Chapter 4: Common Reproductive Issues - ML8
A client who is scheduled for hysteroscopy says to a nurse, "I thought I would be able to have children, but now I know that will never be possible." Which response would be most appropriate for the nurse to make?
"I will call the health care provider to come visit with you."
The nurse is teaching a client about a vasectomy. The nurse determines the session is successful when the client correctly chooses which fact concerning the vasectomy?
It's usually done as an office procedure.
A client has opted to use an intrauterine device (IUD) for contraception. About which effect of the device on monthly periods should the nurse inform the client?
Periods become lighter.
A nurse is planning care for a client and her husband recently diagnosed with multiple sclerosis and wanting to prevent pregnancy for now. What is the most appropriate nursing diagnosis for this couple?
Readiness for enhanced knowledge regarding contraception options
A healthy 28-year-old female client is planning a pregnancy with the support of a female partner. What does the nurse anticipate will be the first method of assisting this client to achieve a pregnancy?
artificial insemination
The school nurse is preparing a health education session on the topic of birth control for a college group. Which method should the nurse emphasize for this group?
barrier
The nurse should carefully screen a client who insists on using only oral contraceptive pills (OCPs) for which contraindication?
deep vein thrombosis
A male client is being evaluated for subinfertility. What additional data should a nurse obtain?
testosterone, Rh factor, blood type, UA
Semen analysis has been ordered for the partner of a client who has been unable to become pregnant. What instructions should the nurse provide to the partner?
"Bring the sample to the lab immediately after you collect it."
An 18-year-old female client who is sexually active asks the nurse for information on barrier contraceptives. Which statement is appropriate for the nurse to include in the response?
"Cervical caps are most effective when used along with a spermicidal agent."
A nurse is preparing a client for intrauterine device (IUD) insertion. Which education will the nurse provide to the client?
"Checking the strings is recommended following insertion."
A client expresses interest in having an intrauterine device (IUD) placed for contraception. Which finding noted in the health history would indicate to the nurse that this would not be an appropriate contraceptive option?
Bicornuate uterus
The nurse is caring for a client at the ambulatory care clinic who questions the nurse for information about contraception. The client reports that she is not comfortable about using any barrier methods and would like the option of regaining fertility after a couple of years. Which method should the nurse suggest to this client?
CycleBeads or medroxyprogesterone injection
A client with liver disease is seen in the clinic wanting to begin contraception. The nurse recognizes that which type of contraception is best for this client?
Vaginal estrogen/progestin (contraceptive) ring
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 woman at the infertility clinic for the first time asks, "What could have caused my infertility?" Learning has taken place when the woman can identify which common causes of infertility? Select all that apply.
endometriosis blocked fallopian tubes ovarian dysfunction
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?
hormonal implant
A client comes to the clinic for a medical termination of pregnancy. Which potential complications should the nurse point out are possible with this type of procedure? Select all that apply.
incomplete abortion prolonged bleeding infection
A perimenopausal woman asks for help in selecting a contraceptive. She reports vaginal dryness during intercourse and says that her partner does not like the feel of condoms. Which method should the nurse recommend?
spermicide
