Chapter 25, Family Planning Flashcards

1
Q

Which contraceptive method provides protection against STDs?

A

male or female condoms; only barrier methods provide some protection from STDs

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2
Q

a nurse is leading a discussion regarding options for birth control. which of the following methods is considered most reliable?

A

IUD are 99% effective;

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3
Q

which patient is a safe candidate for the use of oral contraceptives?

A

43 year old who does not smoke cigarettes

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4
Q

the role of the nurse in family planning is to

A

educate couples on the various methods of contraception

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5
Q

informed consent concerning contraceptive use is important since some of the methods

A

have potentially dangerous side effects

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6
Q

which contraceptive method should be contraindicated in a patient with a history of toxic shock syndrome

A

cervical cap

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7
Q

when instructing a patient in the use of spermicidal foam or gel, it is important to include the information that

A

douching should be avoided for at least 6 hours ; removing it before increases the risk of pregnancy

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8
Q

which symptoms in a patient using oral contraceptives should be reported to a physician?

A

leg pain and edema bc OC increase clotting factors

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9
Q

when using the basal body temperature method of family planning, the woman should understand that

A

her temperature will increase about 0.2 to 0.4C (0.4 to 0.8F) after ovulation; should take her temp same time upon rising, and is usually higher in the 2nd half of her cycle

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10
Q

the major difference between the diaphragm and the cervical cap is that the diaphragm

A

applies pressure on the urethra; fits snuggly in the vagina and contains a hard rim that may put pressure on it

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11
Q

the patient who has had a IUD inserted should be instructed to

A

check the placement of the string once a week for 4 weeks; if it is longer or shorter contact Dr and can be left in place for up to 10 years

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12
Q

a male patient asks, “why do i have to use another contraceptive? I had a vasectomy last week.” the best response is

A

complete sterilization does not occur until all sperm have left the system; may take a month or longer for all to be removed

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13
Q

a woman who has a successful career and a busy lifestyle will most likely look for which type of contraceptive?

A

is the easiest and most convenient to use

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14
Q

the method of contraception that is considered the safest for women is

A

a male condom; does not have any side effects or risk factors

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15
Q

a patient is 27 years old and delivered her first baby yesterday. she and her husband do not want to have another baby for at least 3 to 4 years. the most appropriate method of birth control to meet their needs is

A

combination of condoms and foam; NOT vasectomy with reversal, withdrawl or fertility awareness method

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16
Q

the most appropriate statement for introducing the topic of family planning in the postpartum setting is

A

what are your plans for future pregnancies

17
Q

how long can you use depo-provera?

A

no more than 2 years due to loss of bone density

18
Q

IUD can result in what?

A

ectopic pregnancies

19
Q

a patient is using depo-provera as her method of birth control. which clinical finding warrants immediate intervention by the nurse

A

mid-cycle bleeding; major side effect irregular bleeding

20
Q

a patient with endometriosis comes to clinic asking about which form of birth control might help alleviate her symptoms. which birth control would provide greatest benefit?

A

oral contraceptives, bc hormones will be more uniformly regulated with this type of treatment