CHN (FAM PLANNING)
Which statement by the client indicates that she understands the teaching provided about the intrauterine device (IUD)?
"The IUD can remain in place for a year or more."
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 of the following statements that the nurse might mention to the man is true?
The man will still have full erection capacity
Why is it recommended to not use mineral-oil based lubricants with a condom?
They can cause the latex to disintegrate and render the condom ineffective.
A 22-year-old woman taking a 35-mcg ethinyl estradiol COC calls after forgetting to take her pills for 2 consecutive days. She is 2 weeks into the pack. You advise her to:
take the last pill missed immediately, even if this means taking 2 pills today
On day 13 of a 28-day cycle, a woman's basal body temperature is 36.5 C (97.7 F). If she ovulates on day 14, her temperature measurement on day 14 would most likely be:
37.1 C (98.9 F)
A woman using the Billings method for birth control relies on which key feature to tell her whether she can safely have sex?
A change in cervical mucus consistency.
A female client comes to the clinic and asks the nurse what would be the most cost effective method for her to determine her ovulation pattern What is the best response by the nurse? A. "The least costly method to determine ovulation patterns is to record the basal body temperature for at least 4 months." B. "The least costly method would be a surgical procedure to determine if your fallopian tubes are blocked." C. The least costly method would be to purchase a commercial kit from the store to assess the upsurge of LH that occurs just after ovulation. D. The testing kit, Fertel, should be purchased, as well as a sperm kit for your male partner
A. "The least costly method to determine ovulation patterns is to record the basal body temperature for at least 4 months."
Your patient wants to discuss birth control options. She is a 36-year-old woman who is in a long-term, monogamous relationship. She runs 2 miles a day but also smokes a pack of cigarettes a day. Which birth control method would you discourage her from using?
A. Combination oral contraceptives
A 22-year-old nulligravid client tells the nurse that she and her husband have been considering using condoms for family planning. Which of the following instructions al would the nurse include about the use of condoms as a method for family planning? A. Using a spermicide with the condom offers added protection against pregnancy. B. Natural skin condoms protect against sexually transmitted diseases. C. The typical failure rate for couples using condoms is about 25%. D. Condom users frequently report penile gland sensitivity
A. Using a spermicide with the condom offers added protection against pregnancy.
Can you conceive while breastfeeding?
A. Yes, it's possible to get pregnant while breastfeeding
A young woman comes to the free clinic asking for birth control pills. Which of the following best indicates that another type of contraception would be better for this patient?
A. history of noncompliance with medications
When can a woman safely conceive aft discontinuing COC use? A. immediately B. after 1 to 2 months C. after 3 to 4 months D. after 5 to 6 months
A. immediately
A male patient has requested information on vasectomy. Which of the following would you include in your education to him? A. He will no longer ejaculation B. He may notice permanent increased scrotal swelling C. His testes will no longer produce sperm D. He will have normal sexual function
D. He will have normal sexual function
Freedom of choice is one of the policies of the Family Planning Program of the Philippines. Which of the following illustrates this principle?
Adequate information for couples regarding the different methods
Which of the following best explains the action of the lactational amenorrhea method (LAM) of fertility control? A. LAM prevents fertilization between the egg and sperm B. LAM prevents introduction of sperm into vagina C. LAM thickens the cervical mucus and blocks sperm D. LAM causes suppression of the ovulation process
D. LAM causes suppression of the ovulation process
A 19-year-old nulligravid client visiting the clinic for a routine examination asks the nurse about cervical mucus changes that occur during the menstrual cycle. Which of the following statements would the nurse expect to include in the client's teaching plan?Your most difficult times often lead to the greatest moments of your life.
As ovulation approaches, cervical mucus is abundant and clear.
A 30-year-old woman, Kimberly, is presently taking a Projestin-only pill as a contraceptive measure. She reported to have missed taking the pill yesterday. What would the nurse advise this patient.
Restart taking the pills as soon as possible
The following are acceptable methods of birth control for breastfeeding mothers
B) Progesterone-only pills (Micronor)
The nurse has given post vasectomy teaching to a client. Which of the following responses by the client indicates that the teaching was Final effective?
B. "I will ejaculate the same amount of semen as I did before the surgery.
Following the standard days method principles, which of the following patient is NOT qualified to use this method? A. A 25-year-old woman with 27 days menstrual cycle B. A 34-year-old woman with 34 days menstrual cycle C. A 29-year-old woman with 30 days menstrual cycle D. A 27-year-old woman with 29 days menstrual cycle
B. A 34-year-old woman with 34 days menstrual cycle
Which of the following instructions should be included in the nurse's teaching regarding oral contraceptives? A. Weight gain should be reported to the physician. B. An alternate method of birth control is needed when taking antibiotics (Rifampicin). C. If the client misses one or more pills, two pills should be taken per day for 1 week. D. Changes in the menstrual flow should be reported to the physician.
B. An alternate method of birth control is needed when taking antibiotics (Rifampicin).
What do male condoms offer that other forms of birth control do not?
B. Best protection against STIs
Before advising a 24-year-old client desiring oral contraceptives for family planning, the nurse would assess the client for signs and symptoms of which of the following? A. Diabetes. B. Hypertension. C. Dysmenorrhea. D. Acne vulgaris.
B. Hypertension.
Which of the following is NOT a way in which the combined oral contraceptive pill works to prevent conception? A.It prevents the ovaries releasing eggs. B. It boosts a woman's immunity so her antibodies attack sperm. C. It changes the lining of the uterus so a fertilized egg is less likely to implant and survive. D It thickens mucus at the opening of the uterus so it is harder for sperm to penetrate.
B. It boosts a woman's immunity so her antibodies attack sperm.
How reliable a contraceptive is the withdrawal method, in which the penis is withdrawn from the vagina before ejaculation?
B. It typically works 78 per cent of the time
Following the standard days method principles, the use of Cycle Beads is promoted. What does the white beads represent?
B. Pregnancy is more likely
The nurse is teaching an uncircumsized male to use a condom. Which of the following information should be included in the teaching plan? A. Apply mineral oil to the shaft of the penis after applying the condom B. Pull back the foreskin before applying the condom C. Create a reservoir at the tip of the condom after putting it on D. Wait five minutes after ejaculating before removing the condom
B. Pull back the foreskin before applying the condom
The nurse has taught a couple about the temperature rhythm method (Basal Body temperature) of fertility control. Which of the following behaviors would indicate that the teaching was effective? A. The woman takes her basal body temperature before retiring each evening B. The couple charts information from at least six menstrual cycles before using the method C. The couple resumes having intercourse as soon as they see a rise in the basal body temperaturé D. The woman assesses her vaginal discharge daily for changes in color and odor
B. The couple charts information from at least six menstrual cycles before using the method
How many ejaculations does it generally take for a man's vas tubes (the tubes that carry sperm from the testes to the penis) to be free of sperm after a vasectomy? A. Up to eight, but only a semen test can tell for sure. B. Up to 16, but only a semen test can tell for sure. C. It's time (two months) rather than the number of ejaculations that's critical. D. None of the above
B. Up to 16, but only a semen test can tell for sure.
Many men are reluctant to have a vasectomy because of the A. major surgery involved B. fear of a decrease in sexual performance C. permanency of the procedure D. cost of the procedure
B. fear of a decrease in sexual performance
The most common reasons for discontinuing oral contraception pills use is breakthrough bleeding and: A. nausea/vomiting. B. inconvenience of use. C. cost. D. failure rate.
B. inconvenience of use.
A woman asks the nurse, "How do oral contraceptives prevent pregnancy?" The nurse explains that the combination of estrogen and progesterone in oral contraceptives:
B. prevents ovulation.
A 23-year-old nulliparous client visiting the clinic for a routine examination tells the nurse that she desires to use the basal body temperature method for family planning. The nurse should instruct the client to do which of the following? A. Check the cervical mucus to see if it is thick and sparse. B.Take her temperature at the same time every morning. C. Document ovulation when the temperature decreases at least 1°F. D. Avoid coitus for 10 days after a slight rise in temperature.
B.Take her temperature at the same time every morning.
A client visits a healthcare facility for information on a vasectomy. Which of the following would best describe the initial information a nurse should provide? A. The procedure cannot be reversed B.Vasectomy is a relatively easy procedure with few complications C. Regular sperm counts are not essential D. Birth-control measures are not required
B.Vasectomy is a relatively easy procedure with few complications
When do condoms need to be applied to be effective?
Before penile-vulvar contact
A 26-year-old mother who breastfeeds her 10- monthold child queries about contraceptives. In counseling her on the use of the progestin- only pill (POP), you mention all of the following except:
POP is a more effective contraceptive than COC.
Assessment of a 16-year-old nulligravid client who visits the clinic and asks for information on contraceptives reveals a menstrual cycle of 28 days. The nurse formulates a nursing diagnosis of Deficient Knowledge related to ovulation and fertility management. Which of the following would be important to include in the teaching plan for the client?
C) Ovulation usually occurs on day 14, plus or minus 2 days, before the onset of the next menstrual cycle.
Following the standard days method principles, the use of Cycle Beads is promoted. What does the BROWN beads represent?
Pregnancy is very unlikely
A multigravid client will be using medroxyprogesterone acetate Depo-Provera) as a family planning method. After the nurse instructs the client about this method, which of the following client statements indicates effective teaching? A. "This method of family planning requires monthly injections." B. "I should have my first injection after my menstruation. C. "One possible side effect is absence of a menstrual period D. "This drug will be given by subcutaneous injections.
C. "One possible side effect is absence of a menstrual period
Which of these methods of sterilization is permanent? A. Tubal sterilization/ ligation B. Vasectomy C. A and B D. None of the above
C. A and B
When teaching a client about contraception. Which of the following would the nurse include as the most effective method for preventing sexually transmitted infections? A. Spermicides B. Diaphragm C. Condoms D. Vasectomy
C. Condoms
For which of the following clients would the nurse expect that an intrauterine nal device would not be recommended? A. Woman over age 35 B. Nulliparous woman C. Promiscuous (more than one sexual partner) young adult D. Postpartum client
C. Promiscuous (more than one sexual partner) young adult
What law mandates all hospitals, both government and public hospitals, to be baby-friendly i.e. instutitions that promote breastfeeding practice?
C. RA 7600
A. client tells the nurse that she plans to use the standard days (rhythm) method of birth control. The nurse is aware that the success of the rhythm method depends on the:
C. Regularity of the menses
The estrogen content in the contraceptive pill performs which of the following actions? A. Increases the level of luteinizing hormone (LH) B. Decreases the permeability of cervical mucus C. Suppresses folliclestimulating hormone (FSH) D. Interferes with ec sometrial proliferation
C. Suppresses folliclestimulating hormone (FSH)
A nurse is instructing a patient on birth control methods. The patient asks about the cervical mucus method. When should the nurse tell the patient she is fertile in relation to her mucus? A. Cervical mucus is not a reliable indicator B. When it is thick C. When it is thin, watery, and copious D. When it does not stretch
C. When it is thin, watery, and copious
Which of the following is NOT a fertility awareness contraceptive method?
C. Withdrawal method
Which of the following women is the best candidate for progestin-only pill (POP) / use? A. an 18-year-old woman who frequently forgets to take prescribed medications B. a 28-year-old woman with multiple sexual partners C. a 32-year-old woman with adequately- controlled hypertension D. All of the above
C. a 32-year-old woman with adequately- controlled hypertension
All of the following are true about fertility awareness methods, EXCEPT
C. they are used by most couples because of their convenience
A client is being prepared for artificial insemination. Which finding is the most suggestive to determine if the client is ovulating?
Change in the cervical mucus
A woman calls your clinic to report that she has had some cramping since the insertion of her D and that her present menstrual flow is heavy. You would advise her to do which of the following?
Consider this normal, because her IUD has been newly inserted
Which of these methods is called natural family planning?
D. All of the above
A nurse is preparing a client for intrauterine device (IUD) insertion. What should the nurse inform the client when educating her on IUDs?
D. Regular check of threads/strings must be done
A woman is seeking information on tubal ligation as a form of birth control. What information should the nurse provide to the patient?
D. This is a permanent procedure of birth control
Which of the following women should be considered as special targets for family planning? A. Those who have two children or more B. Those with medical conditions such as anemia C. Those younger than 20 years and older than 35 years D. Those who just had a delivery within the past 27 months
D. Those who just had a delivery within the past 27 months
A nurse is teaching a class on preventing pregnancy to high school students. Which of the following would the nurse identify as the best method to prevent both pregnancy and sexually transmitted infections (STIs)? A. condoms B. morning-after pills C. birth control pills D. abstinence
D. abstinence
Which of the following is typically associated with having a vasectomy? A. decreased testosterone production B. reduced rigidity of erections C. decreased sperm production D. normal orgasm
D. normal orgasm
When counseling a woman about COC use, you advise that: A. long-term use of COC is discouraged because the body needs a "rest" from birth control pills from time to time. B. fertility is often delayed for many months after discontinuation of COC. C. there is an increase in the rate of breast cancer after protracted use of COC. D. premenstrual syndrome symptoms are often improved with use of COC.
D. premenstrual syndrome symptoms are often improved with use of COC.
With the use of a levonorgestrel intrauterine system- IUD (Mirena), which one of the following is normally noted?
D. reduction in menstrual flow
Which contraceptive method involves long-acting synthetic progesterone Final injected intramuscularly every 3 months?
Depo-Provera
Following the standard days method principles, the use of Cycle Beads is promoted. What does the RED bead\s represent?
First day of your period
You are counseling women on birth control choices. Which woman is the best candidate for an IUD? A woman who:
Has one partner, her husband and 3 children
For natural reproductive life planning, which of the following is characteristic of cervical mucus during ovulation?
Increased number of leukocytes
The nurse is providing contraception counseling to a perimenopausal woman who has had negative reactions to oral contraceptives in the past and would like a long-term, non-hormóne based method that has a high rate of success. Neither she nor her husband wants to undergo surgery, however. Which of the following should the nurse recommend?
Intrauterine device
for the client who is using oral contraceptives, the nurse informs the client about the need to take the pill at the same time each day to accomplish which of the following?
Maintain hormonal levels
The nurse reminds a group of high school students that the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases is to: a. abstain from sex. b. use the male condom. c. use the female condom. d. use the barrier method.
a. abstain from sex
The nurse would tell the patient to expe what after she had an intrauterine device (IUD) inserted? a. Menstrual flow will be lighter. b. Menstrual cramps will be eliminated. c. A string should be felt in the vagina. d. The device should be changed every 2 years
c. A string should be felt in the vagina.
The nurse is discussing cervical mucus changes with a woman who wishes to use natural family planning methods. The nurse determines the woman understands the information presented when she says the changes in cervical mucus at ovulation:
enhance the motility of the sperm.
The nurse tells a woman who is trying to conceive to check her cervical mucus for changes. A few days before ovulation, the cervical mucus is:
d. clear and slippery
