prepU ch 4 Common 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."
A female client has been trying to conceive for 3 months. She tells the nurse, "I just know something is wrong with me." Which response by the nurse is best?
"It can take up to 1 year of regular, unprotected intercourse to conceive."
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."
A client is seen in the clinic requesting an emergency postcoital contraception pill levonorgestrel (Plan B). The client states that she had unprotected sex 3 ½ days ago. What is the most appropriate response by the nurse?
"Unfortunately you are past the time frame to take that prescription."
The nurse is caring for a client requesting oral contraceptives who has multiple sexual partners. The nurse recommends condoms to the client, but the client states, "I cannot use condoms because I am allergic to latex." Which response by the nurse is appropriate?
"You can still use condoms because they make latex-free condoms."
Subfertility/infertility is said to exist when a couple has failed to achieve pregnancy after how many months of unprotected sexual intercourse?
12
The client has heard of extended-cycle oral contraceptive regimens and desires more information. The nurse explains that these regimens consist of active combination pills, followed by placebo pills. How many days of active combination pills and placebo pills are contained in these regimens?
84 active; 7 placebo
A nurse is preparing a client for intrauterine device (IUD) insertion. Which education will the nurse provide to the client?
A regular check of threads must be done.
After assessing a client, a nurse determines that an IUD as a method of contraceptive would be contraindicated based on a history of which finding?
Abnormal uterine shape
A nurse should instruct a client who has a very low sperm count to make which lifestyle modification?
Abstain from intercourse for 8 days at a time
A nurse is teaching a female client who is unable to conceive how to monitor her basal body temperature. Which instruction would the nurse prioritize for this client?
Chart body temperature for at least a month
A client presents at the clinic and is interested in obtaining emergency contraception (EC). The nurse explains that EC must be used within 72 hours of unprotected sex to be effective. This is because:
ECs simply prevent embryo creation and uterine implantation from occurring in the first place.
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
The nurse is developing a presentation for a group of young adult women about premenstrual syndrome. Which treatment options should the nurse point out as most appropriate? Select all that apply.
Reduction of caffeine intake Vitamin and mineral supplements Diuretic therapy NSAIDs
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.
A woman is to receive methotrexate and misoprostol to terminate a first-trimester pregnancy. When preparing the teaching plan for this client, the nurse understands that misoprostol works by:
causing uterine contractions to expel the uterine contents.
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
A woman and her partner have been unable to conceive. The female client's chart reveals a history of pelvic inflammatory disease (PID), oral contraceptive usage for 5 years, blood pressure 98/72 mm Hg, pulse 78 beats/min, temperature 99°F (37.2°C), and white blood cell (WBC) count 9,500 mm3 (9.5 x 109/l). Which order will the nurse anticipate for this client?
hysterosalpingography
The nurse informs the client that a diaphragm is an example of which type of contraception?
mechanical barrier
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?
oral contraceptive pills (OCPs)
A woman has just been prescribed clomiphene citrate to stimulate ovulation. Which possible effect should the nurse warn the woman about?
overstimulation of the ovary resulting in potential multiple births
A couple comes to the clinic and states to the nurse, "I don't think we are ever going to be able to have children. We have been trying but have had no luck." What assessments does the nurse anticipate will be performed for this couple? Select all that apply.
semen analysis ovulation monitoring tubal patency
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
A woman is diagnosed with primary dysmenorrhea and is prescribed ibuprofen as part of her treatment plan. When teaching the woman about using this medication, which instruction would be important for the nurse to emphasize?
"Start taking the medication when you first get your period."
A nurse is reviewing sperm count results for a couple trying to conceive. Which results would concern the nurse?
10 million per mL of seminal fluid
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 client has been given instructions about a scheduled sonohysterosalpingogram. Which statement, if made by the client, should indicate to a nurse that the client has an adequate understanding of the instructions?
"They will place a catheter in my uterus and use an ultrasound to see what the problem is."
The public health nurse is teaching a community class of couples on fertility awareness-based methods. The nurse determines that additional teaching is needed when one of the couples states that they will be using which method?
coitus interruptus method
A nurse is providing a client with information on hormonal contraception. Which could the nurse use as an example of hormonal contraception?
medroxyprogesterone
The client is interested in using an injectable contraceptive that works by suppressing pituitary secretions. The nurse provides the client with literature and discusses which contraceptive with her?
medroxyprogesterone acetate
A couple consults with the nurse regarding their infertility issues. The female says "I don't know what I have done so bad that God would punish me like this." What would be the mostappropriate nursing diagnosis for this couple?
Spiritual distress related to inability to conceive
A young woman comes to the free clinic asking for oral contraceptive pills. Which factor bestindicates that another type of contraception would be better for this client?
history of noncompliance with medications
