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The nurse is teaching a client about a vasectomy. The nurse determines the session is successful when the client correctly chooses which fact concerning the vasectomy? A. Usually done as an office procedure B. Will no longer ejaculate C. May notice permanent increased scrotal swelling D. Testes will no longer produce sperm.

A. Usually done as an office procedure

A married couple, both age 27, is in the reproductive clinic and have been trying for a year to become pregnant. In a year, what percentage of couples usually do conceive? A. 40 percent B. 60 percent C. 90 percent D. 100 percent

C. 90 percent

The nurse is preparing to meet with a couple who have requested counseling concerning family planning. The nurse will prioritize which topics for discussion? A. Ensuring the couple is legally married B. Ensuring the correct time frame is followed C. Possible genetic abnormalities D. Preventing STIs

C. Possible genetic abnormalities

A young couple is having difficulty getting pregnant. The nurse is preparing the couple for the initial tests to determine their fertility. When asked by the couple why they need to start with a sperm analysis, what will be the nurse's best response? A. Asking the male to undergo diagnostic procedures first is the best way to assess interest in treatment of infertility. B. The man is found to be fertile in over 75 percent of couples with infertility problems. C. Male fertility testing is time-consuming and therefore should be initiated early. D. Sperm analysis is one of the easiest tests to complete.

D. Sperm analysis is one of the easiest tests to complete.

A nurse is counseling women on birth control choices. Which woman is the best candidate for an IUD? A. a woman who has multiple sex partners B. a woman who has a history of PID C. a woman who is in her early twenties and wants children later in life D. a woman who has one partner and three children

D. A woman who has one partner and three children

The school nurse is preparing a health education session on the topic of birth control for a college group. Which method should the nurse emphasize for this group? A. barrier B. hormonal C. rhythm D. transdermal

barrier

The nurse is preparing to teach a 22-year-old college student with PID how to prevent a repeat episode in the future. Which suggestion should the nurse prioritize? A. Avoid sexual intercourse. B. Use latex condoms. C. Douche following intercourse. D. Use diaphragms.

A. Avoid sexual intercourse.

The nurse is conducting a routine well-visit on a 43-year-old client who is concerned about developing breast cancer, although no family members have experienced it. What is the best advice for this client at this time? A. Be aware of the normal appearance and feel of your breasts. B. Inspect your nipples every day for discharge or bleeding. C. Ask the health care provider for recommendations based on family history. D. Have a yearly mammogram as part of a comprehensive screening.

A. Be aware of the normal appearance and feel of your breasts.

The nurse is conducting a well-visit physical assessment on a 29-year-old female. The nurse determines the client is probably ovulating based on which condition of the cervical mucus? A. Thin, slippery, and stretchy B. Cloudy, thick, and watery C. Clear and of large quantity D. Thin and red-tinged

A. Thin, slippery, and stretchy

A client prescribed a combined oral contraceptive (COC) has presented for a routine visit. Which finding if reported by the client upon assessment should the nurse prioritize? A. abdominal pain B. small amount of breakthrough bleeding C. light menstrual flow D. cramping during menses

A. abdominal pain

The nurse is meeting with a 36-year-old client who wishes to begin using contraceptives. The client reports being in a long-term, monogamous relationship, runs 2 miles per day, and smokes a pack of cigarettes each day. Which method will the nurse be least likely to suggest to the client? A. oral contraceptive pills (OCPs) B. condoms C. coitus interruptus D. spermicides

A. oral contraceptive pills (OCPs)

A 24-year-old female client states, "About a week before my period starts, I have recently started craving certain sweets, having terrible mood swings, and feeling fatigued and irritable." Which action will the nurse take next? A. Document the findings in the client's medical record. B. Educate the client on treatment for premenstrual syndrome. C. Notify the client's primary health care provider. D. Recommend the client's hormone levels be tested.

B. Educate the client on treatment for premenstrual syndrome.

A 30-year-old woman reports that she has not had a menstrual period for the last 4 or 5 months. Pregnancy is ruled out and she is experiencing no endocrine symptoms. What factors could be contributing to her amenorrhea? Select all that apply. A. ovarian dysfunction B. working out at the gym 3 hours per day C. hypothyroidism D. endometrial adhesions E. history of chemotherapy

B. working out at the gym 3 hours per day C. hypothyroidism D. endometrial adhesions

The nurse is assessing a young couple who desire to get pregnant. The 38- year-old husband and 29-year-old wife report they had used oral contraceptive pills (OCPs); however, they have now been trying unsuccessfully to conceive over the past 4 months. What is the best response for the nurse to make? A. Return in 9 months for further assessment if not pregnant. B. Should seek fertility counseling from a specialist. C. Increase intercourse frequency to four times a week around the time of ovulation. D. Should undergo comprehensive diagnostic testing.

C. Increase intercourse frequency to four times a week around the time of ovulation

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

C. This is a permanent and irreversible procedure for birth control.

The nurse has assessed several clients who have arrived for routine appointments. The nurse predicts the health care provider will prioritize a bone density scan for which client? A. a 40-year-old black client, 5 ft 4 in (1.62 m) tall, 172 lbs (78 kg), inactive lifestyle B. a 25-year-old Asian client, 5 ft 7 in (1.7 m) tall, 129 lbs (58.5 kg), with two children C. a 55-year-old white client who smokes and has family history of osteoporosis D. a 45-year-old Hispanic client with a vitamin D deficiency

C. a 55-year-old white client who smokes and has family history of osteoporosis

A community health nurse is preparing a presentation for a health fair on the topics of planning for a pregnancy. Which major goal has the nurse determined should be accomplished with this presentation? A. Ensure women are using the correct contraceptive method. B. Ensure couples understand genetic risks. C. Provide one-on-one counseling. D. Decrease the number of unwanted pregnancies.

D. Decrease the number of unwanted pregnancies

A young couple are disappointed that they are not yet pregnant and are seeking assistance at the health clinic. After assessing their medical history, the nurse discovers the female has a history of several episodes of PID. The nurse predicts this may be a source of the infertility related to which factor? A. It causes anovulation due to interference with secretion of pituitary hormones. B. It causes changes in cervical mucus that make it less receptive to penetration by sperm. C. It causes sperm-agglutinating antibodies to be produced in the vagina. D. It interferes with the transport of ova due to tubal scarring.

D. It interferes with the transport of ova due to tubal scarring.

The nurse is assessing a 52-year-old perimenopausal female who is concerned about the changes occurring in her body. When questioned about the most serious changes, which effect should the nurse point out? A. pelvic support muscles lose tone B. dense breast tissue is replaced with adipose tissue C. the uterus and ovaries decrease in size D. bone mineral density decreases

D. bone mineral density decreases

A client is desiring to start birth control and is questioning the nurse concerning the best options. Which option should the nurse point out is the most reliable? A. diaphragms B. condoms C. oral contraceptive pills (OCPs) D. hormonal implant

D. hormonal implant

A client is requesting information on the various available contraceptives. When explaining a vaginal spermicide, which information should the nurse prioritize? A. Wash with clean water and soap after intercourse. B. Insert the product by applicator in the vagina prior to intercourse. C. Apply the spermicide directly to the glans penis to kill the sperm when they exit the penis. D. Leave the product in place for 24 hours after intercourse.

B. Insert the product by applicator in the vagina prior to intercourse.

The nurse is preparing to teach a client how to conduct the basal body temperature method to determine her fertile window. Which instruction should the nurse prioritize? A. It depends on the average temperature taken each morning. B. Temperature should be taken prior to any activity every morning. C. Avoid intercourse only on the days the temperature drops. D. It is the best method for predicting ovulation

B. Temperature should be taken prior to any activity every morning.

A 20-year-old college student presents to the health clinic reporting fatigue, nausea, vomiting, severe abdominal cramping radiating to the lower back, and headaches. She reports these symptoms have started accompanying her menstrual cycle, which started 2 days ago. The nurse anticipates the health care provider will attempt to rule out which disorder first? A. premenstrual syndrome B. toxic shock syndrome C. secondary dysmenorrhea D. primary dysmenorrhea

C. secondary dysmenorrhea

. The nurse is teaching a young couple who desire to start their family the various methods for determining fertility. After discovering the woman regularly travels internationally for work, deals with a lot of job anxiety, and frequently uses an electric blanket at home, the nurse will discourage the use of which method? A. calendar method B. basal body temperature method C. cervical mucus method D. symptothermal method

B. basal body temperature method

The nurse was teaching a college student how to properly take the prescribed combination oral contraceptive (COC). The nurse determines the session is successful when the client correctly chooses which instruction to follow when taking the OCP? A. empty stomach, full glass of water B. same time of day, each day C. take with a meal D. same day of the week, once a week

B. same time of day, each day