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Question 1

1.A woman has chosen the calendar method of conception control. Which is the most important
action the nurse should perform during the assessment process?

Answer 1

Obtain a history of the woman’s menstrual cycle lengths for the past 6 to 12 months.

Question 2

2.A married couple is discussing alternatives for pregnancy prevention and has asked about
fertility awareness methods (FAMs). Which response by the nurse is most appropriate?

Answer 2

“FAMs can be effective for many couples; however, they require motivation.”

Question 3

3.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’sbestresponse?

Answer 3

“Your current medications will reduce the effectiveness of the pill.”

Question 4

4.A woman who has just undergone a first-trimester abortion will be using oral contraceptives.
To protect against pregnancy, the client should be advised to do what?

Answer 4

Use another method of contraception for 1 week after starting the pill.

Question 5

5.Which client would be an ideal candidate for injectable progestins such as Depo-Provera
(DMPA) as a contraceptive choice?

Answer 5

The ideal candidate has difficulty remembering to take oral contraceptives daily.

Question 6

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
themostappropriate response by the nurse?

Answer 6

“The cervical cap can be safely used for repeated acts of intercourse without adding more
spermicide later.”

Question 7

7.Which statement regarding emergency contraception iscorrect?

Answer 7

Emergency contraception requires that the first dose be taken within 72 hours of
unprotected intercourse.

Question 8

8.An unmarried young woman describes her sex life as “active” and involving “many” partners.
She wants a contraceptive method that is reliable and does not interfere with sex. She requests an
intrauterine device (IUD). Which information ismostimportant for the nurse to share?

Answer 8

“The risk of pelvic inflammatory disease will be higher with the IUD.”

Question 9

9.A woman is 16 weeks pregnant and has elected to terminate her pregnancy. Which is
themostcommon technique used for the termination of a pregnancy in the second trimester?

Answer 9

Dilation and evacuation (D&E)

Question 10

10.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?

Answer 10

Take one pill at the same time every day.

Question 11

11.The lactational amenorrhea method (LAM) of birth control is popular in developing countries
and has had limited use in the United States. As breastfeeding rates increase, more women may
rely upon this method for birth control. Which information is most important to provide to the
client interested in using the LAM for contraception?

Answer 11

This popular method of birth control works best if the mother is exclusively breastfeeding.

Question 12

12.Although reported in small numbers, toxic shock syndrome (TSS) can occur with the use of a
diaphragm. If a client is interested in this form of conception control, then the nurse must instruct
the woman on how best to reduce her risk of TSS. Which comment by the nurse would
bemosthelpful in achieving this goal?

Answer 12

“You should always remove your diaphragm 6 to 8 hours after intercourse. Don’t use the
diaphragm during menses, and watch for danger signs of TSS, including a sudden onset of
fever over 38.4C, hypotension, and a rash.”

Question 13

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

Answer 13

Family planning

Question 14

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

Answer 14

Astands for alternatives.

Question 15

15.Which benefit regarding FAMs makes it an appealing choice for some women?

Answer 15

Absence of chemicals and hormones

Question 16

16.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?

Answer 16

This practice is the only contraceptive method acceptable to the Roman Catholic Church.

Question 17

17.Which nonpharmacologic contraceptive method has a failure rate of less than 25%?

Answer 17

Standard days’ variation

Question 18

18.Which contraceptive methodbestprotects against STIs and the HIV?

Answer 18

Barrier methods

Question 19

19.Nurses should be cognizant of what information with regard to the noncontraceptive medical
effects of combination oral contraceptives (COCs)?

Answer 19

Effectiveness of COCs can be altered by some over-the-counter medications and herbal
supplements.

Question 20

20.Importantly, the nurse must be aware of which information related to the use of IUDs?

Answer 20

IUDs containing copper can provide an emergency contraception option if inserted within a
few days of unprotected intercourse.

Question 21

21.Which statement is themostcomplete and accurate description of medical abortions?

Answer 21

They can be either elective or therapeutic.

Question 22

22.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’smostappropriate response?

Answer 22

“You probably didn’t ovulate during this cycle.”

Question 23

23.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 themostaccurate?

Answer 23

“Nonoxynol-9 does not provide protection against STIs as originally thought; it has also
been linked to an increase in the transmission of the HIV and can cause genital lesions.”

Question 24

24.Which statement regarding the termcontraceptive failure rateis themostaccurate?

Answer 24

It varies from couple to couple, depending on the method and the users.

Question 25

25.Nurses, certified nurse-midwives, and other advanced practice nurses have the knowledge and
expertise to assist women in making informed choices regarding contraception. A
multidisciplinary approach should ensure that the woman’s social, cultural, and interpersonal
needs are met. Which action should the nurse first take when meeting with a new client to
discuss contraception?

Answer 25

Determine the woman’s level of knowledge concerning contraception and her commitment
to any particular method.

Question 26

26.What is the importance of obtaining informed consent for a number of contraceptive
methods?

Answer 26

The method chosen has potentially dangerous side effects.

Question 27

27.If consistently and correctly used, which of the barrier methods of contraception has the
lowest failure rate?

Answer 27

Male condoms

Question 28

1.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.)

Answer 28

“It is highly unlikely that you will become pregnant after the procedure.”

“Sterilization offers no protection against STIs.”

Question 29

2.Postabortion instructions may differ among providers regarding tampon use and the
resumption of intercourse. However, education should be provided regarding serious
complications. When should the woman who has undergone an induced abortion be instructed to
return to the emergency department?

Answer 29

b. Chills
c. Foul-smelling vaginal discharge

e. Severe abdominal pain

Question 30

3.The nurse is responsible for providing health teaching regarding the side effects of COCs.
These side effects are attributed to estrogen, progesterone, or both. Which side effects are related
to the use of COCs?

Answer 30

a. Gallbladder disease
b. Myocardial infarction and stroke

d. Breast tenderness and fluid retention

Question 31

4.The client and her partner are considering male sterilization as a form of permanent birth
control. While educating the client regarding the risks and benefits of the procedure, which
information should the nurse include?

Answer 31

Pain, bleeding, and infection are possible complications.
c. Pregnancy may still be possible.

e. Secondary sex characteristics are unaffected.

Question 32

1.The 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, then her fertile period
would be day _____ through day ______.

Answer 32

ANS:
6; 19
To avoid pregnancy, the couple must abstain from intercourse on days 6 through 19. Ovulation
occurs on day 12 (plus or minus 2 days either way).