Question 1

The nurse is providing contraceptive instruction to a young couple who are eager to learn.The nurse should be cognizant of which information regarding the natural family planning method?

Accepted Answer

The natural family planning method is the only contraceptive method acceptable to the Roman Catholic Church.

Question 2

A woman will be taking oral contraceptives using a 28-day pack.What advice should the nurse provide to protect this client from an unintended pregnancy?

Accepted Answer

Taking the pill at the same time every day helps ensure consistent hormone levels and effectiveness of the pill in preventing pregnancy. Option A is not necessary as the pill is effective immediately if taken on the first day of the menstrual cycle. Option B is incorrect as the pill is still effective while taking antibiotics. Option D is incorrect as backup contraception is only necessary if two pills are missed in a row during week 1 or week 3 of the cycle.

Question 3

In the acronym BRAIDED,which letter is used to identify the key components of informed consent that the nurse must document?

Accepted Answer

In the BRAIDED acronym, the letter A stands for alternatives, which refers to informing the patient of all available options and their risks and benefits before obtaining their consent. Birth control and reproduction are not part of the key components of informed consent, while ineffective does not relate to informed consent at all.

Question 4

Which contraceptive method should the nurse identify as protecting against sexually transmitted infections (STIs)and the human immunodeficiency virus (HIV)?

Accepted Answer

Barrier methods, such as condoms and dental dams, provide a physical barrier that can prevent the transfer of STIs and HIV during sexual activity. Other contraceptive methods, such as hormonal methods and periodic abstinence, do not provide protection against STIs and HIV.

Question 5

What is the importance of obtaining informed consent when educating a client regarding contraceptive methods?

Accepted Answer

Informed consent is crucial because contraceptive methods can have potentially dangerous side effects, and clients need to be fully aware of these risks to make an informed decision.

Question 6

A client currently uses a diaphragm and spermicide for contraception.She asks the nurse to explain the major differences between the cervical cap and the diaphragm.What is the most appropriate response by the nurse?

Accepted Answer

The cervical cap can be safely used for repeated acts of intercourse without adding more spermicide later. This is the major difference between the cervical cap and the diaphragm, as the diaphragm needs to be re-fitted with spermicide added for each act of intercourse. The other options given are either incorrect or not major differences between the two methods.

Question 7

Which information is most important to provide to the client interested in using the lactational amenorrhea method for contraception?

Accepted Answer

The most important information to provide to a client interested in using the lactational amenorrhea method for contraception is that the method works best if the mother is exclusively breastfeeding. This is because frequent breastfeeding suppresses the hormones responsible for ovulation. The other options are also important to discuss, but they are not as critical as ensuring the mother understands the importance of exclusive breastfeeding for the effectiveness of the method.

Question 8

Which action should the nurse first take when meeting with a new client to discuss contraception?

Accepted Answer

Before discussing options for contraception, the nurse should determine the woman's level of knowledge concerning contraception to ensure that the woman is well-informed about her options and can make an appropriate choice. This information will also help the nurse tailor her education to the woman's needs.

Question 9

Which is the most common technique used for the termination of a pregnancy in the second trimester?

Accepted Answer

Dilation and evacuation (D&E) is the most common technique used for the termination of a pregnancy in the second trimester, usually between 13-24 weeks. This involves a combination of dilation of the cervical canal and surgical removal of the contents of the uterus. Methotrexate and prostaglandin administration are typically used for abortions in the first trimester. Vacuum aspiration is generally used for very early pregnancy or for incomplete abortions.

Question 10

Which statement regarding the term contraceptive failure rate is the most accurate?

Accepted Answer

The contraceptive failure rate varies depending on the method and the users. It is not a fixed percentage or minimum rate required for licensing. It may also fluctuate over time depending on factors such as correct and consistent use, individual anatomy, and other health or lifestyle factors.

Question 11

A woman has chosen the calendar method of conception control.Which is the most important action the nurse should perform during the assessment process in preparation to discuss the implementation of this method?

Accepted Answer

Obtaining a history of the woman's menstrual cycle lengths for the past 6 to 12 months is the most important action the nurse should perform during the assessment process for the calendar method, as this information is essential for accurately predicting fertile days and implementing the method effectively. Weight gain and loss pattern, skin pigmentation, hair texture, and previous experiences with conception control may be valuable components of a comprehensive assessment but are not as critical for the calendar method specifically.

Question 12

Which statement regarding emergency contraception is correct?

Accepted Answer

Emergency contraception is most effective when taken as soon as possible after unprotected intercourse, but can be taken up to 120 hours (5 days) later. Option B is incorrect because emergency contraception works by preventing ovulation or fertilization, so it is most effective before ovulation occurs. Option C is incorrect because the effectiveness rate of emergency contraception is actually much higher, closer to 75-89%. Option D is incorrect because while some women may experience changes in their menstrual cycle after taking emergency contraception, menorrhagia (excessive menstrual bleeding) is not a common side effect.

Question 13

Which term best describes the conscious decision concerning deciding when to conceive or avoid pregnancy as opposed to the intentional prevention of pregnancy during intercourse?

Accepted Answer

Family planning refers to the conscious decision-making process of individuals and couples to decide when to have children or not, and the use of various methods to achieve this goal. It is a broader term that encompasses both methods of preventing and achieving pregnancy. Birth control and contraception both specifically refer to methods of preventing pregnancy during intercourse, while assisted reproductive therapy refers to medical interventions to assist with fertility and conception.

Question 14

Importantly,the nurse must be aware of which information related to the use of intrauterine devices (IUDs)?

Accepted Answer

Copper IUDs can be used as emergency contraception if inserted within 5 days after unprotected intercourse.

Question 15

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." What is the nurse's most appropriate response?

Accepted Answer

If the woman's temperature has not gone up and her period is due, it likely means that she did not ovulate during her cycle. It is important for the nurse to inform the woman that BBT method of contraception is not 100% effective and to consider other forms of contraception if she wishes to avoid pregnancy.

Question 16

The nurse is reviewing the educational packet provided to a client about tubal ligation.Which information regarding this procedure is important for the nurse to share? (Select all that apply. )

Accepted Answer

- Tubal ligation is a highly effective form of birth control, but no method is 100% effective, making choice A correct as it states it's "highly unlikely" rather than impossible. Choice D is correct because sterilization procedures like tubal ligation do not offer any protection against sexually transmitted infections (STIs), emphasizing the need for barrier methods for STI prevention.

Question 17

Nurses should be cognizant of what information regarding the non-contraceptive medical effects of combination oral contraceptives (COCs)?

Accepted Answer

Nurses should be aware that the effectiveness of COCs can be altered by some over-the-counter medications and herbal supplements. Option A is incorrect as TSS is a rare and potentially life-threatening condition that can occur in individuals using tampons, not COCs. Option B is incorrect as the hormonal withdrawal bleeding is usually lighter and shorter in duration than normal menstruation. Option C is incorrect as COCs actually decrease the risk of ovarian and endometrial cancers.

Question 18

A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice.What is the nurse's best response?

Accepted Answer

The nurse should inform the woman that her current medications may reduce the effectiveness of the pill. This is important information for the woman to consider before making a decision about using oral contraceptives as her method of birth control.

Question 19

Which client would be an ideal candidate for injectable progestins such as medroxyprogesterone acetate as a contraceptive choice?

Accepted Answer

Injectable progestins such as medroxyprogesterone acetate are a good choice for clients who have difficulty remembering to take oral contraceptives daily, as they only need to receive them every 3 months. This method may not be ideal for clients who want menstrual regularity (A), have a history of thrombotic problems or breast cancer (B), or are homeless or mobile and rarely receive health care (D).

Question 20

A male client asks the nurse why it is better to purchase condoms that are not lubricated with nonoxynol-9 (a common spermicide).Which response by the nurse is the most accurate?

Accepted Answer

Nonoxynol-9 was once thought to provide protection against STIs, but further research has shown that it can actually increase the risk of STI transmission and cause vaginal irritation or ulceration. Therefore, it is better to use condoms without nonoxynol-9.

Quiz 8: Contraception and Abortion