Ch 4 Reproductive Issues
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 be able to have my third child in about a year from now."
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?
"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."
Subfertility/infertility is said to exist when a couple has failed to achieve pregnancy after how many months of unprotected sexual intercourse?
12
A nurse is preparing a client for intrauterine device (IUD) insertion. What should the nurse inform the client when educating her on IUDs?
A regular check of threads must be done.
The nurse is reviewing a client's electronic medical 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 who is going to see this client with the nurse?
A woman experiences painful intercourse.
A woman has just been prescribed clomiphene citrate to stimulate ovulation. Which possible effect should the nurse warn the woman about?
A woman has just been prescribed clomiphene citrate to stimulate ovulation. Which possible effect should the nurse warn the woman about?
The school nurse is counseling a sexually active 16-year-old adolescent about the various forms of contraception. She is afraid of getting pregnant or contracting a sexually transmitted infection because her boyfriend refuses to use a condom. In answering the client's questions as to which option will be best suit her needs, which form should the nurse recommend?
Female condom
A nurse is preparing a presentation for a health fair on the topic of vasectomy. Which information should the nurse point out in the presentation?
Relatively easy procedure with few complications
A couple in their mid-30s are at their primary care provider's office because they have been unable to conceive for 3 years. They already have one child who is 4 years of age. The care provider explains to them that they are dealing with what kind of infertility?
Secondary infertility
A young couple is having difficulty getting pregnant. The nurse is preparing the couple for the initial tests to determine their fertility. When asked by the couple why they need to start with a sperm analysis, what will be the nurse's best response?
Sperm analysis is one of the easiest tests to complete.
The nurse is preparing to teach a client how to conduct the basal body temperature method to determine her fertile window. Which instruction should the nurse prioritize?
Temperature should be taken prior to any activity every morning.
The nurse has assessed several clients who have arrived for routine appointments. The nurse predicts the health care provider will prioritize a bone density scan for which client?
a 55-year-old white client who smokes and has family history of osteoporosis
A woman uses a diaphragm for contraception. The nurse would instruct her to return to the clinic to have her diaphragm fit checked after which occurrence?
a weight gain of 10 lb (4.5 kg)
A nurse is teaching a couple about how to use a condom. The nurse determines the couple can properly apply the condom when they state that it should be applied at which time to be most effective?
before penile-vulvar contact
The nurse is assessing a 52-year-old perimenopausal female who is concerned about the changes occurring in her body. When questioned about the most serious changes, which effect should the nurse point out?
bone mineral density decreases
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?
combination oral contraceptives
A client reports that she has multiple sex partners and has a lengthy history of various pelvic infections. She would like to know if there is any temporary contraceptive method that would suit her condition. Which method should the nurse suggest for this client?
condoms
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?
endometriosis
Which definition best explains the term "subfertility/infertility"?
failure to achieve pregnancy after 1 year of unprotected intercourse
The nurse informs the client that a diaphragm is an example of which type of contraception?
mechanical barrier
The nurse is meeting with a 36-year-old client who wishes to begin using contraceptives. The client reports being in a long-term, monogamous relationship, runs 2 miles per day, and smokes a pack of cigarettes each day. Which method will the nurse be least likely to suggest to the client?
oral contraceptive pills (OCPs)
The nurse was teaching a college student how to properly take the prescribed oral contraceptive pills (OCPs). The nurse determines the session is successful when the client correctly chooses which instruction to follow when taking the OCP?
same time of day, each day
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?
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
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?
when it is thin, watery, and copious
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.
Increase exercise and physical activity. Use heating pads or take warm baths. Increase water consumption.
A client is to take clomiphene citrate for infertility. Which outcome should the nurse explain is the expected action of this medication?
Stimulate the release of ova
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?
The couple can control the time between births when they plan their family.
A client prescribed oral contraceptive pills (OCPs) has presented for a routine visit. Which finding upon assessment should the nurse prioritize?
abdominal pain
A client is desiring to start birth control and is questioning the nurse concerning the best options. Which option should the nurse point out is the most reliable?
contraceptive implant (etonogestrel or single-rod progestin implant)
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:
copper
A young woman says she needs a temporary contraceptive but has a latex allergy. She mentions that she has a papillomavirus infection. Also, she says she is terrible about remembering to take pills. Which method should the nurse recommend?
transdermal contraception
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."
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.
Fear of the possible outcome of the testing Anger toward others who have conceived Guilt related to the lack of conception
When teaching the client how to use a contraceptive sponge, the nurse must tell the client that leaving the sponge in place longer than 30 hours may lead to:
TSS
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 still have full erection capacity.
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, ovulation monitoring, and tubal patency assessment
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.
Why is fertility testing initiated with sperm analysis of the male partner?
Sperm analysis is one of the easiest tests to complete.
