Homework answers / question archive / Chapter 6: Human Sexuality and Fertility MULTIPLE CHOICE 1) The reproductive health nurse counsels a 17-year-old woman who is interested in initiating contraception

Chapter 6: Human Sexuality and Fertility MULTIPLE CHOICE 1) The reproductive health nurse counsels a 17-year-old woman who is interested in initiating contraception

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Chapter 6: Human Sexuality and Fertility MULTIPLE CHOICE

1) The reproductive health nurse counsels a 17-year-old woman who is interested in initiating contraception. Which of the following would be a short-term positive outcome of the visit?

A.        Able to describe how to obtain and use the contraceptive chosen

B.        Continued use and pregnancy prevention for 6 months

C.        Lack of side effects and complaints about the method after 3 months

D.        Voiced satisfaction with this method over 6 months

 

2.         The clinic nurse is counseling a woman who had a Nexplanon rod implanted. The nurse reminds her that she will need an appointment to replace this birth control method in what time frame?

A.        12 months

B.        24 months

C.        36 months

D.        48 months

 

3.         A 24-year-old lactating woman asks about contraceptive options. The family planning clinic nurse recommends an oral contraceptive formulated with which ingredients?

A.        Biphasic formulation

B.        Estrogen-progestin

C.        Progestin only

D.        Triphasic formulation

 

4.         A woman is interested in the transdermal contraceptive patch. She is 55 tall and weighs 200 lb (90.9 kg). What information should the nurse provide this patient as a priority?

A.        It may cause skin irritation.

B.        She cant use the patch at her weight.

C.        The patch is about 95% effective.

D.        Withdrawal bleeding occurs monthly.

 

 

5.         A nurse works with many women who self-identify as lesbian or bisexual. What action by the nurse would best address this populations needs?

A.        Aggressive screening for sexually transmitted infections

B.        Assisting with procedures related to conception

C.        Providing information on increased cancer risks

D.        Using questions that do not assume sexual orientation

 

 

6.         The nurse working in a family practice clinic assesses women for sexual dysfunction. Which woman would the nurse assess as having a sexual dysfunction?

A.        Complains about lack of arousal but still has intercourse

B.        Enjoys a platonic relationship with her gentleman friend

C.        Needs increased foreplay in order to reach an orgasm

D.        No desire for intimacy and is comfortable with the situation

 

7.         A nurse is working with a patient who has the nursing diagnosis of altered sexuality patterns. What action by the nurse takes priority?

A.        Assists with the physical exam

B.        Establishes a trusting relationship

C.        Reviews the past medical history

D.        Takes a comprehensive sexual history

 

8.         A nurse is assessing a patient who complains of an inability to achieve orgasm. The patient was recently started on several new medications. Which one would the nurse evaluate as possibly contributing to this problem?

A.        Atenolol (Tenormen)

B.        Clonidine (Catapres)

C.        Levothyroxine (Synthroid)

D.        Sertraline (Zoloft)

 

9.         The nurse is assessing a sexually active heterosexual woman who does not use birth control. The nurse explains that the chance of becoming pregnant with each act of unprotected intercourse is what percentage?

A. 5-10%

B. 10-15%

C. 15-20%

D. 20-25%

 

10.       A nurse is working with a young woman planning to become sexually active. She has the nursing diagnosis of knowledge deficit related to contraceptive choices. Which action by the patient would indicate that a priority goal has been met?

A.        Can describe how to use method chosen and its side effects

B.        Is able to choose the best fit from contraceptive choices

C.        Obtains the contraceptive method previously desired

D.        Willing and able to explain contraceptive method to partner

 

11.       A teenage girl wishes to obtain birth control and is interested in a diaphragm. What advice does the nurse provide?

A.        Good choice because it is cheap

B.        Good choice because it is easy to use

C.        Poor choice because it is not effective

D.        Poor choice because it requires planning

 

12.       A woman who was recently fitted for a diaphragm is in the clinic for a follow-up visit. Which statement by the patient indicates that teaching was effective?

A.        An added benefit is that it contains my menstrual flow.

B.        Baby oil is a cheap and effective lubricant for the diaphragm.

C.        I leave the diaphragm in place for 6 hours after intercourse.

D.        This diaphragm will have to be replaced within 3 years.

 

 

13.       A nurse is working with a young couple whose contraceptive choice is latex condoms. What statement by either partner indicates the need for more teaching?

A.        Man: I dont carry these in my wallet in my pants pockets.

B.        Man: I make sure I am using the correct size of condom.

C.        Woman: I ask him to check the expiration dates each time.

D.        Woman: I buy nonoxynol-9 spermicide to use with condoms.

 

14.       Which of the following women would the nurse advise to use a back-up contraceptive in addition to their birth control pills?

A.        Being treated for tuberculosis

B.        Is a diabetic taking insulin

C.        On antibiotics for bronchitis

D.        Takes inhalers for asthma

 

15.       A woman is being started on oral contraceptive pills. Which screening assessments should the nurse perform or assist with?

A.        Blood pressure

B.        Breast exam

C.        Pelvic exam

D.        Weight

 

 

16.       A patient has been taught about the vaginal contraceptive ring. Which statement by the patient indicates that further teaching is needed?

A.        If it comes out at all, I need back-up contraception for a week.

B.        The exact position of the ring is not vital for its function.

C.        Using tampons is allowed with the vaginal contraceptive ring.

D.        Vaginal contraceptive rings are about 96% effective.

 

17.       The nurse is teaching a group of women about hormonal emergency contraception. Which of the following is not a benefit of this type of contraception?

A.        Available in some forms over the counter

B.        Can be taken up to 120 hours after intercourse

C.        Over-the-counter version has only two pills

D.        Typically has no side effects

 

 

18.       A nurse in an emergency pregnancy clinic is evaluating women for the IUD method of emergency contraception. Which woman would not be considered a good candidate for this method of emergency contraception?

A.        Does not wish to have an abortion

B.        Had sexual intercourse 4 days ago

C.        Took over-the-counter morning-after pill today

D.        Was raped by a stranger

 

19.       A student nurse is giving a patient an intramuscular Depo-Provera injection. Which action by the student would cause the instructor to intervene?

A.        Assesses that the patients last period started 57 days ago

B.        Injects the medication deeply into the gluteus maximus

C.        Instructs the woman to return in 3 months for another shot

D.        Massages the site when the patient complains of pain

 

20.       A patient has been taught about her Depo-Provera contraceptive injection. Which statement by the patient indicates that education has not been effective?

A.        Daily weight-bearing exercise will be important.

B.        I can become pregnant right after stopping the shots.

C.        I should add a calcium supplement to my diet.

D.        Hopefully I wont have any periods while on this medication.

 

21.       An adolescent is in the family practice clinic to obtain birth control. She began menstruating 4 days ago and wants the Depo-Provera injection because of the convenience associated with the method. What action by the nurse is best?

A.        Administer the injection as prescribed.

B.        Assist the teen in choosing another method.

C.        Document that education was completed.

D.        Obtain a urine sample for a pregnancy test.

 

22.       Prior to a sterilization procedure, which action by the nurse takes priority?

A.        Obtaining informed consent from the partner

B.        Obtaining pre-approval for Medicaid patients

C.        Obtaining pre-approval from the insurer

D.        Obtaining the womans informed consent

 

23.       A woman who is 10 weeks pregnant is being counseled by the nurse regarding her upcoming elective abortion. What information should the nurse provide?

A.        A local anesthetic will be injected into your vagina.

B.        The exact name of the procedure is dilation and extraction.

C.        They may use a seaweed product to dilate your cervix.

D.        You wont need to have any cervical dilation at all.

 

24.       A woman had an elective surgical abortion 7 weeks ago and calls the clinic to ask when her menstrual periods should return. What response by the nurse is most appropriate?

A.        I will ask the physician to prescribe misoprostol (Cytotec).

B.        It usually takes 1 to 3 months for your menstrual periods to return.

C.        Please come in to the clinic today for a checkup.

D.        You should be seen in the emergency department.

 

25.       A woman is in the clinic for a checkup 4 weeks after elective surgical abortion and has the nursing diagnosis of spiritual distress related to discrepancy between religious beliefs and reproductive choices. Which statement by the patient indicates that goals for this diagnosis have been met?

A.        I dont ever want to go through anything like that again.

B.        I found out that my religion doesnt forbid birth control.

C.        I talked to my minister and feel better about my choice.

D.        I will be much more careful about contraception now.

 

26.       A woman who desires a second-trimester medical abortion has been educated about the procedure, side effects, and follow-up. What statement by the patient indicates that additional teaching is needed?

A.        I understand that I might need several doses of the prostaglandins.

B.        I will get over-the-counter medication to treat any headache that I get.

C.        I will watch for dizziness when standing if I have vomiting or diarrhea.

D.        If I get a fever with chills, I should go to the emergency department.

 

27.       A nurse reads on a womans chart that she has a past history of Asherman syndrome. What does the nurse conclude about this patient?

A.        Has had an abortion

B.        Has had multiple miscarriages

C.        Has never been pregnant

D.        Has a uterine abnormality

 

28.       After an abortion, when should the nurse advise the patient to return for a follow-up visit?

A.        2 weeks

B.        4 weeks

C.        6 weeks

D.        8 weeks

 

29.       A nurse is reviewing a 36-year-old womans chart. The woman has the diagnosis of infertility. What does the nurse conclude about this woman?

A.        Has a medical condition that prevents pregnancy

B.        Has been attempting to get pregnant for 12 months

C.        Has delayed pregnancy and childbirth for too long

D.        Has not conceived in 6 months of actively trying

 

30.       During the initial visit with a couple in the infertility clinic, what action by the nurse is best to promote a trusting relationship?

A.        Explain the process of a workup and its sensitive nature.

B.        Give written information with a timeline of testing.

C.        Go over the cost of a workup and insurance coverage.

D.        Ask the couple if they have considered adoption as an alternative option.

 

31.       A nurse is explaining that a woman will undergo follicular monitoring to evaluate her response to ovulation induction. For what test does the nurse prepare her?

A.        3-D ultrasound and color flow Doppler

B.        Endometrial biopsy

C.        Hysterosalpingography

D.        Laparoscopy

 

32.       A woman is having hysterosalpingography and begins complaining of severe left shoulder pain. What action by the nurse is best?

A.        Administer morphine sulfate, 12 mg intravenously.

B.        Ask the patient if she took a nonsteroidal anti- inflammatory drug (NSAID) prior to the procedure.

C.        Determine exactly where the woman is in her monthly cycle.

D.        Inform the physician so the procedure can be stopped.

 

33.       A woman is being treated for infrequent ovulation. The nurse should educate her about what medication?

A.        Clomiphene citrate (Clomid)

B.        Chlorambucil (Leukeran)

C.        Estradiol (Estrace)

D.        Follicle-stimulating hormone (FSH)

 

34.       A woman is receiving clomiphene citrate (Clomid). What assessment finding warrants immediate intervention by the nurse?

A.        Chest pain worse with inspiration

B.        Complaints of anxiety and depression

C.        Headache and bilateral eye pain

D.        Increase in blood pressure of 10%

 

35.       A woman in the infertility clinic is concerned that her religion may object to assisted reproductive technologies. Which process should the nurse explore with the woman as possibly acceptable?

A.        FET (frozen embryo transfer)

B.        GIFT (gamete intrafallopian transfer)

C.        IVF-ET (in vitro fertilization-embryo transfer)

D.        ZIFT (zygote intrafallopian transfer)

 

36.       A nurse is counseling a couple about fertility prior to the husband beginning chemotherapy for cancer. The couple wish to delay childbirth until the husband is in remission. What information from the nurse is most accurate?

A.        Donor sperm are usually used in cases such as yours.

B.        Have you considered cryopreservation of your sperm?

C.        Most chemotherapeutic drugs dont affect fertility.

D.        You shouldnt wait, because remission may not occur.

 

37.       A woman asks the nurse about taking chasteberry tree supplements. What response by the nurse is best?

A.        Herbal supplements have no side effects.

B.        There are no scientific data supporting the use of this supplement.

C.        This herb is known to promote ovulation.

D.        Try it first, as herbs are inexpensive.

 

38.       A woman is tracking her basal body temperature and is having inconsistent results. When assessing the patient, the nurse discovers that the patient has seasonal allergies. The nurse needs to assess for what further information?

A.        Any over-the-counter allergy medications taken

B.        How long the patient has suffered from allergies

C.        Signs and symptoms the patient has with her allergies

D.        What grasses, trees, molds, and pollens affect her

 

39.       A woman with hypertension is experiencing infertility. After reviewing her medication list, which medication does the nurse advise the woman to discuss with her primary care provider?

A.        Atenolol (Tenormin)

B.        Enalapril (Vasotec)

C.        Isosorbide dinitrate (Isordil)

D.        Methyldopa (Aldomet)

 

40.       The nurse has educated a woman about bromocriptine mesylate (Parlodel). Which statement by the patient indicates that she needs more teaching about this drug?

A.        I may get a metallic taste in my mouth when using this drug.

B.        My endometriosis will regress with this medication.

C.        Some side effects include vomiting, headache, and dizziness.

D.        This medication normalizes follicle-stimulating hormone.

 

41.       A woman has been taking progesterone via intramuscular injection. She calls the clinic to complain of swollen ankles. What response by the nurse is best?

A.        Advise her to come to the clinic for an EKG.

B.        Assess how much sodium is in her daily diet.

C.        Have her go to the nearest emergency department.

D.        Reassure her that this is a common side effect.

 

42.       A woman is in the clinic complaining of frequent constipation. During the assessment, the patient states that she has been trying to conceive for many months. Which of the following should the nurse ask this patient about using?

A.        Bisocodyl (Dulcolax) suppositories

B.        Fleet enemas

C.        Psyllium (Metamucil)

D.        Senna (Senekot)

 

MULTIPLE RESPONSE

 

1.         Masters and Johnson described the four phases of human sexual response. Which phases did they include? (Select all that apply.)

A.        Excitement

B.        Orgasm

C.        Plateau

D.        Resolution

E.        Response

 

2.         A nurse is working with women and issues of reproductive health practices to help meet the National Health Goals related to reproductive life planning. Which goals are included in this document? (Select all that apply.)

A.        Increase the number of private pharmacies that supply emergency contraception.

B.        Increase the proportion of subsequent births to 18 months from 12 months.

C.        Increase the proportion of young males who receive reproductive health care.

D.        Reduce the number of publicly funded family planning clinics that offer abortion.

E.        Reduce the proportion of women with unplanned pregnancy despite contraception.

 

3.         A couple is interested in fertility-awareness-based (FAB) family planning. The nurse should advise them about what drawbacks that accompany this method? (Select all that apply.)

A.        Depends on tracking cycles on a calendar

B.        Less than 50% effective in family planning

C.        May interfere with sexual spontaneity

D.        Requires months of charting cycles before use

E.        Requires a lot of motivation and education

 

 

4.         The clinic nurse obtains a history from women who wish to use a cervical cap as their method of contraception. The nurse assesses for relative or absolute contraindications to this contraceptive device, including which of the following? (Select all that apply.)

A.        Patient is a commercial sex worker.

B.        Patient has history of an abnormal Pap test.

C.        Patient has human papillomavirus infection.

D.        Patient has silicone allergy.

E.        Patient is nulliparous.

.

 

5.         The family planning clinic nurse reviews the signs and symptoms of toxic shock syndrome (TSS) with a patient who is being fitted for a diaphragm. The nurse explains that the patient should promptly seek medical attention if she develops which of the following manifestations? (Select all that apply.)

A.        Develops a generalized red rash

B.        Develops a fever over 101.1F (38.4C)

C.        Experiences difficulty breathing

D.        Feels lightheaded, is dizzy, or has chills

E.        Has swelling of the face or neck

 

6.         The nurse teaches a patient the acronym ACHES for the serious symptoms that must be reported immediately when taking oral contraceptive pills. Which manifestations does this include? (Select all that apply.)

A.        Abdominal pain

B.        Chest pain

C.        Headaches

D.        Eye pain

E.        Sore muscles

 

7.         The clinic nurse uses the acronym PAINS when teaching a woman about warning signs associated with her intrauterine device (IUD). Warning signs include which of the following? (Select all that apply.)

A.        Breast tenderness

B.        Fever and/or chills

C.        Inability to feel the strings

D.        Spotting

E.        Vaginal discharge

 

 

8.         A nurse is explaining contraceptive options to a young woman. What benefits of an IUD does the nurse describe? (Select all that apply.)

A.        Appropriate with dysmenorrhea

B.        No interference with spontaneity

C.        No daily attention required

D.        No hormonal side effects associated with the Copper T 380A

E.        One-time expense

 

9.         A nurse is counseling women about the lactational amenorrhea method of contraception. Which of the following women would the nurse advise to use another method of contraception if pregnancy is not desired? (Select all that apply.)

A.        Baby is 5 months old and started on cereals.

B.        Baby is 8 months old; menses have not resumed.

C.        Baby is 4 months old; breastfed exclusively.

D.        Dad feeds 5-month-old baby the mothers stored breast milk.

E.        Mother uses breast pump while at work.

 

10.       A woman has decided to have an elective abortion. What information can the nurse provide to make the experience less stressful and to better prepare her? (Select all that apply.)

A.        Average waiting time to be seen

B.        Cost and range of services provided

C.        How many patients the clinic sees

D.        How to access social services

E.        Potential for protesters to be present

 

11.       A nurse is counseling a woman who wishes to undergo an elective medication abortion. The nurse should assess the woman for what psychosocial considerations? (Select all that apply.)

A.        Availability of a close friend who can stay with the woman

B.        Feeling that medication pregnancy termination is a natural, less stressful process

C.        Potential for trauma at seeing or handling the products of conception

D.        Previous use of alcohol or other substances for coping

E.        Type of birth control the woman plans to use after the abortion

 

12.       A nurse is assessing a couple who are in the clinic complaining of an inability to get pregnant. Which questions are most important at this time? (Select all that apply.)

A.        Do you get up right after intercourse?

B.        Do you know how to track your cycle?

C.        How do you know when you ovulate?

D.        How often do you have intercourse?

E.        What sexual positions do you use?

 

13.       A nurse is instructing a man on the correct procedure for semen analysis. Which instructions should the nurse include? (Select all that apply.)

A.        Abstain for 23 days before collecting the sample.

B.        Collect the sperm sample through masturbation.

C.        Have the sample in the laboratory within 3 hours of collection.

D.        Store the sample on ice while bringing it to the lab.

E.        Store the sample on your body during transport.

 

14.       An infertility clinic nurse explains to the student that the process of sperm washing has several benefits. Which benefits should the nurse explain to the student? (Select all that apply.)

 

A.        Improves chances of fertilization

B.        Increases sperm motility

C.        Makes the sperm denser

D.        May correct sperm clumping

E.        Removes sperm impurities

 

15.       The nurse is concerned about a woman who is undergoing her second in vitro fertilization (IVF) cycle. The patient is anxious, sad, and worried that her partner does not feel as motivated as she does to try to achieve a pregnancy. Which actions by the nurse are most appropriate? (Select all that apply.)

A.        Ask the woman to consider herbal supplements like blue cohosh.

B.        Encourage the woman to talk honestly with her partner.

C.        Explain that it takes an average of five attempts to become pregnant with IVF.

D.        Instruct the woman to engage in relaxation techniques.

E.        Encourage the woman and her partner to contact a support group such as RESOLVE.

 

 

16.       A nurse is teaching a couple about the postcoital test. What information should the nurse provide about the test? (Select all that apply.)

A.        It assesses the quality and quantity of cervical mucus at ovulation.

B.        It assesses the quality of sperm function at the time of ovulation.

C.        It may cause cramping and discomfort when samples are obtained.

D.        The woman should have nothing by mouth for 6 hours before the test.

E.        The woman should return to the clinic 6 to 12 hours after intercourse.