Chapter 8, Contraception and Abortion

Which condition is a contraindication when using the spermicide nonoxynol-9 (N-9) as, or with, a client's contraceptive method?

Risk for human immunodeficiency virus (HIV)

Which would the nurse teach a client about the use of FemCap?

"You should leave the FemCap in place for at least 6 hours after intercourse."

Which statement by the client indicates the need for further teaching about the use of condoms?

"Condoms can prevent me from getting STIs."

Which statement by the student nurse regarding the advantages of fertility awareness-based methods (FABs) of contraception indicates effective learning?

"FABs promote increased involvement and intimacy with the partner."

Which nursing statement is appropriate to provide a client seeking hormonal contraception based on information in the electronic health record (EHR)?

"I am concerned about your cholecystitis and the use of this type of contraception."

Which nursing advice is appropriate for the client using the ParaGard Copper T 380A?

"Report immediately if rashes occur."

Which statement by the student nurse regarding therapeutic abortion indicates effective learning?

"Therapeutic abortion may be performed for maternal health."

Which nursing response is appropriate for a female client who conceived in the first month after discontinuing combined oral contraceptives (COCs) and is worried about the effect of possible COC use on this pregnancy?

"There is no evidence that COCs cause maternal or fetal harm."

Which nursing information is appropriate for a client who uses the vaginal contraceptive ring, but after feeling discomfort during coitus removed the ring for 1 hour and is now concerned that removal could have increased the chance of pregnancy?

"There is no risk if the ring is reinserted in 3 hours."

Which statement by the student nurse regarding spermicides indicates effective learning?

"They would reapplied for each additional act of intercourse."

A client is using the basal body temperature (BBT) method of contraception. She calls the clinic and tells the nurse, "My period is due in a few days, and my temperature has not gone up." Which is the most appropriate response?

"You probably didn't ovulate during this cycle."

Within how many days can a client use emergency contraception to prevent pregnancy after unprotected sex?

3 days

Which client is a safe candidate for the use of oral contraceptives?

43-year-old client who does not smoke cigarettes

Which nursing instruction is appropriate to prevent conception for the client who has regular menstrual cycles every 28 days?

Abstain from sexual intercourse from days 10 to 17.

Which is the priority nursing action for a pregnant client in the first trimester who has developed pregnancy complications, is Rh negative, and undergoes a medical abortion?

Administer Rho(D) immune globulin after the abortion.

Which client is a probable candidate for the Essure system of transcervical sterilization?

An obese client with abdominal adhesion

Which fertile period recommendation is appropriate for a client requesting to use a natural family planning method to conceive a child based on the nurse's review of the electronic health record (EHR)? Record your answer as a range of whole numbers including a dash. _________ day. History: A 28-year-old client with regular menses requests to use the calendar rhythm method to conceive. The client has no significant medical or surgical history. Assessment of previous consecutive menstrual cycles: 26-day cycle 27-day cycle 28-day cycle 30-day cycle 31-day cycle

At least 6 months of accurate recordings of lengths of the menstrual cycle must be obtained before calculating the client's fertile period. The beginning of the fertile period is estimated by subtracting 18 days from the shortest cycle. The end of the fertile period is determined by subtracting 11 days from the length of the longest cycle. According to the EHR, the client's shortest cycle is 24 days, and the longest is 30 days. The client's fertile period is from the eighth to the twentieth day. 26 - 18 = 8th day 31 - 11 = 20th day

Which contraceptive method is contraindicated in a woman with a history of toxic shock syndrome?

Cervical cap

Which are the long-acting reversible contraceptive methods? Select all that apply.

Contraceptive implants Intrauterine device (IUD)

Which type of contraception is associated with toxic shock syndrome?

Diaphragm

Which abortion technique is appropriate for a client during the 18th week of pregnancy?

Dilation and evacuation

Which is the role of the nurse in initial family planning?

Educate couples on the various methods of contraception.

Which nursing interventions are appropriate for a client who is learning to use a vaginal ring for the first time? Select all that apply.

Encouraging the client to ask questions Providing written instructions about the vaginal ring Asking the client to perform a return demonstration Providing information about emergency contraception

When would a client using the calendar rhythm method for contraception abstain from sexual activity to avoid pregnancy?

From days 10 to 17

Which is appropriate client knowledge when using the basal body temperature method of family planning?

Her temperature will increase about 0.4° to 0.8°F after ovulation.

Which barrier method of contraception has the lowest failure rate if used consistently and correctly?

Male condoms

Which contraceptive method provides protection against sexually transmitted infections (STIs)?

Male or female condoms

Which nursing instructions are appropriate for a client who calls the clinic asking the nurse what to do for one missed combined oral contraceptive pill? Select all that apply.

No backup contraceptive is needed. Take the next dose at the usual time Take one active pill as soon as possible

Which is an emergency contraceptive that can be used by a female client after unprotected sex?

ParaGard Copper T 380A

Which order characterizes the changes in cervical mucus when using the cervical mucus ovulation detection method for family planning?

Preovulation mucus is cloudy, yellow or white, and sticky; ovulation mucus is clear, wet, sticky, and slippery. Postovulation fertile mucus is thick, cloudy, and sticky; and postovulation postfertile mucus is scant.

Which condition in a client who is using a copper-bearing intrauterine device indicates a need for removal of the device?

Rashes

Which is the purpose of a pregnant client being prescribed methotrexate therapy?

To facilitate medical abortion

Which adverse effects of an oral contraceptive require a client to immediately stop the medication and contact the health care provider? Select all that apply.

Visual disturbances Persistent headaches