Family planning

Question 1

1. Suppose Lizzie, 18 years old, tells the nurse she wants to use a fertility awareness method of contraception. How should the nurse best meet Dana’s learning needs?
   A. The nurse should teach her to record if she feels hot and whether she is perspiring heavily.
   B.The nurse should teach her to assess whether her cervical mucus is thin and watery
   C.The nurse should teach her to monitor her emotions for sudden anger or crying.
   D. The nurse should teach her to assess whether her breasts are sensitive to cool air.

Answer 1

B. The nurse should teach her to assess whether her cervical mucus is thin and watery.

Question 2

2. Darla, 16 years old, wants to try female condoms as her reproductive planning method. If the nurse was
   creating a relevant educational handout, it should include which of the following directives:
   A. The hormone that condom use stimulates may cause mild weight gain
   B. Female condoms should be inserted before any penile penetration.
   C. Women should coat the condom with a spermicide before use.
   D. Female condoms, unlike male condoms, may be reused after being washed.

Answer 2

B. Females condoms should be inserted before any kind of penile penetration.

Question 3

3. Suppose Anne, 18 years old, chooses to use a COC as her family planning method. What is a danger sign of COCs the nurse should ask her to report?
A. A stuffy or runny nose
B. Arthritis-like symptoms
C. Weight gain over 5 pounds.
D. Severe migraine headache

Answer 3

D. Severe migrane headache

Question 4

4. Suppose Mitch, 19 years old, chooses intramuscular injections of DMPA as her method of reproductive
   planning. What instructions should the nurse want the health care team to give her with regard to this method?
   A. “Encourage Mitch to limit cigarette smoking to no more than one pack per day
   B. “Encourage Mitch to drink a glass of milk or Take a calcium supplement daily.”
   C. “Teach Mitch not to swim for longer than an hour at any one time.”
   D. “Teach Mitch not to expose the injection site to direct sunlight.”

Answer 4

B. Encourage Mitch to drink a glass of milk or take a calcium supplement daily.

Question 5

5. Elle, 20 years old, e-mails the nurse to ask how a tubal ligation prevents pregnancy. To be certain that she is truly informed, which would be the nurse’s best answer?
   A. Sperm can no longer reach the ova because fallopian tubes are blocked.
   B. Sperm cannot enter the uterus because the cervical entrance is blocked.
   C. Prostaglandins released from the cut fallopian tubes effectively kill sperm.
   D. The ovary no longer releases ova because there is nowhere for them to go.

Answer 5

A. Sperm can no longer reach the ova because the fallopian tubes are blocked.

Question 6

6. A 28-year old married woman seeks advice from the nurse in her company health office about oral
   contraceptives. The nurse should advise her that if she smokes:
   A. Oral contraceptives can cause thrombophlebitis
   B. Some oral contraceptives are safe, others are not.
   C. Some oral contraceptives can be used without concern
   D. Oral contraceptives can be used with other methods

Answer 6

A. Oral contraceptives can cause throbophlebitis.

Question 7

7. When counseling a client with diabetes mellitus who requests contraceptive information, it would be most
therapeutic for the nurse to focus on:
A. Rhythm
B. IUD
C. Diaphragm
D. Oral contraceptives

Answer 7

C. Diaphragm

Question 8

8. Oral contraceptives are prescribed for a client in the family planning clinic. As part of the teaching, the nurse
   plans to inform the client of the possibility of developing:
   A. Cervicitis
   B. Ovarian cysts
   C. Fibrocystic disease
   D. Breakthrough bleeding

Answer 8

D. Breakthrough bleeding

Question 9

9. A young client who has become sexually active asks the nurse, “What is the most effective way to prevent
   pregnancy?” The nurse’s best response would be:
   A. “Abstain from sex.”
   B. “Use birth control pills.”
   C. “Use a condom and foam.”
   D. “Have an IUD inserted

Answer 9

A. Abstrain from sex

Question 10

10. A client asks what to do if she forgets to take her pill one day. The nurse’s best response would be:
    A. “Take your pill as instructed.”
    B. “Call the physician immediately.”
    C. “Continue as usual; missing one day is no problem.”
    D. “The next day take one pill in the morning and one before bedtime

Answer 10

D. the next day take one pill in the morning and one pill before bedtime.