ob ch 25

16. The most appropriate statement for introducing the topic of family planning in the postpartum setting is a. "What are your plans for future pregnancies?" b. "Do you plan on being sexually active in the future?" c. "Let's talk about birth control, because breastfeeding is not 100% effective for preventing pregnancy." d. "Here are some pamphlets on available methods of birth control. I'll come back later and discuss them with you."

a. "What are your plans for future pregnancies?"

22. A patient is using Depo-Provera as her method of birth control. Which clinical finding warrants immediate intervention by the nurse? a. Mid-cycle bleeding b. Nausea c. Temperature of 37.8°C (100°F) d. Irregular periods

a. Mid-cycle bleeding

21. Which of the following is a potential disadvantage for the patient who wishes to use an intrauterine device (IUD) as a method of birth control? a. Insertion of the device prior to coitus resulting in decreased spontaneity b. Ectopic pregnancy c. Protection against STDs d. Decrease in dysmenorrhea

b. Ectopic pregnancy

13. A woman who has a successful career and a busy lifestyle will most likely look for which type of contraceptive? a. Requires extensive education to use b. Is the easiest and most convenient to use c. Costs the least d. Is permanent

b. Is the easiest and most convenient to use

8. Which symptom in a patient using oral contraceptives should be reported to the physician immediately? a. 5-lb weight gain b. Leg pain and edema c. Decrease in menstrual flow d. Increased pigmentation of the face

b. Leg pain and edema

19. A patient presents to the Women's Health Clinic for continuation of her contraceptive method. She has been using Depo-Provera (medroxyprogesterone acetate) for 24 months. In preparation for instituting a plan of care, the nurse would consider which option as a priority? a. Schedule the patient for follow-up baseline diagnostic testing to confirm that the patient is not pregnant. b. Obtain information for an alternate contraception method. c. Ask the patient for additional information related to her menstrual cycle. d. Inspect the skin for site selection of contraceptive method.

b. Obtain information for an alternate contraception method.

23. A patient has had a prior history of endometriosis and comes to the clinic asking about which method of birth control might be helpful to alleviate her symptoms. Which birth control method would provide the greatest benefit to this patient? a. Withdrawal method b. Oral contraceptives c. Depo-Provera d. Intrauterine device (IUD)

b. Oral contraceptives

18. You are teaching a group of adolescents regarding myths and facts related to contraception. Which statement indicates that additional teaching is needed for this group? a. Adolescents are more likely to become pregnant even if they use available contraception methods correctly. b. The withdrawal technique provides a higher likelihood that a teen will not get pregnant. c. Pregnancy can occur in the presence or absence of orgasm. d. Pregnancy can occur even if a teen is menstruating at the time of coitus.

b. The withdrawal technique provides a higher likelihood that a teen will not get pregnant.

7. When instructing a patient in the use of spermicidal foam or gel, it is important to include the information that a. effectiveness is about 85%. b. douching should be avoided for at least 6 hours. c. it should be inserted 1 to 2 hours before intercourse. d. one application is effective for several hours.

b. douching should be avoided for at least 6 hours.

20. Which of the following statements is correct regarding the use of contraception and the occurrence of sexually transmitted diseases (STDs)? a. As long as the oral contraception method is used correctly, there is no transmission of STDs during sexual activity. b. Oral contraceptives provide the greatest protection against getting STDs. c. Barrier methods, if used correctly, are more likely to protect individuals from STDs as compared with other contraceptive methods. d. It is less likely to see transmission of STDs if patients engage in oral sex as opposed to vaginal penetration.

c. Barrier methods, if used correctly, are more likely to protect individuals from STDs as compared with other contraceptive methods.

6. Which contraceptive method should be contraindicated in a patient with a history of toxic shock syndrome? a. Condom b. Spermicide c. Cervical cap d. Oral contraceptives

c. Cervical cap

1. Which contraceptive method provides protection against sexually transmitted diseases? a. Oral contraceptives b. Tubal ligation c. Male or female condoms d. Intrauterine device (IUD)

c. Male or female condoms

10. The major difference between the diaphragm and the cervical cap is that the diaphragm a. is more effective. b. requires spermicide. c. applies pressure on the urethra. d. has no contribution to toxic shock syndrome.

c. applies pressure on the urethra.

11. The patient who has had an intrauterine device (IUD) inserted should be instructed to a. use a vinegar douche weekly for 4 weeks. b. have the IUD replaced every 2 to 4 years. c. check the placement of the string once a week for 4 weeks. d. use another method of contraception for 2 weeks after insertion.

c. check the placement of the string once a week for 4 weeks.

15. A patient is 27 years old and delivered her first baby yesterday. She and her husband do not want to have another baby for at least 3 to 4 years. The most appropriate method of birth control to meet their needs is a. withdrawal. b. fertility awareness method. c. combination of condoms and foam. d. vasectomy with a reversal in 3 years.

c. combination of condoms and foam.

5. Informed consent concerning contraceptive use is important since some of the methods a. may not be reliable. b. require a surgical procedure to insert. c. have potentially dangerous side effects. d. are invasive procedures that require hospitalization.

c. have potentially dangerous side effects.

9. When using the basal body temperature method of family planning, the woman should understand that a. she will remain fertile for 5 days after ovulation. b. she should take her temperature each night before going to bed. c. her temperature will increase about 0.2 to 0.4°C (0.4 to 0.8°F) after ovulation. d. her temperature is normally lower during the second half of her cycle.

c. her temperature will increase about 0.2 to 0.4°C (0.4 to 0.8°F) after ovulation.

14. The method of contraception that is considered the safest for women is a(n) a. IUD. b. diaphragm. c. male condom. d. oral contraceptive.

c. male condom.

24. You are evaluating a patient in the clinic setting who has been taking oral contraceptives for several years, without side effects. Vital signs are stable and the patient denies any pain or tenderness. On examination, you note a small erythematous area of approximately 2 cm on her right lower leg. She denies any traumatic injury and says this is a recent onset of a few days. Based on this information you would a. instruct the patient to use warm compresses for several days and keep the leg elevated as much as possible. b. have the patient wear flats rather than heels to modify her gait and help alleviate this issue. c. refer the patient to the health care provider for additional diagnostic work up. d. have the patient take an over-the-counter (OTC) nonsteroidal antiinflammatory drug (NSAID) and return to the clinic if the problem persists.

c. refer the patient to the health care provider for additional diagnostic work up.

12. A male patient asks, "Why do I have to use another contraceptive? I had a vasectomy last week." The best response is a. "A vasectomy is only 80% effective." b. "A vasectomy is not effective in all men." c. "Semen may contain sperm for 6 months following a vasectomy." d. "Complete sterilization doesn't occur until all sperm have left the system."

d. "Complete sterilization doesn't occur until all sperm have left the system."

3. Which patient is a safe candidate for the use of oral contraceptives? a. 39-year-old with a history of thrombophlebitis. b. 16-year-old with a benign liver tumor. c. 20-year-old who suspects she may be pregnant. d. 43-year-old who does not smoke cigarettes.

d. 43-year-old who does not smoke cigarettes.

2. A nurse is leading a discussion regarding options for birth control. Which of the following methods is considered the most reliable? a. Coitus interruptus b. Breastfeeding c. Natural family planning d. Intrauterine device

d. Intrauterine device

17. In reviewing information related to the occurrence of pregnancies using a focus group discussion with women, concern was expressed that many of them had problems using their respective type of contraception. As a result of noncompliance issues several women became pregnant. Based on this information, the nurse would incorporate which of the following in a teaching plan for group members? a. Provide information relative to product recalls of contraceptive devices. b. Have the patients keep a contraceptive diary related to the consistency of using methods because it is apparent that they forgot to use their preferred method as directed. c. Have the patients consider switching to a different form of contraception because the contraception did not prevent pregnancy for them. d. Plan for assessing the patients' knowledge related to the contraception methods and provide information to increase the knowledge base so that the effectiveness rate would improve.

d. Plan for assessing the patients' knowledge related to the contraception methods and provide information to increase the knowledge base so that the effectiveness rate would improve.

4. The role of the nurse in family planning is to a. refer the couple to a reliable physician. b. decide on the best method for the couple. c. advise couples on which contraceptive to use. d. educate couples on the various methods of contraception.

d. educate couples on the various methods of contraception.