BN Ch.70 Sexuality, Fertility, and Sexually Transmitted Diseases

Question 1

Involuntary contraction of the vaginal outlet muscles, preventing penile penetration, is called __________.

Answer 1

vaginismus

Question 2

__________ contraception is sometimes inaccurately referred to as the “morning-after pill.”

Answer 2

Emergency

Question 3

Gonorrhea is caused by invasion of the bacteria _________ gonorrhoeae.

Answer 3

Neisseria

Question 4

A radiographic study called a __________ looks for problems within the fallopian tubes and uterus.

Answer 4

hysterosalpingogram

Question 5

__________ contraceptives are also called birth control pills.

Answer 5

Oral

Question 6

What is the cause of vulvovaginal candidiasis and what women are most prone to this condition?

Answer 6

Vulvovaginal candidiasis is caused when the normal flora of the vaginal tract is out of balance. It commonly occurs in women who are on antibiotic therapy

Question 7

What is the cause of trichomoniasis?

Answer 7

Trichomoniasis is caused by protozoa in the vagina

Question 8

What is the cause of bacterial vaginosis?

Answer 8

Bacterial vaginosis may be caused by the gram-negative bacillus Gardnerella vaginalis or by nonspecific irritation around the vulva and vagina

Question 9

Individual who is attracted to persons of the other sex

Answer 9

Heterosexual

Question 10

Individual who is attracted to persons of the same sex

Answer 10

Homosexual

Question 11

Individual who is attracted to people of the same gender or another gender, recognizing the masculine and feminine

Answer 11

Bisexual

Question 12

Individual who is not particularly attracted to either gender

Answer 12

Asexual

Question 13

Write the correct sequence that occurs when a nurse is instructing a client and their partner who have requested information about birth
control.

1. Teach the client about the method selected, including any specific instructions.
2. Encourage participation of both client and partner. Determine the couple’s knowledge level.
3. Review various methods of contraception that are available. Allow the couple to ask questions.
4. Provide information using different forms, including diagrams, charts, and pictures.

Answer 13

2. Encourage participation of both client and partner. Determine the couple’s knowledge level
3. Review various methods of contraception that are available. Allow the couple to ask questions.
4. Provide information using different forms, including diagrams, charts, and pictures.
5. Teach the client about the method selected, including any specific instructions.

Question 14

What are the types of assisted reproductive technology?

Answer 14

• The types of assisted reproductive technology include:
  
  • In vitro fertilization (IVF): fertilization of the woman’s or a donor’s egg outside the woman’s body.
  • The resulting fertilized ovum (zygote) is then inserted into the woman’s uterus.
  • Gamete intrafallopian transfer (GIFT): transfer of unfertilized eggs and sperm via a laparoscope into the fallopian tubes.
  • Zygote intrafallopian transfer (ZIFT): transfer of zygotes fertilized in the laboratory via a laparoscope into the fallopian tubes.

Question 15

What is the rhythm method?

Answer 15

• The rhythm method is a fertility awareness method that involves limiting sexual intercourse to the time during the client’s menstrual cycle when she is most likely to be infertile.
• The rhythm method is only about 75% to 99% effective.
• It does require training and awareness of the days of ovulation

Question 16

What is Depo-Vera?

Answer 16

• Lunelle is an injectable hormone contraceptive that contains forms of estrogen and progestin.
• It prevents ovulation in the client when administered every month by a healthcare clinician.

Question 17

What is tubal ligation?

Answer 17

• Tubal ligation is referred to as the “Band-Aid tubal” because the client often needs only a minor dressing after surgery

Question 18

What is emergency contraception?

Answer 18

• Emergency contraception is a combination of estrogen and progestin.
• It prevents implantation of a fertilized egg by interfering with the hormone balance.
• To be effective, emergency contraception must be administered within 72 hours after unprotected sex

Question 19

A client has come in for insertion of an intrauterine device (IUD).

a. What is an IUD?

Answer 19

An IUD is a contraceptive device inserted into a woman’s uterus that prevents the fertilized ovum from implanting in the uterus.

Question 20

Which instructions should the nurse give the client in regards to IUDS?

Answer 20

• The nurse should instruct the client to check the threads regularly to make sure that the IUD is in place.
• Menstrual flow may be heavier, or last longer than normal, after IUD insertion.
• The client may feel a sharp pain when the IUD is inserted.
• The client may have cramps for a few days, but these should not continue

Question 21

What are the three brands of IUDs that are available in the United States?

Answer 21

• The three brands of IUDs that are available in the United States are:
  
  • Progestasert,
  • Copper T 380A
  • Mirena

Question 22

A client diagnosed with infertility has come to the fertility clinic for an artificial insemination.

a. What is infertility?

Answer 22

Infertility refers to the inability to conceive and produce live babies after adequate sexual exposure

Question 23

How will the nurse determine whether the client is ovulating?

Answer 23

• The nurse will determine whether the client is ovulating by:
  
  • Observing for cervical mucus changes.
  • Monitoring of basal body temperature.

Question 24

What is artificial insemination?

Answer 24

• Artificial insemination is the process in which male sperm (the partner’s or a donor’s) is artificially implanted through the woman’s cervical os to enhance the chances of conception.