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College-Level Nursing Block 8 Quiz on Day 1- Contraception and Infertility, created by cpeters on 06/08/2015.

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Day 1- Contraception and Infertility

Question 1 of 10

1

A nurse in a clinic is caring for a group of female clients who are being evaluated for infertility. Which of the following clients should the nurse anticipate the provider will refer to a genetic counselor?

Select one of the following:

  • A client whose sister has alopecia

  • A client whose partner has von Willebrand disease

  • A client who has an allergy to sulfa

  • A client who had rubella 3 months ago

Explanation

Question 2 of 10

1

A nurse is caring for a couple who is being evaluated for infertility. Which of the following statements by the nurse indicates understanding of the infertility assessment process?

Select one of the following:

  • “You will need to see a genetic counselor as part of the assessment.”

  • “It is usually the woman who is ‘having trouble,’ so the man doesn’t have to be involved.”

  • “The man is the easiest to assess, and the provider will usually begin there.”

  • “Think about adopting first because there are many babies that need good homes.”

Explanation

Question 3 of 10

1

A nurse in an infertility clinic is providing care to a couple who has been unable to conceive for 18 months. Which of the following data should be included in the assessment? (Select all that apply.)

Select one or more of the following:

  • Occupation

  • Menstrual history

  • Childhood infectious diseases

  • History of falls

  • Recent blood transfusions

Explanation

Question 4 of 10

1

A nurse in a clinic is caring for a client who is to be seen by the provider for a postoperative appointment following a salpingectomy due to an ectopic pregnancy. Which of the following statements by the client requires clarification?

Select one of the following:

  • “It is good to know that I won’t have a tubal pregnancy in the future.”

  • “The doctor said that this surgery can affect my ability to get pregnant again.”

  • “I understand that one of my fallopian tubes had to be removed.”

  • “Ovulation can still occur because my ovaries were not affected.”

Explanation

Question 5 of 10

1

A nurse is reviewing the health record of a client who is to undergo hysterosalpingography. Which of the following data alert the nurse that the client is at risk for a complication related to this procedure? (Refer to the chart in your book)

Select one of the following:

  • Vital signs

  • History and physical

  • Laboratory findings

  • Medications

Explanation

Question 6 of 10

1

A nurse in a health clinic is reviewing contraceptive use with a group of adolescent clients. Which of the following statements by an adolescent requires clarification?

Select one of the following:

  • “A water-soluble lubricant should be used with condoms.”

  • “Spermicide is applied once when using a diaphragm.”

  • "Oral contraceptives can improve a case of acne.”

  • “A contraceptive patch is worn for a week.”

Explanation

Question 7 of 10

1

A nurse is instructing a client who has been prescribed oral contraceptives about danger signs. The nurse evaluates that the client understands the teaching regarding side effects when she states the need to report

Select one of the following:

  • reduced menstrual flow or amenorrhea.

  • weight gain or breast tenderness.

  • chest pain or shortness of breath.

  • mild hypertension or headaches.

Explanation

Question 8 of 10

1

A nurse in an obstetrical clinic is providing education about contraception to a 21-year-old client. Which of the following statements by the client requesting information regarding an IUD indicates a need for additional teaching?

Select one of the following:

  • “An IUD may increase my risk for an ectopic pregnancy.”

  • “I will wait until I have a child before I can have an IUD.”

  • “I might have irregular bleeding after I get an IUD.”

  • “A change in the string length of my IUD is expected.”

Explanation

Question 9 of 10

1

A nurse in a clinic is teaching a client about her new prescription for medroxyprogesterone (Depo‑Provera). Which of the following should be included in the teaching?

Select one of the following:

  • “Weight loss can occur.”

  • “You are protected against STIs.”

  • “You should be taking calcium also.”

  • “You should avoid taking antibiotics when using this contraceptive.”

Explanation

Question 10 of 10

1

Which of the following should the nurse include when teaching a client about the potential disadvantages of the minipill? (Select all that apply.)

Select one or more of the following:

  • Amenorrhea

  • Irregular vaginal bleeding

  • Increased appetite

  • Decreased libido

  • Ovarian cysts

Explanation