Family Planning

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Question 1

Free

Multiple Choice

Which contraceptive method provides protection against sexually transmitted diseases?

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Oral contraceptives

Tubal ligation

Male or female condoms

Intrauterine device (IUD)

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Question 2

Free

Multiple Choice

A nurse is leading a discussion regarding birth control measures. Which method is considered the most reliable method?

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Coitus interruptus

Breastfeeding

Natural family planning

Intrauterine device

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Question 3

Free

Multiple Choice

Which client is a safe candidate for the use of oral contraceptives?

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39-year-old with a history of thrombophlebitis

16-year-old with a benign liver tumor

20-year-old who suspects she may be pregnant

43-year-old who does not smoke cigarettes

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Question 4

Free

Multiple Choice

The role of the nurse in family planning is to:

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refer the couple to a reliable physician.

decide on the best method for the couple.

advise couples on which contraceptive to use.

educate couples on the various methods of contraception.

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Question 5

Free

Multiple Choice

Informed consent concerning contraceptive use is important because some of the methods:

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may not be reliable.

require a surgical procedure to insert.

have potentially dangerous side effects.

are invasive procedures that require hospitalization.

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Question 6

Multiple Choice

Which contraceptive method should be contraindicated in a client with a history of toxic shock syndrome?

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Condom

Spermicide

Cervical cap

Oral contraceptives

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Question 7

Multiple Choice

When instructing a client in the use of spermicidal foam or gel, it is important to include the information that:

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effectiveness is about 85%.

douching should be avoided for at least 6 hours.

it should be inserted 1 to 2 hours before intercourse.

one application is effective for several hours.

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Question 8

Multiple Choice

Which symptom in a client using oral contraceptives should be reported to the physician immediately?

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5-lb weight gain

Leg pain and edema

Decrease in menstrual flow

Increased pigmentation of the face

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Question 9

Multiple Choice

Which response by the nurse is most appropriate when a client asks, "What contraceptive do you think I should use?"

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"Ask your doctor. She will know what is best for you."

"The male condom is probably the easiest for you to use."

"Because you are younger than 40, you should use oral contraceptives."

"I can discuss the various methods with you so you can decide what is best."

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Question 10

Multiple Choice

When using the basal body temperature method of family planning, the woman should know that:

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she will remain fertile for 5 days after ovulation.

she should take her temperature each night before going to bed.

her temperature will increase about 0.4° to 0.8° F after ovulation.

her temperature is normally lower during the second half of her cycle.

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Question 11

Multiple Choice

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

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is more effective.

requires spermicide.

applies pressure on the urethra.

has no contribution to toxic shock syndrome.

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Question 12

Multiple Choice

The client who has had an intrauterine device (IUD) inserted should be instructed to:

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use a vinegar douche weekly for 4 weeks.

have the IUD replaced every 2 to 4 years.

check the placement of the string once a week for 4 weeks.

use another method of contraception for 2 weeks after insertion.

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Question 13

Multiple Choice

A male client asks, "Why do I have to use another contraceptive? I had a vasectomy last week." The best response is:

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"A vasectomy is only 85% effective."

"A vasectomy is not effective in all men."

"Semen may contain sperm for 6 months following a vasectomy."

"Complete sterilization doesn't occur until all sperm have left the system."

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Question 14

Multiple Choice

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

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Requires extensive education to use

Is the easiest and most convenient to use

Costs the least

Is permanent

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Question 15

Multiple Choice

The method of contraception that is considered the safest for women is a(n):

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IUD.

diaphragm.

male condom.

oral contraceptive.

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Question 16

Multiple Choice

A client 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 best method of birth control to meet their needs is:

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withdrawal.

fertility awareness method.

combination of condoms and foam.

vasectomy with a reversal in 3 years.

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Question 17

Multiple Choice

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

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"What are your plans for future pregnancies?"

"Do you plan on being sexually active in the future?"

"Let's talk about birth control, because breastfeeding is not 100% effective for preventing pregnancy."

"Here are some pamphlets on available methods of birth control. I'll come back later and discuss them with you."

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Question 18

Multiple Choice

In reviewing information related to the occurrence of pregnancies using a focus group discussion with women, concern was expressed that many of them had problems using their respective type of contraception and, as a result, became pregnant. Based on this information, the nurse would incorporate which of the following in a teaching plan for group members?

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Provide information relative to product recalls of contraceptive devices.

Have the clients keep a contraceptive diary related to the consistency of using methods because it is apparent that they forgot to use their preferred method as directed.

Have the clients consider switching to a different form of contraception because the contraception did not prevent pregnancy for them.

Plan for assessing the clients' knowledge related to the contraception methods and provide information to increase the knowledge base so that the effectiveness rate would improve.

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Question 19

Multiple Choice

You are teaching a group of adolescents about myths and facts related to contraception. Which statement indicates that additional teaching is needed for this group with regard to contraception?

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Adolescents are more likely to become pregnant even if they use available contraception methods correctly.

The withdrawal technique provides a higher likelihood that a teen will not get pregnant.

Pregnancy can occur in the presence or absence of orgasm.

Pregnancy can occur even if a teen is menstruating at the time of coitus.

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Question 20

Multiple Choice

A client presents to the Women's Health Clinic for continuation of her contraceptive method. She has been using Depo-Provera (medroxyprogesterone acetate) for 24 months. In preparation for instituting a plan of care, the nurse would consider which option as a priority?

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Schedule the client for follow-up baseline diagnostic testing to confirm that the client is not pregnant.

Obtain information for an alternate contraception method.

Ask the client for additional information related to her menstrual cycle.

Inspect the skin for site selection of contraceptive method.

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