Women's Health Issues

The nurse is developing a plan of care for clients seeking contraception information. Which of the following issues about the woman must the nurse consider before suggesting contraceptive choices? Select all that apply. 1. Age. 2. Ethical and moral beliefs. 3. Sexual patterns. 4. Socioeconomic status. 5. Childbearing plans

All apply

The clinic nurse is interviewing a client preceding her annual check-up. Which of the following findings would make the nurse suspicious that the client is an anorexic

2. Significant weight loss and amenorrhea.

The nurse is teaching a young woman how to use the female condom. Which of the following should be included in the teaching plan?

Remove the condom by twisting the outer ring and pulling gently.

The nurse is administering Depo-Provera (medroxyprogesterone acetate) to a postpartum client. Which of the following data must the nurse consider before administering the medication?

Use sunscreen

A couple is seeking family planning advice. They are newly married and wish to delay childbearing for at least 3 years. The woman, age 26, G0 P0000, has no medical problems and does not smoke. She states, however, that she is very embarrassed when she touches her vagina. Which of the following methods would be most appropriate for the nurse to suggest to this couple?

birth control pills

A client has been diagnosed with pubic lice. Which of the following signs/ symptoms would the nurse expect to see

pruritis

What is essential for the nurse to teach a woman who has just had an intrauterine device (IUD) inserted?

report painful intercourse to the doctor

During a counseling session on natural family planning techniques, how should the nurse explain the consistency of cervical mucus at the time of ovulation?

1. It becomes thin and elastic.

A woman is being taught how to use the diaphragm as a contraceptive device. Which of the following statements by the woman indicates that further teaching is needed?

1. Petroleum-based lubricants may be used with the device. (only water based should be used)

A woman is using the contraceptive sponge as a birth control method. Which of the following actions is important in order to maximize the sponge's effectiveness?

MOISTEN SPONGE UNTIL IT IS FOAMY thoroughly wet it

A woman is menstruating. If hormonal studies were to be done at this time, which of the following hormonal levels would the nurse expect to see

estrogen and progesterone are low

The nurse is working with a client who states that she has multiple sex partners. Which of the following contraceptive methods would be best for the nurse to recommend to this client?

female condom

Use of diaphragm

increased UTI's

The nurse teaches a couple that the diaphragm is an excellent method of contraception providing that the woman does which of the following? 1. Does not use any cream or jelly with it.

leaves it in 6 hrs after intercourse

The nurse met four clients in the family planning clinic today. It would be most appropriate for the nurse to recommend the intrauterine device (IUD) to which of the clients?

Married, 26 year old, G3 P0121.

A client is being taught about the care and use of the diaphragm. Which of the following comments by the woman shows that she understands the teaching that was provided?

1. "I should regularly put the diaphragm up to the light and look at it carefully."

An infertile woman has been diagnosed with endometriosis. She asks the nurse why that diagnosis has made her infertile. Which of the following explanations is appropriate for the nurse to make?

1. "Scarring surrounds the ends of your tubes preventing your eggs from being fertilized by your partner's sperm."

A nurse is providing contraceptive counseling to a perimenopausal client, G3 P2012, who is in a monogamous relationship. Which of the following comments by the woman indicates that further teaching is needed?

1. "The calendar method is the most reliable method for me to use."

Nurses working in a midwifery office have attended a conference to learn about factors that increase a woman's risk of becoming infertile. To evaluate the nurses' learning, the conference coordinator tested the nurses' knowledge at the conclusion of the seminar. Which of the following problems should the nurses state increase a client's risk of developing infertility problems? Select all that apply. 1. Women who have menstrual cycles that are up to 30 days long. 2. Women who experience pain during intercourse. 3. Women who have had pelvic inflammatory disease. 4. Women who have excess facial hair. 5. Women who have menstrual periods that are over 5 days long.

2, 3, 4

A postpartum client has decided to use Depo-Provera (medroxyprogesterone acetate) as her contraceptive method. What should the nurse advise the client regarding this medication? 1. Take the pill at the same time each day. 2. Refrain from breastfeeding while using the method. 3. Expect to have no periods as long as she takes the medicine. 4. Consider switching to another birth control method in a year or so.

4 Depo-Provera for over 2 years have been found to suffer from loss of bone density. Some of the changes in bone density may be irreversible. TEST

A woman has gotten pregnant with a Copper T intrauterine device (IUD) in place. The physician has ordered an ultrasound to be done to evaluate the pregnancy. The client asks the nurse why this is so important. The nurse should tell the woman that the ultrasound is done primarily for which of the following reasons?

ectopic pregnancy

The nurse has provided a single, perimenopausal woman, G3 P2012, with contraceptive counseling. The woman has four sex partners and smokes 1 pack of cigarettes per day. Which of the following methods is best suited for this client? 1

male condom

The nurse has given postvasectomy teaching to a client. Which of the following responses by the client indicates that the teaching was effective?

will ejaculate the same you did before surgery

A client complaining of secondary amenorrhea is seeking care from her gynecologist. Which of the following may have contributed to her problem? 1. Athletic activities. 2. Vaccination history. 3. Pet ownership. 4. Genetic history.

1

A couple seeking contraception and infection-prevention counseling state, "We know that the best way for us to prevent both pregnancy and infection is to use condoms plus spermicide every time we have sex." Which of the following is the best response by the nurse?

"That is not true. It has been shown that condoms alone are very effective and that the spermicide might increase the transmission of some viruses."

A woman, whose menstrual cycle is 35 days long, states that she often has a slight pain on one side of her lower abdomen on day 21 of her cycle. She wonders whether or not she has ovarian cancer. What is the nurse's best response?

"Women often feel a slight twinge when ovulation occurs."

A couple is seeking infertility counseling. The practitioner has identified the factors listed below in the woman's health history. Which of these findings may be contributing to the couple's infertility? 1. The client is 36 years old. 2. The client was 13 years old when she started to menstruate. 3. The client works as a dental hygienist 3 days a week. 4. The client jogs 2 miles every day.

1

Five women wish to use the OrthoEvra (patch) for family planning. Which of the women should be carefully counseled regarding the safety considerations of the method? Select all that apply. 1. The woman who smokes 1 pack of cigarettes each day. 2. The woman with a history of lung cancer. 3. The woman with a history of deep vein thrombosis. 4. The woman who runs at least 50 miles each week. 5. The woman with a history of cholecystitis.

1, 3

A woman is being issued a new prescription for a low-dose combination birth control pill. What advice should the nurse give the woman if she ever forgets to take her pill?

1. Take it as soon as she remembers, even if that means taking two pills in one day.

A nurse working with an infertile couple has made the following nursing diagnosis: Sexual dysfunction related to decreased libido. Which of the following assessments is the likely reason for this diagnosis?

1. The couple has established a set schedule for their sexual encounters

An adolescent woman confides to the school nurse that she is sexually active. The young woman asks the nurse to recommend a "very reliable" birth control method, but she refuses to be seen by a gynecologist. Which of the following methods would be best for the nurse to recommend

The female condom is about 95% effective as a contraceptive device and is also effective as an infection-control device.

It is day 17 of a woman's menstrual cycle. She is complaining of breast tenderness and pain in her lower left quadrant. The woman states that her cycle is usually 31 days long. Which of the following is an appropriate reply by the nurse?

You're probably ovulating

A nurse is explaining to a client about monthly hormonal changes. Starting with Day 1 of the menstrual cycle, please place the following four hormones in the chronological order in which they elevate during the menstrual cycle. 1. Follicle-stimulating hormone. 2. Gonadotropin-releasing hormone. 3. Luteinizing hormone. 4. Progesterone.

2, 1, 3, 4 Gonadotropin-releasing hormone stimulates the production of follicle-stimulating hormone (FSH) and lutenizing hormone (LH). FSH rises first and LH follows. After ovulation, progesterone rises.

The nurse is counseling a woman who has been diagnosed with mild osteoporosis. Which of the following lifestyle changes should the nurse recommend? Select all that apply. 1. Eat yellow and orange vegetables. 2. Go on daily walks. 3. Stop smoking. 4. Consume dairy products. 5. Sleep at least eight hours a night.

2, 3, 4