Question 1

The nurse is teaching a client who is having the Skyla L N g-I U C device inserted for contraception. What should the nurse emphasize to the client about this device?

Accepted Answer

The Skyla IUD has a silver ring and could interfere with an MRI.

Question 2

During a follow-up wellness visit, the nurse determines that a female client is experiencing favorable outcomes after starting combined oral contraceptives. What data did the nurse use to determine this?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Combined oral contraceptives are known to reduce menstrual flow, decrease the frequency and severity of menstrual cramps, prevent ovulation (thus eliminating ovulation pain), and regulate menstrual cycles to a predictable pattern, often around 28 days. These outcomes are considered favorable for individuals using these contraceptives for contraception and/or menstrual management. Reduced appetite is not a commonly recognized positive outcome of using combined oral contraceptives and is not typically used to measure their effectiveness or favorable outcomes.

Question 3

A client at 10 weeks' gestation is scheduled for a surgical abortion. Which approaches may be used to dilate the cervix for the procedure?
Note: Credit will be given only if all correct choices and no incorrect choices are elected.

Accepted Answer

The answer of A client at 10 weeks' gestation is...

Question 4

A client is planning to use condoms with a spermicidal cream as contraception. What should the nurse include when reviewing this method with the client?

Accepted Answer

The answer of A client is planning to use condoms...

Question 5

A female client is disappointed to learn that intrauterine contraception is not an option. For what reason is this form of contraception contraindicated for this client?

Accepted Answer

The answer of A female client is disappointed to learn...

Question 6

A female client comes into the clinic for a pregnancy test because she took the morning after pill immediately after having unprotected intercourse 3 days ago and has not had a menstrual period. What should the nurse respond to this client?

Accepted Answer

Taking a pregnancy test too early can lead to inaccurate results. It is generally recommended to wait at least two weeks after unprotected intercourse before taking a pregnancy test to allow for the detection of the pregnancy hormone, hCG, in the urine.

Question 7

A client is being prepared to take the oral mifepristone-vaginal misoprostol treatment for an abortion. For which reasons should the nurse instruct the client to contact the healthcare provider within 24 hours?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The answer of A client is being prepared to take...

Question 8

A sexually active female asks why an H I V test is needed since she uses condoms with spermicidal agents when having intercourse. How should the nurse respond to this client?

Accepted Answer

Spermicides can cause irritation to vaginal tissues, potentially making them more susceptible to HIV infection.

Question 9

The nurse suspects that a client is experiencing adverse effects from the progestin within a combined oral contraceptive. What did the nurse assess to make this clinical determination?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The answer of The nurse suspects that a client is...

Question 10

The nurse is reviewing the spermicidal agent nonoxynol-9 (N-9) with a client planning to use the barrier method to prevent pregnancy. What should the nurse emphasize when teaching about this preparation?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Nonoxynol-9 (N-9) is known to be non-toxic and generally does not have systemic side effects, making it safe for over-the-counter purchase and use. However, it should be applied before intercourse, not after, and it does not significantly reduce the risk of sexually transmitted infections (STIs); in fact, frequent use can increase the risk of certain STIs by causing vaginal and rectal irritation.

Question 11

A client scheduled to have a Mirena levonorgestrel intrauterine system (L N g-I U C) inserted asks how this device stops conception. What should the nurse say in response to this client?

Accepted Answer

The Mirena levonorgestrel intrauterine system (LNG-IUS) is a small, T-shaped device that is inserted into the uterus to prevent pregnancy. It releases a small amount of the hormone levonorgestrel, which thickens the cervical mucus, making it difficult for sperm to reach the egg. It also thins the lining of the uterus, making it less likely that a fertilized egg will implant.

Question 12

A female client with an intrauterine device calls the clinic because she is unable to locate the strings after her last menstrual period. What should the nurse counsel this client?

Accepted Answer

If a client is unable to locate the strings of an intrauterine device (IUD) after her menstrual period, it is important to schedule an appointment immediately to ensure the IUD is still in place and has not been expelled or moved, which could compromise its effectiveness as a contraceptive method.

Question 13

The nurse is completing the health history for a client desiring the Essure method of permanent sterilization. What should the nurse specifically ask when assessing this client?

Accepted Answer

The Essure method of permanent sterilization involves placing a small metal coil into the fallopian tubes, which can cause an allergic reaction in individuals allergic to metals. Therefore, it is crucial to ask about metal allergies.

Question 14

A female college student comes into the student health clinic, concerned about being pregnant from unprotected intercourse the evening before. What should the school nurse counsel this student?

Accepted Answer

Plan B One Step is designed to be taken as a single dose as soon as possible after unprotected intercourse, ideally within 24 hours, but it can be effective up to 72 hours afterwards.

Question 15

A client who has been using transdermal hormonal contraception comes in for a routine wellness visit. Which finding should cause the nurse to question if the client should continue to use this form of contraception?

Accepted Answer

Skin breakdown at the site of the patch indicates a potential allergic reaction or sensitivity to the patch's adhesive or components, which could impair its effectiveness and lead to skin complications. This would be a reason to consider discontinuing its use or switching to a different form of contraception.

Quiz 4: Family Planning