Maternity ch 4

"Take your temperature each day, immediately upon awakening, and keep a record of each finding. A noticeable rise in temperature indicates that ovulation is about to occur."

A client asks the nurse, "Can you explain to us how to use the basal body temperature method to detect ovulation and prevent pregnancy?" What response by the nurse is best?

2. How frequently the client has intercourse 3. Whether the client has a history of thrombophlebitis 5. Whether the client is in a monogamous relationship

A client in the clinic asks the nurse about available contraceptives. Before responding, the nurse must assess which of the following factors? Select all that apply.

More effective for women with irregular cycles

A client in the women's clinic asks the nurse, "How is the cervical mucus method of contraception different from the rhythm method?" The appropriate response by the nurse is that the cervical mucus method is which of the following?

Thoroughly moisten the sponge with water before inserting.

A client is using the contraceptive sponge as a birth control method. What action is important in order to maintain the sponge's effectiveness?

"Essure becomes effective 3 months after insertion."

A client using oral contraceptives tells the nurse that her family is complete, and she now desires permanent contraception. Which statement should the nurse include in teaching this client about sterilization options?

Nausea, diarrhea, vomiting, and stomach pain

A client who is currently 12 weeks pregnant is seeking information on pregnancy termination. The nurse is teaching the client about the risks involved if she were to take the medication mifepristone. Which adverse signs would the client need to know and report immediately to a physician?

"I need to moisten it with water prior to use."

A client who wants to use the vaginal sponge method of contraception shows that she understands the appropriate usage when she makes which statement?

Take levonorgestrel and ethinyl estradiol. Take levonorgestrel alone, but in a high dose.

A client who was raped is in the emergency department. She asks the nurse what her alternatives are for emergency contraception. The nurse tells her she can receive which of the following treatments? Select all that apply.

"Vasectomy."

A couple asks the nurse what is the safest method of sterilization. What should the nurse reply?

Transdermal hormonal contraception

A female client who is 36 years old, weighs 200 pounds, is monogamous, and does not smoke desires birth control. The nurse understands that which contraceptive method is inappropriate for this client?

"The calendar method is the most reliable method for me to use."

A nurse is providing contraceptive counseling to a perimenopausal client in a monogamous relationship. What comment by the client indicates that further teaching is necessary?

"It is free, safe, and acceptable according to our religion." "It is useful in helping us plan pregnancies." "It does not involve the use of artificial substances or devices."

A nurse is teaching a group of college students at a Catholic university about natural family planning (NFP). Teaching was successful if the students say natural family planning is which of the following? Select all that apply.

1. Couples use contraception to avoid pregnancy. 2. Couples use contraception to space future pregnancies. 3. Couples use contraception to gain control over the number of children conceived 5. Couples use contraception to avoid contracting sexually transmitted diseases.

A nurse is teaching contraception to a group of college students during a health class. What reason will the nurse include as to why couples might choose to use contraception? Select all that apply.

The client can receive emergency contraception up to 72 hours to 5 days after the intercourse.

A woman comes into the emergency department stating she was raped the day before, and requests emergency contraception. She states that she is in the middle of her cycle. The nurse knows which of the following about the client?

Days 9-25

A woman is asking the nurse about using the calendar method of contraception. She reports that her last six menstrual cycles were 28, 32, 29, 36, 30, and 27 days long, respectively. Based on this information, when should the nurse tell the client to abstain from intercourse?

Egg white appearance and stretchable

During a counseling session on natural family planning techniques, the nurse explains that cervical mucus at the time of ovulation should be of what consistency?

Hypertension

Extended use combined oral contraceptives (COCs) reduce the side effects of COCs such as which of the following?

A diaphragm A contraceptive sponge A condom

The OB-GYN nurse is teaching a client at the clinic that use of a spermicide has an increased effectiveness if used with which other items? Select all that apply.

"Surgical abortion in the first trimester is technically easier and safer than abortion in the second trimester."

The client who was raped is extremely upset when a pregnancy test confirms that she is pregnant, and requests information regarding pregnancy termination. Which statement is best for the nurse to include?

1. Gender inequities 2. Religion 3. Deference to authority figures 5. Attitudes about bleeding

The culturally sensitive nurse will assess cultural attitudes and beliefs about contraception, which can include which of the following? Select all that apply.

"Spermicides are not effective against sexually transmitted diseases, and can increase a woman's susceptibility to HIV."

The nurse educator is planning a class about contraception, and includes information about the effects of various contraceptive methods on sexually transmitted diseases. Which statement will the nurse include concerning spermicides?

"A stainless steel microinsert is placed into the distal section of one fallopian tube."

The nurse in the OB-GYN office is explaining the benefits and risks associated with Essure to a client and her husband. What statement made by the client indicates that additional education is needed?

The first day of her menstrual period

The nurse in the clinic instructs a client using the natural method of contraception to begin counting the first day of her cycle as which day?

A married 26-year-old who has two children

The nurse in the clinic is seeing four clients. Which one is the best candidate for receiving an IUC?

Speech problems New lumps in her breast

The nurse in the community clinic instructs a client starting on a combined oral contraceptive that she must immediately report which of the following symptoms? Select all that apply.

Minilaparotomy is performed in the postpartum period soon after a vaginal birth.

The nurse is developing a teaching plan for a client undergoing a tubal ligation. What information should be included in the plan?

1. It is effective, continuous contraception. 2. It is relatively inexpensive over time. 3. It does not need to be inserted immediately prior to coitus.

The nurse is educating a client on intrauterine contraception (IUC). Which advantages of IUC will the nurse include? Select all that apply

"They will lower my risk for ovarian cancer."

The nurse is instructing a client in the use of combined oral contraceptives. The nurse knows that additional teaching is required when the client makes which statement about the risks of taking combined oral contraceptives?

Consistency of use

The nurse is planning an educational session about contraception. What will the nurse emphasize as being the most significant factor in determining the effectiveness of a specific method of contraception to avoid pregnancy?

That a condom broke yesterday in the middle of her cycle

The nurse is preparing educational materials at a family planning clinic. The client who is an appropriate candidate for using emergency contraception would be one who reports which of the following?

. To report any pain during intercourse to the physician

The nurse is providing instructions for a woman who has just had intrauterine contraception inserted. What is essential for the nurse to teach the client?

1. Just started an oral contraceptive 2. Is opposed to systemic medications 3. Is lactating 5. Does not smoke and is perimenopausal

The nurse teaching a group of new mothers and explains that barrier methods of contraception are appropriate if which of the following conditions exist? Select all that apply.

1. Cultural perspectives on menstruation and pregnancy 2. Effectiveness of the method 3. Future childbearing plans

What issues should the nurse consider when counseling a client on contraceptive methods? Select all that apply.

She wishes to get pregnant within 3 months.

When assessing a client asking about birth control, the nurse knows that the client would not be a good candidate for Depo-Provera (DMPA) if which of the following is true?

After each birth

When the nurse is teaching a woman about the use of a diaphragm, it is important to instruct her that the diaphragm should be rechecked for correct size how often?