Perry: Mod 5 Ch 5 Infertility,Contraception, and Abortion

While assessing a patient, the nurse finds that the patient's shortest and longest amount of time between menstrual periods is 25 and 28 days, respectively. The nurse teaches the patient the method to calculate the fertile period. The nurse then asks the patient which day carries the maximum chances of conception. Which response by the patient indicates effective learning? 1 2nd day 2 6th day 3 10th day 4 19th day

10th day

What is the significance of the clomiphene citrate challenge test (CCCT)? To assess: 1 If the fallopian tubes are open and patent 2 for the presence of uterine abnormalities 3 The amount of progesterone production 4 Follicle-stimulating hormone (FSH) levels

Follicle-stimulating hormone (FSH) levels

When using the basal body temperature method of family planning, the woman should know that: 1 She will remain fertile for five days after ovulation. 2 She should take her temperature each night before going to bed. 3 Her temperature will increase about 0.4° to 0.8° F after ovulation. 4 Her temperature is normally lower during the second half of her cycle.

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

The nurse administers leuprolide acetate (Eligard) followed by gonadotropin therapy to a patient and schedules the patient for daily ultrasounds. What is the rationale for this referral? To check for: 1 Fibrocystic breast tissue changes. 2 Stimulation of the endometrium. 3 Blockage in the fallopian tubes. 4 Hyperstimulation of both ovaries.

Hyperstimulation of both ovaries.

What are the symptoms of toxic shock syndrome? Select all that apply. 1 Sore throat 2 Constipation 3 Decrease in libido 4 Sudden onset of high fever 5 Arthralgia and myalgia

Sore throat Sudden onset of high fever Arthralgia and myalgia

What laboratory finding would indicate that the nurse should inform the patient about egg donation? 1 The follicle-stimulating hormone (FSH) level is 25. 2 The follicle-stimulating hormone (FSH) level is 8. 3 The progesterone level is 10. 4 The progesterone level is 30.

The follicle-stimulating hormone (FSH) level is 25.

A patient is being treated for a defect in the luteal phase. The nurse instructs the patient to start taking the drug on the fifth day of menstruation and continue for the next 5 days. Which drug is prescribed for the patient? 1 Progesterone (Camila) 2 Clomiphene citrate (Clomid) 3 Nafarelin acetate (Synarel) 4 Metformin (Glucophage)

Clomiphene citrate (Clomid)

The nurse is assessing a patient with menstrual cycle irregularity. While speaking with the patient, the nurse learns the patient is an athlete. What should the nurse suggest to the patient so as to promote a regular menstrual cycle? 1 Undergo aromatherapy treatments 2 Increase intake of food and water 3 Perform aerobic exercise regularly 4 No strenuous exercise for 5 months

Increase intake of food and water

The nurse is assessing a couple for infertility problems. After reviewing the patient's history and laboratory results, the nurse finds that the patient is being treated with clomiphene (Milophene). However, there has not been an increase in the sperm count. What else could be added to the prescription that would help the patient to increase the sperm count? 1 Bromocriptine (Parlodel) 2 Progesterone (Prometrium) 3 Depot medroxyprogesterone acetate (DMPA) 4 Intracytoplasmic sperm injection (ICSI)

Intracytoplasmic sperm injection (ICSI)

The nurse instructs a student nurse to administer depot medroxyprogesterone acetate (DMPA) to a patient. What precaution should be taken by the student nurse to ensure safe administration of the drug? Do not: 1 Massage the site after the administration. 2 Administer the injection at the deltoid muscle. 3 Administer the injection subcutaneously. 4 Aspirate a blood return prior to the injection.

Massage the site after the administration.

On interacting with a patient, the nurse finds that the patient uses lubricants that contain nonoxynol-9 (N-9) at least twice a day. The nurse instructs the patient to not use N-9. What is the reason for giving such advice to the patient? Because frequent use of this medication: 1 Can cause a significant decrease in the patient's libido. 2 Increases the patient's progesterone and estrogen levels. 3 Reduces bone mineral density and causes osteoporosis. 4 Raises the patient's risk of sexually transmitted infections.

Raises the patient's risk of sexually transmitted infections.

Semen analysis is a common diagnostic procedure related to infertility. In instructing a male patient regarding this test, the nurse tells him to: 1 ejaculate into a sterile container. 2 obtain the specimen after a period of abstinence from ejaculation of 2 to 7 days. 3 transport specimen with container packed in ice. 4 ensure that the specimen arrives at the laboratory within 30 minutes of ejaculation

obtain the specimen after a period of abstinence from ejaculation of 2 to 7 days.

The nurse is caring for a patient who is scheduled to undergo a hysterosalpingogram. What possible abnormalities can be detected through the procedure? 1 Presence of infection 2 Blockage in the fallopian tubes 3 Decrease in ovarian reserve 4 Abnormal endometrial tissue

Blockage in the fallopian tubes

On reviewing the laboratory report of the patient, the nurse finds that the patient is subfertile. Which nursing advice is helpful for the patient to resolve this condition? 1 Start taking cold baths or showers daily. 2 Take flaxseed oil in order to stimulate fertility. 3 Add periwinkle powder to your tea once a day. 4 Use water-soluble lubricants during intercourse.

Use water-soluble lubricants during intercourse.

The nurse is assessing a patient who is planning to conceive. While reviewing the patient's laboratory reports, the nurse notices a decrease in hypothalamic hormone levels. What should the nurse interpret from this? The patient: 1 Will not be able to successfully produce any ova. 2 Demonstrates impairment in fallopian factors. 3 Has an increased risk of fetal congenital anomalies. 4 Has a family history of fetal hemorrhagic disorders

Will not be able to successfully produce any ova.

The nurse is educating a patient to palpate the cervix to assess changes that indicate ovulation. Which statement by the woman indicates the need for further teaching? 1 "The cervical os becomes slightly dilated during ovulation." 2 "The cervical mucus is watery and clear during ovulation." 3 "The cervix softens and rises in the vagina during ovulation." 4 "The cervical mucus is copious and thick during ovulation."

"The cervical mucus is watery and clear during ovulation."

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." The nurse's most appropriate response is: 1 "This probably means you're pregnant." 2 "Don't worry; it's probably nothing." 3 "Have you been sick this month?" 4 "You probably didn't ovulate during this cycle."

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

The nurse is teaching the nursing student about semen analysis. Which statement by the student indicates the need for further teaching? 1 "The patient should be instructed to masturbate to obtain the semen sample." 2 "A cold environment or low temperature is suitable for storing the semen sample." 3 "The test must be performed within 2 hours of collecting the semen sample." 4 "A spermicide-free plastic sheath must be used to collect the semen sample."

"A cold environment or low temperature is suitable for storing the semen sample."

What should the nurse include when educating a patient about the side effects of depot medroxyprogesterone acetate (DMPA) prior to administration? Select all that apply. 1 Breast changes 2 Increased libido 3 Weight loss 4 Thromboembolism 5 Irregular vaginal spotting

Breast changes Thromboembolism Irregular vaginal spotting

A patient is administered progestins (Depo-Provera) through the intramuscular route. What should the nurse suggest to the patient to prevent complications? The patient should increase: 1 Iron intake. 2 Calcium intake. 3 Protein intake. 4 Potassium intake.

Calcium intake.

After checking the laboratory report of a patient, the nurse reports to the primary health care provider findings that the patient has developed insulin resistance and anovulation. What should the nurse expect to be prescribed for the patient? 1 Danazol (Danocrine) and glipizide (Glucotrol) 2 Bromocriptine (Parlodel) and glyburide (Diabeta) 3 Progesterone (Prometrium) and acarbose (Precose) 4 Clomiphene (Clomid) and metformin (Glucophage)

Clomiphene (Clomid) and metformin (Glucophage)

A patient wants to have an abortion during the 18th week of pregnancy. What abortion technique should the nurse suggest to the patient? 1 Dilation and evacuation 2 A surgical (aspiration) abortion 3 Administration of methotrexate (Trexal) 4 Administration of mifepristone (Mifeprex)

Dilation and evacuation