Maternal Quiz CHAPT 6

The nurse should teach her to assess whether her cervical mucus is thin and watery.

Suppose Dana, 17 years old, tells the nurse she wants to use a fertility awareness method of contraception. How should the nurse best meet Dana's learning needs?

Report bleeding that requires a pad change every 2 hours

The nurse is giving discharge instructions to a client who has had an aspiration abortion by suction curettage. What should the client be told?

Should be recorded each morning before any activity.

The nurse is teaching a group of women about fertility awareness, the nurse should emphasize that basal body temperature:

Spontaneous expulsion of the device

The nurse should explain that a common problem associated with the use of IUDS is:

An excessive menstrual flow

The nurse teaches that the most frequent side effect associated with the use of an IUD is:

Prolactin

The pituitary hormone that stimulates the secretion of milk from the mammary glands is:

Drops slightly and then rises

When teaching clients to determine the time of ovulation by taking the basal temperature, the nurse explains that the change in the basal temperature during ovulation:

Female Condom

Which of the following is more effective in protecting couple from STDs?

It is essential for maintenance of the family equilibrium.

Why is it important for the nurse to support the parents' decision to abort a fetus with a birth defect?

Diaphragms

Contraceptive that does not have estrogen-like and/or progesterone-like compounds are prepared in a variety of forms.

"Encourage Dana to drink a glass of milk or take a calcium supplement daily."

Suppose Dana, 17 years old, chooses intramuscular injections of DMPA as her method of reproductive life planning. What instructions would the nurse want members of the care team to give her with regard to this method?

Thin, clear, good spinnbarkeit.

The community nurse is teaching the group of mothers about the cervical mucus method of natural family planning. Which characteristics are typical of the cervical mucus during the "fertile" period of the menstrual cycle?

Follicle-stimulating hormone and estrogen

The hormones responsible for the proliferation phase of the menstrual cycle are:

Presence of stress

The nurse explains that the efficiency of the basal body temperature method of contraception depends on fluctuation of the basal body temperature. A factor that will alter its effectiveness is

Maintenance of the thick uterine endometrium

What occurs in response to the large amount of progesterone secreted during the secretory phase of the menstrual cycle?

It requires at least 15 ejaculations to clear the tract of sperm

Which is important for the nurse to discuss with a client who just had a vasectomy?

Severe migraine headache

Suppose Dana, 17 years old, chooses to use a COC as her family planning method. What is a danger sign of COCS the nurse would ask her to report?

Interfering with either fertilization or implantation

A client seeking advice about contraception asks the nurse about an IUD. The nurse explains that the IUD provides contraception by:

"You will be admitted as an outpatient because you can go home the same day."

A couple indicate that they do not want any more children. The wife is scheduled for a laparoscopic bilateral tubal ligation. What should the nurse include in preoperative teaching?

After the red bead, six brown beads follow which indicate "unsafe" days

A couple went to your facility to ask about the use of Standard Days method. Which of the following statement is not true about Standard Days Method?

In a 28-day cycle, ovulation occurs at or about day 14. The egg lives for about 24 hours and the sperm live for about 72 hours. The fertile period would be approximately between day 11 and day 15.

A female client who has a 28-day menstrual cycle asks the community health nurse when she get pregnant during her cycle. What will be the best nursing response?

Her baby has not yet turned 9 months

A pregnant mother asked if she is qualified to use Lactating amenorrhea method as means of family planning after delivery. Which of the following statement is not true about LAM?

17th

A woman menstruates regularly every 30 days. Her last menses started on January 1st. She will most probably ovulate on January:

Client had a right to receive correct, unbiased information

A young couple attend the prenatal clinic. The wife is at 8 weeks' gestation and asks the clinic nurse for information about an abortion. The nurse expresses the opinion that abortion is immoral and that many women have long-term guilt feelings after an abortion. The couple leave the clinic in a very disturbed state. Legally, the:

24 to 36 hours

After ovulation has occurred, the nurse teaches women in the fertility clinic that the ovum is thought to remain viable for

The client needs to express her feelings of guilt, anger, and frustration

An amniocentesis done on a client at 16 weeks' gestation reveals a fetus with Down syndrome. The client and her husband elect to have the pregnancy terminated. What should the nurse understand when caring for a client whose pregnancy is surgically terminated?

"I would prefer another assignment that is not contrary to my beliefs."

One day the family planning clinic is very busy, and the supervisor asks a nurse from the pediatric clinic who is strongly opposed to any chemical or mechanical method of birth control to work in the family planning clinic. What is the most professional response that this nurse could give to the supervisor?

14 days before the next period is expected

One of the responsibilities of a nurse in a fertility specialist's office is to provide health teaching to the client in relation to timing of intercourse. Which instruction to the client addresses the best time to achieve a pregnancy?

Sperm can no longer reach the ova because fallopian tubes are blocked.

Dana, 17 years old, e-mails the nurse to ask how a tubal ligation prevents pregnancy. To be certain she's fully informed, which would be the nurse's best answer?

Female condoms should be inserted before penile penetration.

Dana, 17 years old, wants to try female condoms as her reproductive planning method. If the nurse was creating a relevant educational handout, it should include which of the following directives?

Luteinizing hormone level is high

In a lecture on sexual functioning, the nurse plans to include the fact that ovulation occurs when the:

Prepare the uterus to receive a fertilized ovum

In response to a client's question, the nurse identifies that the chief function of progesterone is to:

Spermatozoal viability.

Most couples are using "natural" family planning methods. Most accidental pregnancies in couples preferred to use this method have been related to unprotected intercourse before ovulation. Which of the following factor explains why pregnancy may be achieved by unprotected intercourse during the preovulatory periad?