Question 1

A couple is trying to cope with an infertility problem.They want to know what they can do to preserve their emotional equilibrium.The nurse's most appropriate response is:

Accepted Answer

A)   "Tell your friends and family so they can help you."
B)   "Talk only to other friends who are infertile because only they can help."
C)   "Get involved with a support group. I'll give you some names."
D)   "Start adoption proceedings immediately because it is very difficult to obtain an infant."E) C) and D)
F) B) and D)

Question 2

While instructing a couple regarding birth control,the nurse should be aware that the method called natural family planning:

Accepted Answer

A)   is the same as coitus interruptus, or "pulling out."
B)   uses the calendar method to align the woman's cycle with the natural phases of the moon.
C)   is the only contraceptive practice acceptable to the Roman Catholic Church.
D)   relies on barrier methods during fertility phases.E) B) and C)
F) A) and C) C

Question 3

Which of the following statements is the most complete and accurate description of medical abortions?

Accepted Answer

A)   They are performed only for maternal health.
B)   They can be achieved through surgical procedures or with drugs.
C)   They are mostly performed in the second trimester.
D)   They can be either elective or therapeutic.E) A) and B)
F) A) and C)

Question 4

A physician prescribes clomiphene citrate (Clomid,Serophene) for a woman experiencing infertility.She is very concerned about the risk of multiple births.The nurse's most appropriate response is:

Accepted Answer

A)   "This is a legitimate concern. Would you like to discuss this further before your treatment begins?"
B)   "No one has ever had more than triplets with Clomid."
C)   "Ovulation will be monitored with ultrasound so that this will not happen."
D)   "Ten percent is a very low risk, so you don't need to worry too much."E) C) and D)
F) None of the above

Question 5

A woman is using the basal body temperature (BBT) method of contraception.She calls the clinic and tells the nurse,"My period is due in a few days,and my temperature has not gone up." The nurse's most appropriate response is:

Accepted Answer

A)   "This probably means that you're pregnant."
B)   "Don't worry; it's probably nothing."
C)   "Have you been sick this month?"
D)   "You probably didn't ovulate during this cycle."E) A) and B)
F) All of the above

Question 6

Although remarkable developments have occurred in reproductive medicine,assisted reproductive therapies are associated with numerous legal and ethical issues.Nurses can provide accurate information about the risks and benefits of treatment alternatives so couples can make informed decisions about their choice of treatment.Which issue would not need to be addressed by an infertile couple before treatment?

Accepted Answer

A)   Risks of multiple gestation.
B)   Whether or how to disclose the facts of conception to offspring.
C)   Freezing embryos for later use.
D)   Financial ability to cover the cost of treatment.E) C) and D)
F) A) and C)

Question 7

Which contraceptive method best protects against sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) ?

Accepted Answer

A)   Periodic abstinence
B)   Barrier methods
C)   Hormonal methods
D)   They all offer about the same protection.E) A) and B)
F) B) and C)

Question 8

A woman had unprotected intercourse 36 hours ago and is concerned that she may become pregnant because it is her "fertile" time.She asks the nurse about emergency contraception.The nurse tells her that:

Accepted Answer

A)   it is too late; she needed to begin treatment within 24 hours after intercourse.
B)   Preven, an emergency contraceptive method, is 98% effective at preventing pregnancy.
C)   an over-the-counter antiemetic can be taken 1 hour before each contraceptive dose to prevent nausea and vomiting.
D)   the most effective approach is to use a progestin-only preparation.E) All of the above
F) C) and D) C

Question 9

Postcoital contraception with Ella:

Accepted Answer

A)   requires that the first dose be taken within 72 hours of unprotected intercourse.
B)   requires that the woman take second and third doses at 24 and 36 hours after the first dose.
C)   must be taken in conjunction with an IUD insertion.
D)   is commonly associated with the side effect of menorrhagia.E) B) and C)
F) A) and D)

Question 10

MATCHING
Evaluation for infertility should be offered to couples who have failed to become pregnant after 1 year of regular intercourse or after 6 months if the woman is older than 35 years. Impaired fertility in women may be the result of numerous factors. Careful identification of the cause of infertility assists in determining the correct treatment plan. The nurse who chooses to work in the specialty of infertility must have an excellent understanding of these factors and causes. Match each factor affecting female infertility with the likely cause.

-Endometriosis

Accepted Answer

A)  Ovarian
B)  Tubal/peritoneal
C)  Uterine
D)  Vaginal/cervical
E)  Other factorsF) B) and C)
G) A) and D)

Question 11

A woman currently uses a diaphragm and spermicide for contraception.She asks the nurse what the major differences are between the cervical cap and the diaphragm.The nurse's most appropriate response is:

Accepted Answer

A)   "No spermicide is used with the cervical cap, so it's less messy."
B)   "The diaphragm can be left in place longer after intercourse."
C)   "Repeated intercourse with the diaphragm is more convenient."
D)   "The cervical cap can safely be used for repeated acts of intercourse without adding more spermicide later."E) C) and D)
F) B) and C)

Question 12

A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice.The nurse's most appropriate response would be:

Accepted Answer

A)   "This is a highly effective method, but it has some side effects."
B)   "Your current medications will reduce the effectiveness of the pill."
C)   "The pill will reduce the effectiveness of your seizure medication."
D)   "This is a good choice for a woman of your age and personal history."E) A) and B)
F) C) and D)

Question 13

With regard to the assessment of female,male,and couple infertility,nurses should be aware that:

Accepted Answer

A)   the couple's religious, cultural, and ethnic backgrounds provide emotional clutter that does not affect the clinical scientific diagnosis.
B)   the investigation takes 3 to 4 months and a significant financial investment.
C)   the woman is assessed first; if she is not the problem, the male partner is analyzed.
D)   semen analysis is for men; the postcoital test is for women.E) B) and D)
F) A) and C)

Question 14

A couple comes in for an infertility workup,having attempted to get pregnant for 2 years.The woman,37 years,has always had irregular menstrual cycles but is otherwise healthy.The man has fathered two children from a previous marriage and had a vasectomy reversal 2 years ago.The man has had two normal semen analyses,but the sperm seem to be clumped together.What additional test is needed?

Accepted Answer

A)   Testicular biopsy
B)   Antisperm antibodies
C)   Follicle-stimulating hormone (FSH)  level
D)   Examination for testicular infectionE) C) and D)
F) B) and D)

Question 15

In their role of implementing a plan of care for infertile couples,nurses should:

Accepted Answer

A)   be comfortable with their sexuality and nonjudgmental about others to counsel their patients effectively.
B)   know about such nonmedical remedies as diet, exercise, and stress management.
C)   be able to direct patients to sources of information about what herbs to take that might help and which ones to avoid.
D)   do all of the above plus be knowledgeable about potential drug and surgical remedies.E) A) and C)
F) None of the above

Question 16

Injectable progestins (DMPA,Depo-Provera) are a good contraceptive choice for women who:

Accepted Answer

A)   want menstrual regularity and predictability.
B)   have a history of thrombotic problems or breast cancer.
C)   have difficulty remembering to take oral contraceptives daily.
D)   are homeless or mobile and rarely receive health care.E) A) and B)
F) A) and C)

Question 17

A woman will be taking oral contraceptives using a 28-day pack.The nurse should advise this woman to protect against pregnancy by:

Accepted Answer

A)   limiting sexual contact for one cycle after starting the pill.
B)   using condoms and foam instead of the pill for as long as she takes an antibiotic.
C)   taking one pill at the same time every day.
D)   throwing away the pack and using a backup method if she misses two pills during Week 1 of her cycle.E) A) and C)
F) C) and D)

Question 18

MATCHING
Evaluation for infertility should be offered to couples who have failed to become pregnant after 1 year of regular intercourse or after 6 months if the woman is older than 35 years. Impaired fertility in women may be the result of numerous factors. Careful identification of the cause of infertility assists in determining the correct treatment plan. The nurse who chooses to work in the specialty of infertility must have an excellent understanding of these factors and causes. Match each factor affecting female infertility with the likely cause.

-Isoimmunization

Accepted Answer

A)  Ovarian
B)  Tubal/peritoneal
C)  Uterine
D)  Vaginal/cervical
E)  Other factorsF) B) and C)
G) A) and B) D

Question 19

Practice of the calendar rhythm method is based on the number of days in each menstrual cycle.The fertile period is determined after monitoring each cycle for 6 months.The beginning of the fertile period is estimated by subtracting 18 days from the longest cycle and 11 days from the shortest.If the woman's cycles vary in length from 24 to 30 days,what would her fertile period be?
________ to _________

Accepted Answer

Day 10 to day 19
To avoid preg...

Question 20

A woman enquires about herbal alternative methods for improving fertility.Which statement by the nurse is the most appropriate when instructing the patient in which herbal preparations to avoid while trying to conceive?

Accepted Answer

A)   "You should avoid nettle leaf, dong quai, and vitamin E while you are trying to get pregnant."
B)   "You may want to avoid licorice root, lavender, fennel, sage, and thyme while you are trying to conceive."
C)   "You should not take anything with vitamin E, calcium, or magnesium. They will make you infertile."
D)   "Herbs have no bearing on fertility."E) B) and D)
F) B) and C)

Exam 5: Infertility, contraception, and Abortion

A couple is trying to cope with an infertility problem.They want to know what they can do to preserve their emotional equilibrium.The nurse's most appropriate response is:

Correct Answer
verified

While instructing a couple regarding birth control,the nurse should be aware that the method called natural family planning:

Correct Answer
verified
C

Which of the following statements is the most complete and accurate description of medical abortions?

Correct Answer
verified

A physician prescribes clomiphene citrate (Clomid,Serophene) for a woman experiencing infertility.She is very concerned about the risk of multiple births.The nurse's most appropriate response is:

Correct Answer
verified

A woman is using the basal body temperature (BBT) method of contraception.She calls the clinic and tells the nurse,"My period is due in a few days,and my temperature has not gone up." The nurse's most appropriate response is:

Correct Answer
verified

Correct Answer
verified

Which contraceptive method best protects against sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) ?

Correct Answer
verified

A woman had unprotected intercourse 36 hours ago and is concerned that she may become pregnant because it is her "fertile" time.She asks the nurse about emergency contraception.The nurse tells her that:

Correct Answer
verified
C

Postcoital contraception with Ella:

Correct Answer
verified

Correct Answer
verified

A woman currently uses a diaphragm and spermicide for contraception.She asks the nurse what the major differences are between the cervical cap and the diaphragm.The nurse's most appropriate response is:

Correct Answer
verified

A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice.The nurse's most appropriate response would be:

Correct Answer
verified

With regard to the assessment of female,male,and couple infertility,nurses should be aware that:

Correct Answer
verified

Correct Answer
verified

In their role of implementing a plan of care for infertile couples,nurses should:

Correct Answer
verified

Injectable progestins (DMPA,Depo-Provera) are a good contraceptive choice for women who:

Correct Answer
verified

A woman will be taking oral contraceptives using a 28-day pack.The nurse should advise this woman to protect against pregnancy by:

Correct Answer
verified

Correct Answer
verified
D

Correct Answer
verified
Day 10 to day 19
To avoid preg...
View Answer

A woman enquires about herbal alternative methods for improving fertility.Which statement by the nurse is the most appropriate when instructing the patient in which herbal preparations to avoid while trying to conceive?

Correct Answer
verified

Exam 5: Infertility, contraception, and Abortion

A couple is trying to cope with an infertility problem.They want to know what they can do to preserve their emotional equilibrium.The nurse's most appropriate response is:

Correct AnswerverifiedShow Answer

While instructing a couple regarding birth control,the nurse should be aware that the method called natural family planning:

Correct AnswerverifiedC

Which of the following statements is the most complete and accurate description of medical abortions?

Correct AnswerverifiedShow Answer

A physician prescribes clomiphene citrate (Clomid,Serophene) for a woman experiencing infertility.She is very concerned about the risk of multiple births.The nurse's most appropriate response is:

Correct AnswerverifiedShow Answer

A woman is using the basal body temperature (BBT) method of contraception.She calls the clinic and tells the nurse,"My period is due in a few days,and my temperature has not gone up." The nurse's most appropriate response is:

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Which contraceptive method best protects against sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) ?

Correct AnswerverifiedShow Answer

A woman had unprotected intercourse 36 hours ago and is concerned that she may become pregnant because it is her "fertile" time.She asks the nurse about emergency contraception.The nurse tells her that:

Correct AnswerverifiedC

Postcoital contraception with Ella:

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

A woman currently uses a diaphragm and spermicide for contraception.She asks the nurse what the major differences are between the cervical cap and the diaphragm.The nurse's most appropriate response is:

Correct AnswerverifiedShow Answer

A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice.The nurse's most appropriate response would be:

Correct AnswerverifiedShow Answer

With regard to the assessment of female,male,and couple infertility,nurses should be aware that:

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

In their role of implementing a plan of care for infertile couples,nurses should:

Correct AnswerverifiedShow Answer

Injectable progestins (DMPA,Depo-Provera) are a good contraceptive choice for women who:

Correct AnswerverifiedShow Answer

A woman will be taking oral contraceptives using a 28-day pack.The nurse should advise this woman to protect against pregnancy by:

Correct AnswerverifiedShow Answer

Correct AnswerverifiedD

Correct AnswerverifiedDay 10 to day 19To avoid preg...View AnswerShow Answer

A woman enquires about herbal alternative methods for improving fertility.Which statement by the nurse is the most appropriate when instructing the patient in which herbal preparations to avoid while trying to conceive?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified
C

Correct Answer
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Correct Answer
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Correct Answer
verified

Correct Answer
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Correct Answer
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C

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
verified
D

Correct Answer
verified
Day 10 to day 19
To avoid preg...
View Answer

Correct Answer
verified