Chapter 4 Common Gynecologic Issues PrepU

A woman is to receive methotrexate and misoprostol to terminate a first-trimester pregnancy. When preparing the teaching plan for this client, the nurse understands that misoprostol works by: blocking the action of progesterone on the endometrium. acting as a toxin to the trophoblastic tissue. causing uterine contractions to expel the uterine contents. dilating the cervix.

causing uterine contractions to expel the uterine contents.

The public health nurse is teaching a community class of couples on fertility awareness-based methods. The nurse determines that additional teaching is needed when one of the couples states that they will be using which method? coitus interruptus method symptothermal method cervical mucus ovulation method basal body temperature method

coitus interruptus method

A young couple is exploring their contraceptive options and are curious about using an intrauterine contraceptive device. The nurse explains that there are two types, one that uses hormones and one that uses: silicone. potassium. magnesium. copper.

copper.

A nurse should instruct a client who has a very low sperm count to make which lifestyle modification? Abstain from intercourse for 8 days at a time. Abstain from intercourse for 15 days at a time. Have intercourse only once a month. Have intercourse every other day.

Abstain from intercourse for 8 days at a time.

The nurse should carefully screen a client who insists on using only oral contraceptive pills (OCPs) for which contraindication? gastrointestinal disease impaired absorption deep vein thrombosis use of alcohol

deep vein thrombosis

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? "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." "Spermicide should be applied immediately following intercourse."

"Abstinence is the only way to prevent the spread of sexually transmitted infections."

A woman has just been prescribed clomiphene citrate to stimulate ovulation. Which possible effect should the nurse warn the woman about? extensive bleeding during menstruation overstimulation of the ovary resulting in potential multiple births hypertension elevation of her blood glucose level

overstimulation of the ovary resulting in potential multiple births

An 18-year-old female client who is sexually active asks the nurse for information on barrier contraceptives. Which statement is appropriate for the nurse to include in the response? The use of a diaphragm is a good choice if you have frequent urinary tract infections." "A diaphragm must be inserted 1 hour prior to sexual intercourse." "A cervical cap is a barrier contraceptive that you can purchase over the counter." "Cervical caps are most effective when used along with a spermicidal agent."

"Cervical caps are most effective when used along with a spermicidal agent."

A nurse is preparing a client for intrauterine device (IUD) insertion. Which education will the nurse provide to the client? "Expect to have continuous uterine cramps after insertion." "Checking the strings is recommended following insertion." "An IUD will prevent sexually transmitted infections (STIs)." "The insertion procedure for an IUD is painless."

"Checking the strings is recommended following insertion."

The nurse is conducting a health history on a couple planning to become pregnant over the next few months. Which statement by the male client most concerns the nurse? I have severe asthma and use my inhaler several times each month." "My uncle and his wife have not been able to conceive a child." "I have a degree as a chemical engineer and work at the local plant." "I consume fast food a few times each week and enjoy a few beers on the weekends."

"I have a degree as a chemical engineer and work at the local plant."

A nurse is completing an informed consent on a client preparing for a tubal ligation. Which statement by the client would require the nurse to notify the health care provider? "I will not be able to have children after this procedure." "I will be able to have my third child in about a year from now." "I will continue to have my menstrual cycle every month." "I may need to use a second form of contraception for a while."

"I will be able to have my third child in about a year from now."

A client who is scheduled for hysteroscopy says to a nurse, "I thought I would be able to have children, but now I know that will never be possible." Which response would be most appropriate for the nurse to make? "Being childless is not as bad as you think it is." "Adoption is always an acceptable option for anyone." "I will call the health care provider to come visit with you." "The use of surrogates is more acceptable today."

"I will call the health care provider to come visit with you."

The nurse is teaching a male client how to properly apply a male condom. Place the actions in the correct sequence for condom application. Use all options.

Carefully open the condom wrapper. Place the condom over the head of the erect penis. Pinch air out of the tip of the condom. Unroll the condom completely down the erect penis. After sex but before removing the penis, hold the base of the condom. Remove the condom and dispose properly.

A priority nursing diagnosis based on Maslow's Hierarchy of Needs for a client with endometriosis would be: Anxiety related to effect of endometriosis on fertility. Ineffective Breathing related to pain. Deficient Knowledge related to diagnosis and treatment. Chronic Pain related to bleeding and endometrial pelvic implants.

Chronic Pain related to bleeding and endometrial pelvic implants.

After teaching a woman who has chosen the vaginal ring as her method of contraception, the nurse determines that the client needs additional teaching when she makes which statement? "If I do not get the ring centered on my cervix, it will still be effective." "I will compress the ring, inserting it as far back as possible." "Once I remove the ring, I will discard it." "I will insert a new ring at the same time and day of every week."

"I will insert a new ring at the same time and day of every week."

A nurse is performing discharge teaching for a client who just had an uterine endometrial biopsy. What is the nurse's priority discharge teaching? Client should call the health care provider with a fever of 100°F (37.8°C) Client should call the clinic for pain medication refill Client should call clinic with the date of her next menses Client should call the health care provider for vaginal spotting

Client should call clinic with the date of her next menses

During a routine health visit for an 11-year-old girl, her mother asks the nurse, "My daughter just got her period about 4 months ago, but they haven't been very regular so far. How long might it take until she gets regular?" Which response by the nurse would be most appropriate? "If her periods are not regular now, odds are they will be irregular from now on." "She should start getting regular after about 2 to 3 more months." "That's odd. Her periods should be getting regular by now." "It can take up to 2 years once she starts for the periods to become regular."

"It can take up to 2 years once she starts for the periods to become regular."

The nurse working in a free health clinic assesses a 17-year-old client interested in contraceptives. Which statement by the client would indicate that female or male condoms would be the appropriate recommendation? "Last year I was diagnosed with HPV." "I do not want to follow in my sister's footsteps." "I have no problems swallowing medications." "I am leaving for college in just a few months."

"Last year I was diagnosed with HPV."

A couple is seeking guidance for their inability to conceive a child after trying for 15 months. They are morbidly obese but state they have friends with the same weight problem who have had no difficulty conceiving. What education can the nurse provide this couple to increase their chances of success? "Obesity may interfere with effective penetration and deposition of sperm. We will look at several factors to discover what issues you may be encountering." "If you have been trying for this long without success, something must be wrong. So we will need to run a series of tests to see what that is." "Weight has no bearing on the ability to conceive. Something else must be going on with your reproductive organs." "Being this overweight is unhealthy for you and for any child that you may bring into the world. Before you consider conceiving, you should lose weight."

"Obesity may interfere with effective penetration and deposition of sperm. We will look at several factors to discover what issues you may be encountering."

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." "Menstrual sloughing does not occur, so there is never a new base for embryo growth." "You do not ovulate because of endometrial implants on the ovaries." "Your uterine cervix fails to close because it is engorged with tissue."

"Ovulation does take place; however, the misplaced endometrial tissue interferes with transport of the ovum."

The nurse has provided information to a client about oral contraceptive pills (OCPs). Which statement by the client would indicate a need for further education? "Oral contraceptive pills need to be taken on a daily basis." "Some hormonal contraceptives do not contain estrogen and rely instead on progestin only." "Hormonal oral contraceptive pills reduce the risk of ovarian cancer." "Some oral contraceptive pills protect against STIs."

"Some oral contraceptive pills protect against STIs."

A 52-year-old client reports recent onset of hot flashes, fatigue, and vaginal dryness. While assessing the client, which response should the nurse prioritize? "Is this causing any issues between you and your partner?" "I will request you have your calcium level checked today." "Tell me what you are currently doing to manage these symptoms?" "I will schedule you an appointment with your gynecologist."

"Tell me what you are currently doing to manage these symptoms?"

A nurse is instructing a client on the use of home-use ovulation determination kits. What is most appropriate for the nurse to tell the client? "You will need a prescription for these kits." "These are not reliable; you should just monitor your temperature." "The results of the kit will have to be sent in to the clinic on a daily basis." "The kit will help determine when your body is preparing for ovulation."

"The kit will help determine when your body is preparing for ovulation."

The nurse educates a 15-year-old female client on ways to prevent pregnancy. Which statement will the nurse include in the teaching? "The withdrawal method is effective as long as you have a monogamous partner." "If you do not want to become pregnant within the next 10 years, an intrauterine device would be best." "Oral contraceptive pills are effective at preventing pregnancy as long as you take one each week." "The use of a condom is a method often recommended to prevent pregnancy for people your age."

"The use of a condom is a method often recommended to prevent pregnancy for people your age."

A client has been given instructions about a scheduled sonohysterosalpingogram. Which statement, if made by the client, should indicate to a nurse that the client has an adequate understanding of the instructions? "They will surgically implant the ovum during the procedure." "This is just an ultrasound procedure, like they do for a baby." "They will place a catheter in my uterus and use an ultrasound to see what the problem is." "I will be put under general anesthesia for the procedure."

"They will place a catheter in my uterus and use an ultrasound to see what the problem is."

A client is seen in the clinic requesting an emergency postcoital contraception pill levonorgestrel (Plan B). The client states that she had unprotected sex 3 ½ days ago. What is the most appropriate response by the nurse? "You will need to also be treated with antibiotics for an STI." "The pill will cause you to begin menstruating within a day." "You should contact the local abortion clinic to set up an appointment." "Unfortunately you are past the time frame to take that prescription."

"Unfortunately you are past the time frame to take that prescription."

A client states she has purchased home-use ovulation strips to help her know when she is ovulating. Which response by the nurse is most appropriate? "These strips are often not reliable and end up being a waste of money." "I am sure these strips will help you become pregnant faster." "You can also test your vaginal discharge to determine if you are ovulating." "It is a lot more accurate if you come to the clinic routinely to get tested."

"You can also test your vaginal discharge to determine if you are ovulating."

The nurse is caring for a client requesting oral contraceptive pills (OCPs). She has multiple sexual partners. The nurse recommends condoms to the client, but the client states, "I cannot use condoms because I am allergic to latex." Which response by the nurse is appropriate? "We can have you allergy tested to see if certain condoms may work for you." "You can still use condoms because they make latex-free condoms." "Do you understand the potential ramifications of having multiple sexual partners?" "I will let the health care provider know you desire oral contraceptive pills."

"You can still use condoms because they make latex-free condoms."

A 30-year-old client would like to try using basal body temperature (BBT) as a fertility awareness method. Which instruction should the nurse provide the client? Use the axillary method of taking the temperature. Take temperature before rising, and record it on a chart. Avoid using other fertility awareness methods along with BBT. Avoid unprotected intercourse until BBT has been elevated for 6 days.

Take temperature before rising, and record it on a chart.

A nurse is reviewing sperm count results for a couple trying to conceive. Which results would concern the nurse? 20 million per ml of seminal fluid 30 million per ml of seminal fluid 10 million per ml of seminal fluid 40 million per ml of seminal fluid

10 million per ml of seminal fluid

A woman has opted to use medroxyprogesterone injections for birth control. The client receives the first injection today. The nurse instructs the woman to return to the clinic in how many months for the next injection? 3 1 4 2

3

The nurse is caring for four female clients, all prescribed oral contraceptive pills (OCPs). The nurse will question giving an oral contraceptive pill to which client? 40-year-old client who has a history of asthma and a total cholesterol level of 170 mg/dl (4.40 mmol/L) 37-year-old client who has migraines with aura several times a week and smokes 25-year-old client who has had three miscarriages and leads a sedentary lifestyle 30-year-old client who drinks a glass of wine daily and whose aunt had breast cancer

37-year-old client who has migraines with aura several times a week and smokes

A female client is having a procedure this morning that involves radiologic examination of the fallopian tubes using a radiopaque medium. What procedure should the nurse document as being performed? a uterine endometrial biopsy a hysteroscopy a hysterosalpingography a sonohysterography

a hysterosalpingography

The nurse is reviewing a client's electronic health record and notices that the client has recently experienced dyspareunia. The nurse knows that this is an effect of aging on the female reproductive system. What is the best description of dyspareunia that the nurse can share with the nursing student? A woman experiences female climacteric. The uterus prolapses and falls into the vagina. Bones become brittle and porous and fracture more easily. A woman experiences painful sexual intercourse.

A woman experiences painful sexual intercourse.

A client expresses interest in having an intrauterine device (IUD) placed for contraception. Which finding noted in the health history would indicate to the nurse that this would not be an appropriate contraceptive option? G1P0 Dysmenorrhea Sexually active since 16 Bicornuate uterus

Bicornuate uterus

Which laboratory result would be most important for a nurse to monitor for a client who has recently started letrozole? FSH TSH CBC hCG

FSH

When conducting a health history with a couple who are experiencing subfertility, the nurse will include which of the following? Select all that apply. Medication history School history General health Surgical history Sexual history

General health Medication history Sexual history Surgical history

A couple who has not conceived after 6 years of not using birth control are being seen in the infertility clinic. In assessing the client's psychosocial response to infertility, which might the nurse expect to find? Select all that apply. Excitement at the possibility of conceiving Fear of the possible outcome of the testing Guilt related to the lack of conception Sexual stimulation and excitement Anger toward others who have conceived

Guilt related to the lack of conception Anger toward others who have conceived Fear of the possible outcome of the testing

The nurse is instructing a client with dysmenorrhea on how to manage her symptoms. Which suggestions should the nurse include in the teaching plan? Select all that apply. Use heating pads or take warm baths. Increase water consumption. Avoid keeping legs elevated while lying down. Increase exercise and physical activity. Increase intake of salty foods.

Increase water consumption. Use heating pads or take warm baths. Increase exercise and physical activity.

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

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

Which statement best explains the action of the lactational amenorrhea method (LAM) of fertility control? LAM causes suppression of the ovulation process. LAM prevents fertilization between the egg and sperm. LAM thickens the cervical mucus and blocks sperm. LAM prevents introduction of sperm into the vagina.

LAM causes suppression of the ovulation process.

A nurse should instruct a client who has premenstrual syndrome (PMS) to make which lifestyle modification? Walk several times a week, maintain a regular sleep schedule, decrease complex carbohydrates, and avoid complex sugars. Reduce caffeine, walk several times a week, use relaxation techniques, and maintain a regular sleep schedule. Walk every day, increase caffeine and salt intake, and sleep 8 to 10 hours a night. Reduce caffeine, perform cardio exercise 3 times a week, and sleep 12 hours every other night.

Reduce caffeine, walk several times a week, use relaxation techniques, and maintain a regular sleep schedule.

A nurse supervisor observes a nurse massage a client's injection site after giving a dose of depot medroxyprogesterone acetate (Depo-Provera). What is the priority response by the nurse supervisor? Call the health care provider immediately. Thank the nurse for excellent client care. Remind the nurse that this injection should absorb slowly. Write up an incident report for the medication error.

Remind the nurse that this injection should absorb slowly.

A woman visits the family planning clinic to request a prescription for birth control pills. Which factor would indicate that an ovulation suppressant would not be the best contraceptive method for her? She has a family history of thromboembolism. She has irregular menstrual cycles. She has a history of allergy to foreign protein. She is 30 years old.

She has a family history of thromboembolism.

Which information is important for a woman to understand before undergoing a scheduled tubal ligation? She will have lessened dysmenorrhea following the procedure. She should schedule it to be done just before a menstrual flow. She must think of the procedure as irreversible. The procedure will reduce her menstrual flow in amount.

She must think of the procedure as irreversible.

Why is fertility testing initiated with sperm analysis of the male partner? Male fertility testing is time-consuming and, therefore, should be initiated early. Asking the male partner to undergo diagnostic procedures is the best way to assess his interest in treatment of subfertility. The man is found to be fertile in over 75% of couples with subfertility problems. Sperm analysis is one of the easiest tests to complete.

Sperm analysis is one of the easiest tests to complete.

A couple consults with the nurse regarding their infertility issues. The female says "I don't know what I have done so bad that God would punish me like this." What would be the most appropriate nursing diagnosis for this couple? Spiritual distress related to inability to conceive Anticipatory grieving related to infertility Hopelessness related to inability to conceive Powerlessness related to infertility

Spiritual distress related to inability to conceive

The nurse in a primary care clinic and a client have come to see the primary care provider because the client is getting married and wants to have a prenuptial gynecologic examination. After the exam, the nurse asks about the woman's plan to have a family. The woman responds, "Why do I have to plan for a family?" What would be the nurse's best response? Families are always best when pregnancies are not planned. The couple can control the time between births when they plan their family. An unwanted pregnancy can always be aborted. The couple can decide on a method of birth control.

The couple can control the time between births when they plan their family.

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 no longer produce testosterone. The man will no longer ejaculate seminal fluid. The man will continue to ejaculate sperm. The man will still have full erection capacity.

The man will still have full erection capacity.

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? Thin and red-tinged Thin, slippery, and stretchy Cloudy, thick, and watery Clear and of large quantity

Thin, slippery, and stretchy

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

This is a permanent and irreversible procedure for birth control.

A client with liver disease is seen in the clinic wanting to begin contraception. The nurse recognizes that which type of contraception is best for this client? Oral contraceptive pills (OCPs) Vaginal estrogen/progestin (contraceptive) ring Subdermal hormone implant Intramuscular injections

Vaginal estrogen/progestin (contraceptive) ring

A woman is 40 years old and a heavy smoker. She has a single sexual partner but has very irregular menstrual cycles. She wants a highly reliable contraceptive. Which method would be the best recommendation? the rhythm (calendar) method an ovulation suppressant a spermicidal suppository a diaphragm and spermicide

a diaphragm and spermicide

A nurse is conducting education classes at the local high school on reproductive life planning. Which would be appropriate for the nurse to implement during the teaching? Select all that apply. proper condom application various religious viewpoints nurse's personal opinion on abortion (elective termination of pregnancy) sexually transmitted infection statistics encouragement of abstinence

encouragement of abstinence proper condom application sexually transmitted infection statistics

A nurse is reviewing the history and physical examination of a client diagnosed with secondary dysmenorrhea for possible associated causes. Which etiology would the nurse need to keep in mind as being the most common? perimenopause endometriosis multigravida status hormonal imbalance

endometriosis

The nurse is planning to speak at a local community center to a group of middle-aged women about osteoporosis. Which measure would the nurse be sure to include as effective in reducing the risk for osteoporosis? drinking at least 1 glass of wine per day decreasing vitamin D intake limiting intake of cholesterol and saturated fats engaging in daily weight-bearing exercise

engaging in daily weight-bearing exercise

Which definition best explains the term "subfertility/infertility"? failure to achieve pregnancy after 6 months of unprotected intercourse inability to achieve pregnancy because of a known factor that prevents conception inability to achieve pregnancy following a previous viable pregnancy failure to achieve pregnancy after 1 year of unprotected intercourse

failure to achieve pregnancy after 1 year of unprotected intercourse

A nurse performs an assessment on a 35-year-old client who developed leg pain. The client smokes one pack of cigarettes per day and drinks alcohol socially. Assessment reveals a red, swollen right lower extremity that is warm to the touch, and pain increases with ambulation or dorsiflexion of the right foot. Client reports recent nausea, vomiting, breast tenderness, and weight gain after starting oral contraceptives. The nurse suspects the client may -- as evidenced by--

have developed a deep vein thrombosis (DVT), calf pain and swelling

A young woman comes to the free clinic asking for oral contraceptive pills. Which factor best indicates that another type of contraception would be better for this client? history of noncompliance with medications frequency of sexual encounters age of her partner cost of the pills

history of noncompliance with medications

A woman and her partner have been unable to conceive. The female client's chart reveals a history of pelvic inflammatory disease (PID), oral contraceptive usage for 5 years, blood pressure 98/72 mm Hg, pulse 78 beats/min, temperature 99°F (37.2°C), and white blood cell (WBC) count 9,500 mm3 (9.5 x 109/l). Which order will the nurse anticipate for this client? oral antibiotic therapy hysterosalpingography serum estrogen and progesterone testing urinalysis

hysterosalpingography

A client comes to the clinic for termination of pregnancy via medication. Which potential complication(s) will the nurse point out as possible with this type of procedure? Select all that apply. infection pneumonia hypoglycemia prolonged bleeding incomplete abortion

incomplete abortion prolonged bleeding infection

The nurse is providing contraception counseling to a perimenopausal woman who has had negative reactions to oral contraceptives (OCs) in the past and would like a long-term, nonhormone-based method that has a high rate of success. Neither she nor her husband wants to undergo surgery, however. Which method should the nurse recommend? subdermal progestin implant transdermal patch tubal ligation intrauterine device

intrauterine device

Prevention of pregnancy is a major factor in the sex lives of many couples. One method of contraception is the female condom. It is a thin tube made of polyurethane, with flexible rings at both ends. What is a disadvantage of the female condom? makes noise during intercourse decreases stimulation to the clitoris needs an erection to remain in place cannot be used by people sensitive to latex

makes noise during intercourse

The nurse informs the client that a diaphragm is an example of which type of contraception? intrauterine chemical barrier transdermal mechanical barrier

mechanical barrier

The client is interested in using an injectable contraceptive that works by suppressing pituitary secretions. The nurse provides the client with literature and discusses which contraceptive with her? norelgestromin/ethinyl estradiol medroxyprogesterone acetate etonogestrel levonorgestrel/ethinyl estradiol

medroxyprogesterone acetate

A healthy 28-year-old female client who has a sedentary lifestyle and is a chain smoker is seeking information about contraception. The nurse informs this client of the various options available and the benefits and the risks of each. Which should the nurse recognize as contraindicated in the case of this client? a copper intrauterine device oral contraceptive pills (OCPs) implantable contraceptives the medroxyprogesterone injection

oral contraceptive pills (OCPs)

A healthy 28-year-old female client who has a sedentary lifestyle and is a chain smoker is seeking information about contraception. The nurse informs this client of the various options available and the benefits and the risks of each. Which should the nurse recognize as contraindicated in the case of this client? implantable contraceptives a copper intrauterine device oral contraceptive pills (OCPs) the medroxyprogesterone injection

oral contraceptive pills (OCPs)

What are methods for delivering hormonal contraception? Select all that apply. implantation transdermally rectally orally vaginally injection

orally transdermally vaginally implantation injection

Which description best explains the hysterosalpingogram procedure? insertion of an endoscope through the posterior fornix to visualize the reproductive organs instillation of carbon dioxide through the cervix into the uterus and fallopian tubes radiograph of the uterus and fallopian tubes following introduction of a radiopaque medium through the cervix passage of an endoscope through a small abdominal incision to inspect the reproductive organs

radiograph of the uterus and fallopian tubes following introduction of a radiopaque medium through the cervix

The nurse is developing a presentation for a group of young adult women about premenstrual syndrome. Which treatment options should the nurse point out as most appropriate? Select all that apply. NSAIDs decrease in water intake vitamin and mineral supplements reduction of caffeine intake antipsychotic medications

reduction of caffeine intake vitamin and mineral supplements NSAIDs

A couple comes to the clinic and states to the nurse, "I don't think we are ever going to be able to have children. We have been trying but have had no luck." What assessments does the nurse anticipate will be performed for this couple? Select all that apply. fertility drugs tubal patency semen analysis ovulation monitoring in vitro fertilization counseling

semen analysis ovulation monitoring tubal patency

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, urinalysis, and ovulation monitoring pelvic sonogram, ovulation monitoring, and semen analysis semen analysis, ovulation monitoring, and tubal patency assessment serologic test for syphilis, semen analysis, and tubal patency assessment

semen analysis, ovulation monitoring, and tubal patency assessment

When using the contraceptive patch, a client should understand that it: should be applied to the breasts, hips, or back. should be applied to the abdomen, buttocks, or back. is immediately effective after application. should be covered when swimming in a pool because of chlorine's effect on the adhesive.

should be applied to the abdomen, buttocks, or back.

A nurse is assessing a 26-year-old married female client for use of oral contraceptive pills (OCPs). Which findings in her health history would suggest that natural family planning may be a better option? Select all that apply. smokes 1 pack per day menses at age 11 blood pressure 138/88 mm Hg abortion (elective termination of pregnancy) at age 18 migraine headaches

smokes 1 pack per day blood pressure 138/88 mm Hg migraine headaches

A nurse is helping a couple choose a contraception method that is right for them. Which is the least likely factor the nurse should consider? ability to use a method correctly the popularity of the method among the couple's friends financial factors whether the method will affect sexual enjoyment

the popularity of the method among the couple's friends

A male client asks the nurse to explain which structure is cut during a vasectomy. What response should the nurse give the client? the vas deferens the ejaculatory ducts the epididymis the scrotum

the vas deferens

A couple has chosen fertility awareness as their method of contraception. The nurse explains that the unsafe period for them during the menstrual cycle would be at which time? six days before the onset of menstruation midway between the normal menstrual cycle three days before and three days after ovulation five days after the first day of the menstrual cycle

three days before and three days after ovulation

A young woman says she needs a temporary contraceptive but has a latex allergy. She mentions that she has had a papillomavirus infection. Also, she says she is terrible about remembering to take pills. Which method should the nurse recommend? sterilization cervical cap diaphragm transdermal contraception

transdermal contraception

A nurse is instructing a client on birth control methods. The client asks about the cervical mucus method. When should the nurse tell the client she is fertile in relation to her mucus? Cervical mucus is not a reliable indicator. when it is thin, watery, and copious when it does not stretch when it is thick

when it is thin, watery, and copious