Optional Family Planning

A patient wants to have an abortion during the 18th week of pregnancy. What abortion technique should the nurse suggest to the patient? a. Dilation and evacuation b. A surgical (aspiration) abortion c. Administration of methotrexate (Trexal) d. Administration of mifepristone (Mifeprex)

A

A sexually active adolescent asks the school nurse about prevention of sexually transmitted infections (STIs). What should the nurse recommend? a. Condom use b. Prophylactic antibiotics c. Any type of contraception method d. Withdrawal method of contraception

A

The nurse is teaching a group of adolescents about human immunodeficiency virus (HIV) and ways to prevent it. What is included in the teaching? Select all that apply. a. Importance of HIV testing b. Myths associated with HIV c. Routes of virus transmission d. Abstinence from sexual activity e. Dangers of recreational drug use

A, B, C, E

The nurse is teaching a group of adolescents about preventing sexually transmitted infections (STIs). What can the nurse include in the teaching? Select all that apply. a. Encouraging abstinence b. Using vaginal spermicides c. Getting vaccinated against certain reproductive viruses d. Checking the expiration dates on condoms or other physical barriers e. Performing anal-genital intercourse instead of genital-genital intercourse

A, C, D

A married woman has made the decision to use a diaphragm as her primary method of birth control. What instructions should the clinic nurse provide regarding care of, insertion, and removal of the diaphragm? Select all that apply. a. Avoid using mineral oil body products. b. Wash diaphragm monthly with mild soap and water. c. A dusting of cornstarch is appropriate after drying the diaphragm. d. Remove the diaphragm by catching the rim from below the dome. e. On insertion, direct the diaphragm down toward the space below cervix.

A, C, E

What should discharge instructions after tubal ligation include? Select all that apply. a. Expecting heavier menstrual periods b. Using two forms of birth control to prevent pregnancy c. Using condoms to prevent sexually transmitted infections d. Being prepared for significant mood swings due to hormonal influences e. Not expecting change in sexual functioning but possibly enjoying sex more because of no need to be concerned about pregnancy

C, E

A patient with herpes simplex virus (HSV) infection is treated with 400 mg acyclovir (Zovirax) three times per day for a week. While performing the follow-up assessment of the patient 1 month after therapy, the nurse finds that the symptoms of HSV infection have recurred. What prescription change might the nurse expect for this patient? a. 2000 mg valacyclovir (Valtrex) for 1 day b. 800 mg acyclovir (Zovirax) daily for 1 year c. 1200 mg of acyclovir (Zovirax) daily for 5 days d. 750 mg famciclovir (Famvir) daily for 7-10 days

C

At 3 months postpartum, a lactating patient informs the nurse that her menses has not yet resumed. The patient also discusses contraception with the nurse, stating that she does not want to become pregnant again for the next 3 years. The nurse educates the patient about contraceptive methods. Which statement given by the patient indicates the need for further teaching? a. "I will get my vaginal diaphragm refitted next week." b. "Because we are Catholics, we are going to use the rhythm method." c. "I cannot become pregnant while I breastfeed my child." d. "I will not use oral contraceptives while I am breastfeeding."

C

Sexually transmitted infections (STIs) in pregnancy are responsible for significant morbidity and mortality in the mother and may affect the health and quality of life in the fetus. The nurse is counseling a patient who is 28 weeks pregnant who has presented to her first prenatal visit with an untreated STI. Which of the outcomes identified below would be an unlikely outcome for this patient and her infant? a. Chorioamnionitis b. IUGR, preterm birth c. LGA, postterm birth d. PROM, preterm birth

C

The nurse is caring for a breastfeeding mother who is four weeks postpartum. The new mother asks the nurse about contraception that can be used while she is breastfeeding her infant. What is the nurse's best response? a. "We recommend taking hormonal contraceptives that contain estrogen." b. "A progestin-only pill is a good option for you considering the age of your baby." c. "Using a condom is an effective way to prevent pregnancy while breastfeeding." d. "You do not have to worry about contraception, because you cannot get pregnant while breastfeeding."

C

When using the basal body temperature method of family planning, what should the woman know? a. She will remain fertile for five days after ovulation. b. She should take her temperature each night before going to bed. c. Her temperature will increase about 0.4° to 0.8° F after ovulation. d. Her temperature is normally lower during the second half of her cycle.

C

Which contraceptive method provides protection against sexually transmitted infections? a. Tubal ligation b. Oral contraceptives c. Male or female condoms d. IUD

C

A 26-year-old woman is considering Depo-Provera as the contraception that is best for her because she does not like to worry about taking a pill every day. To assist this woman with decision making concerning this method of contraception, what should the nurse tell her about Depo-Provera? a. It is a combination of progesterone and estrogen. b. It is a small adhesive hormonal birth control patch that is applied weekly. c. It has an effectiveness rate in preventing pregnancy of 96% when used correctly. d. It thickens and decreases cervical mucus, thereby inhibiting sperm penetration and ovulation.

D

A woman 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." What is the nurse's most appropriate response? a. "Have you been sick this month?" b. "Don't worry; it's probably nothing." c. "This probably means you're pregnant." d. "You probably didn't ovulate during this cycle."

D

The patient who belongs to the Hmong community tells the nurse, "We do not use contraceptives or other birth control methods. We want to have a large family." How should the nurse provide culturally competent care to the patient? a. Avoid any teaching on contraceptives as the patient may not follow it. b. Provide written information on contraceptives so the patient may discuss with family. c. Advise the patient to follow the cultural beliefs as those are more important. d. Educate the patient about importance of contraceptives with due respect to the cultural beliefs.

D

What is the role of the nurse in initial family planning? a. Decide on the best method for the couple. b. Advise couples on which contraceptive to use. c. Refer the couple to a reliable health care provider. d. Educate couples on the various methods of contraception.

D