches a couples that the diaphragm is an excellent method of contraception, providing that the woman does which of the following?
Leaves it in place for 6 hours following intercourse Should be inserted no more than 4 hours before intercourse
A young woman is seen in the emergency department. She states I took a pregnancy test today. I'm pregnant. My parents will be furious with me! I have to do some thing!. Which of the following responses by the nurse is most appropriate?
Let's talk about your options
The nurse is developing a teaching plan for a client undergoing a bilateral tubal ligation. Which of the following should be included in the plan?
Libido should remain the same after the procedure
A postpartum client has decided to use Depo-Provera (medrohydroxyprogesterone acetate) as her Contraceptive method. What should the nurse advise the client regarding this medication?
Many women who use Depo-Provera for over two years, have been found to suffer from loss of bone density. Some of the changes in bone density may be irreversible. Increase risk ofOsteoporosis
The nurse is teaching a young woman how to use the female condom. Which of the following should be included in the teaching plan?
Remove the condom by twisting the outer ring and pulling gently Female condoms, like male condoms should only be used once
What is essential for the nurse to teach a woman who has just had an intrauterine device IUD inserted?
Report any complaints of painful intercourse to the physician This is called dyspareunia
A woman is being issued a new prescription for a low-dose combination birth control pill. What advice should the nurse give the woman if she ever forgets to take a pill
Take it as soon as she remembers, even if that means taking two pills in one day
A couple is seeking family planning advice. They are newly married, and wish to delay child bearing for at least three years. The woman age 26 G0P0000, has no medical problems and does not smoke. She states, however, that she is very embarrassed when she touches her vagina. Which of the following methods would be most appropriate for the nurse to suggested this couple?
The birth control pill would be the best choice for this client. She has no medical contraindications to the pill, she wishes to bear children in the future, and it requires no vaginal manipulation.
The nurse is administering Depo-provera (medroxyprogesterone acetate) to a postpartum client. Which of the following data must the nurse consider before administering the medication?
The client should use sunscreen while recieving Depo-Provera for birth control
The nurse is working with a client who states that she has multiple sex partners. Which of the following contraceptive methods would be best for the nurse to recommend to this client?
The female condom because it is recommended for both contraception and for infection control
The nurse is teaching an uncircumcised male to use a condom. Which of the following should be included in the teaching plan?
The foreskin should be pulled back before applying the condom
A 16-year-old woman who had unprotected intercourse 24 hours ago has entered the emergency department seeking assistance. Which of the following responses by the nurse is appropriate?
The nurse is responses dependent upon which day he or she is practicing in
A woman who wishes to use a calendar method for contraception reports that her last six menstrual cycles were 28, 32,29, 36,30 and 27 days long, respectively. In the future, if used correctly, she should've seen from intercourse on which of the following days of her cycle?
The woman should abstain from intercourse from day 9 of her menstrual cycle until Day 25 To calculate the period of abstinence when using the calendar method, the nurse must subtract 18 from the shortest cycle length and 11 from the longest cycle length
Five women age 35 to 39, wish to use the ortho vera patch for family planning. Which of the following women should be carefully counseled regarding the safety considerations of the method? Select all that apply.
The woman who smokes one pack of cigarettes each day, and the woman, with the history of deep vein, thrombosis
A woman is using the contraceptive sponge as a birth control method. Which of the following actions is it important for her to perform to maximize the sponge's effectiveness?
Thoroughly moisten the sponge with water before inserting It must be moistened with water until it is foamy
For women with significant health histories wish to use the diaphragm as a contraceptive method. The nurse should counsel the woman with which of the following histories that the diaphragm may lead to a recurrence of her problem?
Urinary tract infections Women who use the diaphragm have an increased risk of UTI's
A woman has gotten pregnant with a copper T intrauterine device (IUD) in place. The physician has ordered and ultrasound to be done to evaluate the pregnancy. The client asked the nurse why this is so important. The nurse should tell the woman that the ultrasound is done primarily for which of the following reasons?
When pregnancy occurs with an IUD in place, an ectopic pregnancy should be ruled out.
