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5.12.1: Review Questions

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    Review Questions

    1 .
    One goal of Healthy People 2030 is to improve pregnancy planning and prevent unintended pregnancy. What is a negative outcome related to unintended pregnancy that is related to this HP goal?
    1. lost jobs related to inabilities to continue to work
    2. depression and anxiety
    3. increased BMI and unintentional weight gain
    4. increased health-care costs in the United States
    2 .
    When the nurse is assisting a person desiring contraception, a history and physical is done. What is an important question the nurse should ask?
    1. What is your education level?
    2. Have you ever been pregnant?
    3. Are you married?
    4. What is your exercise routine?
    3 .
    The nurse assesses a patient for medical eligibility for contraceptive use. What is the meaning of an MEC score of 1?
    1. There is no restriction for the use of the contraceptive method.
    2. There is an unacceptable health risk if the contraceptive method is used.
    3. There is a risk that outweighs the advantages of the contraceptive method.
    4. There is an advantage of using a contraceptive method that outweighs any risk.
    4 .
    The nurse assesses a patient for medical eligibility for contraceptive use. What is the meaning of an MEC score of 2?
    1. There is no restriction for the use of the contraceptive method.
    2. There is an unacceptable health risk if the contraceptive method is used.
    3. There is a risk that outweighs the advantages of the contraceptive method.
    4. There is an advantage of using a contraceptive method that outweighs any risk.
    5 .
    When evaluating cervical mucus, what is the quality of spinnbarkeit?
    1. elasticity
    2. amount
    3. clarity
    4. color
    6 .
    A patient would like to use the calendar method for contraception. She has charted her menstrual cycles for several months. Her longest menstrual cycle was 39 days long, and her shortest period was 29 days long. The nurse educates the patient to avoid condomless intercourse during what range of days of the cycle?
    1. day 9 through day 19
    2. day 10 through day 15
    3. day 12 through day 16
    4. day 11 through day 28
    7 .
    Why would FAM not be appropriate for the nurse to recommend to a perimenopausal person?
    1. At that age, people do not have intercourse on a regular basis.
    2. They are married and do not need contraception.
    3. They have irregular menstrual periods.
    4. Pregnancy is not a concern when a person is perimenopausal.
    8 .
    A patient asks the nurse about using the basal body temperature method as contraception. What statement made by the patient indicates that the patient needs further teaching?
    1. “I need to take my temperature before I even sit up in bed.”
    2. “A rise of 0.4° F above my baseline temperatures for 3 days indicates it is safe to have condomless sex.”
    3. “I need to use a special thermometer to take my basal body temperature.”
    4. “I know I am about to ovulate when my temperature rises at least 0.4° F.”
    9 .
    The nurse provides counseling on coitus interruptus. What important counseling should be included?
    1. The partners must communicate well to use this method.
    2. This method is 100 percent effective because semen does not enter the vagina.
    3. BBT must be used with this method.
    4. All persons are able to control ejaculate in time to withdraw.
    10 .
    What is contraceptive abstinence?
    1. mutual masturbation
    2. individual masturbation
    3. oral stimulation of the genitals
    4. avoiding penis-in-vagina intercourse
    11 .
    What is an advantage of the cervical cap over the diaphragm?
    1. a lower failure rate
    2. its ease of insertion
    3. that it can remain in place for 48 hours
    4. that spermicide is not needed
    12 .
    What is an advantage of the internal condom?
    1. It can be used by those who have a latex allergy.
    2. It can be used for repeated acts of intercourse.
    3. It has a lower failure rate than external condoms.
    4. It can be used for pleasure purposes.
    13 .
    A patient calls and says she used her diaphragm on Saturday night at 8:00 p.m., again on Sunday morning at 2:00 a.m., and again at 8:00 a.m. She is wondering when she can safely remove it while still having effective contraception. What is the nurse’s best response?
    1. 10:00 a.m. Sunday
    2. 2:00 p.m. Sunday
    3. 10:00 p.m. Sunday
    4. 8:00 a.m. Monday
    14 .
    What must instructions for use of nonoxynol-9 spermicide include?
    1. Nononxynol-9 used with barrier methods increases their efficacy.
    2. When spermicide is used with condoms, it will further decrease the risk of STIs.
    3. Remove excess spermicide from the vagina within 6 hours to reduce vaginal irritation.
    4. Place the spermicide close to the opening of the vagina for maximal effectiveness.
    15 .
    A patient has had four vaginal deliveries. What barrier contraceptive method’s efficacy is affected by this history?
    1. internal condom
    2. external condom
    3. cervical cap
    4. contraceptive gel
    16 .
    How does estrogen work in COC pills?
    1. inhibits ovulation through suppression of LH hormone
    2. provides most of the contraceptive effect of the COC
    3. stabilizes the endometrium for less unscheduled bleeding
    4. inhibits sperm penetration by thickening cervical mucus
    17 .
    Which is a disadvantage of the progesterone-only contraception pill?
    1. Side effects could be increased for persons who are underweight.
    2. There could be a decrease in bone mineral density over time.
    3. They may cause irregular bleeding and spotting.
    4. Return to fertility after discontinuing the pill may take several months.
    18 .
    An adolescent patient calls the office and asks to speak with the nurse. The patient cannot remember where she can place her contraceptive patch. What area of the body should the nurse tell her to avoid?
    1. breasts
    2. abdomen
    3. buttocks
    4. arm
    19 .
    The nurse is discussing contraceptive options with a patient who states they want to become pregnant in 1 year. Which contraception choice would be appropriate for them? Select all that apply.
    1. progestin-only contraceptive injections like DMPA
    2. progestin-only oral contraceptive pills
    3. fertility awareness methods
    4. COCs
    20 .
    The patient asks the nurse when her Nexplanon can be inserted. How does the nurse respond?
    1. after the delivery of your placenta
    2. only during your period
    3. while you are in labor
    4. during the delivery
    21 .
    A patient who has an LNG-IUC in place calls the office and states she just took a pregnancy test, and it is positive. She comes in for a visit, and the nurse does another pregnancy test, which is positive. What does the nurse know that the clinician will inform the patient regarding the IUC?
    1. Removing the IUC may increase the chance of infertility.
    2. The fetus is at risk for congenital defects.
    3. The IUC needs to be removed regardless of the plans for this pregnancy.
    4. There is no risk to the fetus if the IUC is left in place.
    22 .
    What is the LNG-IUC mechanism of action?
    1. disruption of fertilization of the egg and sperm
    2. termination of a pregnancy
    3. creation of a hostile uterine environment
    4. thickening cervical mucus, atrophic endometrium
    23 .
    What is one difference between the copper IUC and the LNG-IUC?
    1. efficacy
    2. placement in the uterus
    3. presence of a normal period
    4. shape
    24 .
    What education does the nurse provide to a person taking Ella for emergency contraception?
    1. abstain from sex or use a barrier method for 5 days and then restart their COCs
    2. abstain from sex or use a barrier method until their menses occur and then restart their COCs
    3. restart their COCs the next day; no backup method is needed
    4. restart their COCs the next day and use a backup method for 7 days
    25 .
    A patient calls the clinic Monday morning. She had condomless sex Friday night and is interested in emergency contraception. What should the nurse tell this patient?
    1. Emergency contraception pills are very effective for medically induced abortions early in pregnancy.
    2. If she is not midcycle when she had sex, she does not need emergency contraception.
    3. It is too late for her to use emergency contraceptive pills, but she can come in for placement of a copper IUD.
    4. She can use emergency contraceptive pills, even if she has had other condomless sex since the Friday night event.
    26 .
    What emergency contraception has the best efficacy for prevention of pregnancy?
    1. Plan B
    2. Yuzpe
    3. copper IUC
    4. progesterone-only EC
    27 .
    The nurse provides education regarding female sterilization. What important information is provided?
    1. “You will need to wait 3 months before you are sterile.”
    2. “You can have this procedure in the hospital after you give birth.”
    3. “Fertilization will affect your milk supply for breast-feeding.”
    4. “Tubal ligation is reversible.”
    28 .
    The nurse provides education regarding male sterilization. What important information is provided?
    1. “Many people have vasectomies reversed.”
    2. “You will need to return to the office to check for sperm in your ejaculate.”
    3. “You will be sterile after 3 months.”
    4. “Vasectomy consent forms must have both partners’ consent.”
    29 .
    The nurse is providing education on a medical abortion. How would she describe the action of the medications?
    1. Medications thicken the lining of the uterus and decrease uterine contractions.
    2. Medications stop the fetal heart and induce contractions.
    3. Medications soften the cervix, cause uterine lining necrosis, and induce contractions.
    4. Medications thicken the cervix and the uterine lining.
    30 .
    The nurse provides education to the person undergoing a surgical abortion. What response by the person shows an understanding of the education?
    1. “It’s good I won’t have any pain after the procedure.”
    2. “I think I’m sure about my decision.”
    3. “I should call if I soak a pad in 2 hours.”
    4. “I should follow up for contraception counseling at my annual exam in 6 months.”
    31 .
    A nurse is giving post-op teaching to a person after a surgical abortion. What education should be provided?
    1. Report bleeding that is heavy, soaks more than two pads per hour for 2 hours.
    2. You can resume vaginal coitus the next day.
    3. You do not need to return to the clinic for follow-up.
    4. You should use tampons if your bleeding is heavy.

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