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NUR247 - Maternal OB > Chapter 4: Contraception & Safety > Flashcards

Chapter 4: Contraception & Safety Flashcards

1
Q

A nurse is educating a patient on COCs. Which of the following is a contraindication to starting COCs?

A. History of DVT
B. Age below 18 years
C. Moderate obesity
D. History of seasonal allergies

A

A. History of DVT

Rationale: COCs increase the risk of thromboembolism; a history of DVT is a contraindication.

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2
Q

The nurse should advise patients taking COCs to monitor for which of the following warning signs? (Select all that apply)

A. Severe abdominal pain
B. Blurred vision
C. Leg cramps
D. Persistent cough

A

A. Severe abdominal pain
B. Blurred vision
C. Leg cramps

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3
Q

Which hormone(s) do combined oral contraceptives primarily contain?

A. Estrogen and testosterone

B. Progesterone only

C. Estrogen and progesterone

D. Progesterone and luteinizing hormone (LH)

A

C. Estrogen and progesterone

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4
Q

A patient asks about the duration of effectiveness for a copper IUD. The nurse should respond:

A. 3 years
B. 5 years
C. 7 years
D. 10 years

A

D. 10 years

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5
Q

Which of the following is a common side effect of a copper IUD?

A. Lighter menstrual periods
B. Increased risk of infection
C. Heavier menstrual flow and more cramps
D. Hormonal imbalance symptoms

A

C. Heavier menstrual flow and more cramps

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6
Q

What does the “P” in the IUD warning signs acronym P.A.I.N.S. stand for?

A. Pregnancy concerns
B. Period changes
C. Persistent bleeding
D. Pelvic inflammatory disease

A

D. Pelvic inflammatory disease

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7
Q

During the follicular phase of the menstrual cycle, which hormone is primarily responsible for stimulating follicle growth?

A. Luteinizing hormone (LH)
B. Follicle-stimulating hormone (FSH)
C. Estrogen
D. Progesterone

A

B. Follicle-stimulating hormone (FSH)

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8
Q

When does the luteal phase of the menstrual cycle occur?

A. Days 1-5
B. Days 6-14
C. After ovulation
D. During menstruation

A

C. After ovulation

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9
Q

Which hormone maintains the endometrium for potential implantation of an embryo?

A. Estrogen
B. Progesterone
C. FSH
D. LH

A

B. Progesterone

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10
Q

What is the main function of the corpus luteum after ovulation?

A. Release estrogen
B. Secrete progesterone to support pregnancy
C. Trigger menstruation
D. Stimulate LH release

A

B. Secrete progesterone to support pregnancy

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11
Q

Where does fertilization typically occur in the female reproductive system?

A. Fallopian tube
B. Uterus
C. Cervix
D. Ovary

A

A. Fallopian tube

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12
Q

Implantation of the fertilized egg generally takes place:

A. Within the fallopian tube
B. In the ovary
C. In the uterine lining
D. Near the cervix

A

C. In the uterine lining

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13
Q

Which of the following birth control methods is considered the most effective with typical use?

A. Male condoms
B. Injectable contraceptives
C. Fertility awareness methods
D. IUDs and implants

A

D. IUDs and implants

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14
Q

Which method of contraception has a higher risk of failure due to user error?

A. Copper IUD
B. Combined oral contraceptives
C. Nexplanon implant
D. Male sterilization

A

B. Combined oral contraceptives

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15
Q

A patient using fertility awareness methods should be instructed to track changes in which of the following?

A. Cervical mucus and basal body temperature
B. Blood pressure and heart rate
C. Menstrual pad usage
D. Weight and appetite changes

A

A. Cervical mucus and basal body temperature

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16
Q

A nurse is teaching about hormonal IUDs. Which of the following is true?

A. They are effective for only one year
B. They release copper ions to prevent fertilization
C. They primarily work by thickening cervical mucus
D. They are less effective than COCs

A

C. They primarily work by thickening cervical mucus

17
Q

When teaching about combined oral contraceptives, which of the following statements should the nurse emphasize?

A. “You can stop and start COCs at any point without health risks.”
B. “Take the pill at the same time each day for maximum effectiveness.”
C. “COCs provide immediate protection once you start taking them.”
D. “COCs protect against sexually transmitted infections (STIs).”

A

B. “Take the pill at the same time each day for maximum effectiveness.”

18
Q

A 35-year-old patient is considering sterilization. What should the nurse prioritize when providing education?

A. The procedure is easily reversible
B. It is the least effective contraceptive option
C. It is recommended only after menopause
D. The permanence and irreversibility of the method

A

D. The permanence and irreversibility of the method

19
Q

Which contraceptive method can be used as emergency contraception?

A. Copper IUD
B. Male condoms
C. Injectable contraceptives
D. Fertility awareness methods

A

A. Copper IUD

Rationale: A copper IUD can be used for emergency contraception if inserted within five days after unprotected intercourse.

20
Q

The nurse is educating a patient on Nexplanon, a contraceptive implant. Which of the following is a common side effect?

A. Amenorrhea
B. Heavier menstrual bleeding
C. Unpredictable vaginal bleeding
D. Hot flashes

A

C. Unpredictable vaginal bleeding

21
Q

Which of the following hormones spikes just before ovulation, causing the release of the mature egg?

A. Estrogen
B. Follicle-stimulating hormone (FSH)
C. Progesterone
D. Luteinizing hormone (LH)

A

D. Luteinizing hormone (LH)

22
Q

What role does estrogen play during the first half of the menstrual cycle?

A. It thickens the cervical mucus
B. It stimulates the release of the corpus luteum
C. It prepares the endometrial lining for implantation
D. It maintains the endometrial lining after ovulation

A

C. It prepares the endometrial lining for implantation

23
Q

When using the lactation amenorrhea method (LAM) for contraception, what is necessary to ensure effectiveness?

A. Exclusive breastfeeding every 6 hours
B. Use of a hormonal backup method
C. A regular menstrual cycle
D. Limited breastfeeding sessions per day

A

A. Exclusive breastfeeding every 6 hours

24
Q

Which form of birth control is considered permanent?

A. Injectable contraceptives
B. Copper IUD
C. Female sterilization
D. Male condoms

A

C. Female sterilization

25
Q

Progesterone plays a vital role after ovulation by:

A. Stimulating follicular growth
B. Triggering menstruation
C. Thickening the cervical mucus and supporting endometrial stability
D. Inhibiting estrogen production

A

C. Thickening the cervical mucus and supporting endometrial stability

26
Q

A nurse explains that a male condom is considered:

A. A hormonal method
B. A barrier method
C. A fertility awareness method
D. A permanent method

A

B. A barrier method

27
Q

Which of the following is least effective in preventing pregnancy with typical use?

A. Contraceptive patch

B. Diaphragm

C. Male sterilization

D. Implant (Nexplanon)

A

B. Diaphragm

28
Q

When using a hormonal IUD, what should patients be instructed to check regularly?

A. Menstrual cycle length
B. Body temperature
C. Hormonal blood levels
D. IUD strings

A

D. IUD strings

29
Q

The effectiveness of contraceptive pills can be decreased by:

A. Consuming caffeine
B. Antibiotic use
C. Eating high-fiber diets
D. Engaging in high-impact exercise

A

B. Antibiotic use

30
Q

What is the main purpose of using barrier methods of contraception?

A. To prevent ovulation

B. To increase estrogen levels

C. To create a physical block between sperm and egg

D. To regulate the menstrual cycle

A

C. To create a physical block between sperm and egg

NUR247 - Maternal OB (16 decks)

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