PN108 PrepU Chapter 4
After assessing a woman who has come to the clinic, the nurse suspects that the woman is experiencing abnormal uterine bleeding. Which statement by the client would support the nurse's suspicions?
"I've been having bleeding off and on that's irregular and sometimes heavy."
A woman is going to have in vitro fertilization. When preparing her for this, the nurse would make which statement?
"It can be done with frozen donor sperm."
After teaching a group of college-aged students about condom use, the nurse determines that additional teaching is needed when the students make which statement?
"It's okay to use petroleum jelly with a latex condom."
You are caring for a couple who are trying to get pregnant and have not been able to for over a year. You explain to the couple that diagnostic testing usually begins on the male partner, as these tests are easier. The couple asks what kind of problems a man can have that can cause infertility. What should be the nurse's response?
"Men can have problems that increase the temperature around their testicles, which decreases the quality of their semen."
Which statement would be most appropriate when explaining endometriosis as a cause of a woman's infertility?
"Ovulation does take place; however, the misplaced endometrial tissue interferes with transport of the ovum."
The nurse is teaching a group of middle school students about sexually transmitted infections (STIs). Which statement by the students indicates a need for additional teaching about condom use?
"Put the condom on just before orgasm."
The nurse has provided information to a client about oral contraceptives. Which statement by the client would indicate a need for further education?
"Some oral contraceptives protect against STDs."
A nurse is teaching a client how to perform Kegel exercises. Which directives would the nurse include? Select all that apply.
"Squeeze your rectal muscles as if you are trying to avoid passing flatus." "Contract and relax your pubococcygeal muscles rapidly 10 times."
A nurse is preparing a client for intrauterine device (IUD) insertion. What should the nurse inform the client when educating her on IUDs?
A regular check of threads must be done.
The nurse is counseling a sexually active 16-year-old adolescent regarding contraception. The adolescent explains that she is afraid of getting pregnant or of getting a sexually transmitted infection, but her boyfriend refuses to use a condom. She knows that she needs to use some kind of contraception but doesn't know which would be best. Which of the following would be the best choice for this patient?
Female condom
Inability to conceive can be very stressful on a couple. What is one psychological aspect of infertility?
Loss of intimacy
Nursing care for the patient with endometriosis includes several factors. What is one aspect of nursing care for the woman with endometriosis?
Provide information on likely outcomes of treatment options
Which information is important for a woman scheduled to undergo a tubal ligation to understand?
She must think of the procedure as irreversible.
Why is fertility testing initiated with sperm analysis of the male partner?
Sperm analysis is one of the easiest tests to complete.
An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported?
Syphilis
A couple is considering vasectomy as a contraception option. However, the husband is nervous about how such a procedure would affect his sexual functioning. Which information should the nurse mention to the man?
The man will still have full erection capacity.
What important information should the nurse give a client about the use of a diaphragm during menstruation?
Toxic shock syndrome is possible
A client with a family history of cervical cancer is to undergo a Pap test. During the client education, what group should the nurse include as at risk for cervical cancer?
clients who have genital warts
The nurse discusses various contraceptive methods with a client and her partner. Which method would the nurse explain as being available only with a prescription?
diaphragm
A client is admitted in the health care facility with pelvic inflammatory disease (PID). When reviewing the client's history, what would the nurse identify as a risk factor?
frequent douching
A young woman comes to the free clinic asking for birth control pills. Which factor best indicates that another type of contraception would be better for this client?
history of noncompliance with medications
A clinic nurse explains to a client who is undergoing an infertility workup that the patency of her fallopian tubes will be checked. Which test is currently used to do this?
hysterosalpingography
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.
A nurse is providing a client with information on hormonal contraception. Which could the nurse use as an example of hormonal contraception?
medroxyprogesterone
A male client visits a fertility clinic after one year of attempting unsuccessfully to impregnate his wife. What is a risk factor associated with male infertility?
no or few sperm cells produced
A nurse is assessing a client diagnosed with pelvic inflammatory disease (PID). Which findings would the nurse most likely assess? Select all that apply.
oral temperature of 102 degrees F (39 degrees C) painful urination tenderness with cervical motion negative pregnancy history
A woman has opted to use the basal body temperature method for contraception. The nurse instructs the client that a rise in basal body temperature indicates which event?
ovulation
When assessing a client, a nurse determines that the client has a rectocele based on which finding?
sagging of the rectum, which pushes against or into the posterior vaginal wall
A couple informs the nurse that they have not been able to conceive for the last year. During assessment, the nurse learns that the couple has a 3-year-old daughter and 7-year-old son. They report having had no problems getting pregnant the other times. Which type of fertility is this couple exhibiting?
secondary subfertility
A couple who is in for fertility testing ask the nurse what tests are commonly performed to assess fertility. The nurse replies that there are only three primary tests that are used. What are these tests?
semen analysis, ovulation monitoring, and tubal patency assessment
When using the contraceptive patch, a client should understand that it:
should be applied to the abdomen, buttocks, or back.
A woman is admitted for repair of cystocele and rectocele. She has nine living children. In taking her health history, what would the nurse expect to find?
stress incontinence with feeling of low abdominal pressure
A young woman who has completed several rounds of unsuccessful in vitro fertilization is considering another option, in which an acquaintance from work has agreed to carry a pregnancy to term for her. If this takes place, what is the term for this volunteer?
surrogate mother
A 16-year-old has been menstruating for 4 months. She is interested in using a birth control method with high reliability. Which method would be the best recommendation?
vaginal foam for her and a condom for her partner
