Chapter 4 Women's Health: Family Planning

Chapter 4   Women’s Health: Family Planning

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1) A nurse is teaching contraception to a group of college students during a health class. What reason will the nurse include as to why couples might choose to use contraception?

Note: Credit will be given only if all correct and no incorrect choices are selected.

Select all that apply.

1. Couples use contraception to avoid pregnancy.
2. Couples use contraception to space future pregnancies.
3. Couples use contraception to gain control over the number of children conceived.
4. Couples use contraception to avoid decisions about the number of children to have.
5. Couples use contraception to avoid contracting sexually transmitted diseases.

Answer:  1, 2, 3, 5

Explanation:  1. This is the main reason for the use of contraception.

2. Contraception is used to space children.
3. Contraception is used to control the number of children that a couple desires.
4. Some types of birth control will avoid sexually transmitted diseases—for example, some of the barrier methods.

Page Ref: 53, 57

Cognitive Level:  Understanding

Client Need/Sub:  Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships to promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: VII. 5. Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:  1 Describe the reasons why women and couples choose to use contraception.

MNL LO:  6.1.2 Compare advantages, disadvantages, risk factors, and contraindications of contraception methods.

 

2) The nurse is planning an educational session about contraception. What will the nurse emphasize as being the most significant factor in determining the effectiveness of a specific method of contraception to avoid pregnancy?

1. Reliability
2. Ease of use
3. Consistency of use
4. Cost

Answer:  3

Explanation:  3. Consistency of use is the most important factor for determining the effectiveness of a specific type of contraception.

Page Ref: 54

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: VII. 5. Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  1 Describe the reasons why women and couples choose to use contraception.

MNL LO:  6.1.2 Compare advantages, disadvantages, risk factors, and contraindications of contraception methods.

 

3) The culturally sensitive nurse will assess cultural attitudes and beliefs about contraception, which can include which of the following?

Note: Credit will be given only if all correct and no incorrect choices are selected.

Select all that apply.

1. Gender inequities
2. Religion
3. Deference to authority figures
4. Devaluation of large families
5. Attitudes about bleeding

Answer:  1, 2, 3, 5

Explanation:  1. Gender inequities may prohibit some Arab, Latina, and Eastern Indian women from seeking out or using a contraceptive method unless their husbands do not object.

2. The Roman Catholic Church considers all artificial methods of contraception unacceptable.
3. Deference to authority figures is not uncommon in traditional Chinese, Arab, Latina, and East Indian women, especially if the nurse is male.
4. Attitudes toward bleeding affect a woman’s duties to her family and partner. Vaginal bleeding may be seen as “unclean” by Muslim and Orthodox Jewish women. Any contraceptive method that involves irregular bleeding might not be acceptable. Among women who feel a monthly period is necessary, any method that ultimately causes amenorrhea would not be acceptable.

Page Ref: 67

Cognitive Level:  Understanding

Client Need/Sub:  Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards:  QSEN Competencies: I. B. 1. Elicit patient values, preferences, and expressed needs as part of clinical interview, implementation of care plan and evaluation of care. | AACN Essentials Competencies: VII. 3. Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations. | NLN Competencies: Personal and Professional Development: Demonstrate respect for all persons, and for human dignity, equality, and justice. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:  1 Describe the reasons why women and couples choose to use contraception.

MNL LO:  6.1.2 Compare advantages, disadvantages, risk factors, and contraindications of contraception methods.

 

4) A client in the clinic asks the nurse about available contraceptives. Before responding, the nurse must assess which of the following factors?

Note: Credit will be given only if all correct and no incorrect choices are selected.

Select all that apply.

1. When menarche occurred
2. How frequently the client has intercourse
3. Whether the client has a history of thrombophlebitis
4. What the client’s partner prefers
5. Whether the client is in a monogamous relationship

Answer:  2, 3, 5

Explanation:  2. A factor to consider when choosing a method of contraception is how frequently the client has intercourse.

3. A factor to consider when choosing a method of contraception is whether the client has a history of thrombophlebitis or any other condition that would contraindicate its use.
4. A factor to consider when choosing a method of contraception is whether the client is in a monogamous relationship.

Page Ref: 54

Cognitive Level:  Analyzing

Client Need/Sub:  Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards:  QSEN Competencies: I. B. 1. Elicit patient values, preferences, and expressed needs as part of clinical interview, implementation of care plan and evaluation of care. | AACN Essentials Competencies: VII. 3. Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations. | NLN Competencies: Relationship-Centered Care: Appreciate the patient as a whole person, with his or her own life story and ideas about the meaning of health and illness. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:  1 Describe the reasons why women and couples choose to use contraception.

MNL LO:  6.1.2 Compare advantages, disadvantages, risk factors, and contraindications of contraception methods.

 

5) A client asks the nurse, “Can you explain to us how to use the basal body temperature method to detect ovulation and prevent pregnancy?” What response by the nurse is best?

1. “Take your temperature every evening at the same time and keep a record for a period of several weeks. A noticeable drop in temperature indicates that ovulation has occurred.”
2. “Take your temperature every day at the same time and keep a record of the findings. A noticeable rise in temperature indicates ovulation.”
3. “Take your temperature each day, immediately upon awakening, and keep a record of each finding. A noticeable rise in temperature indicates that ovulation is about to occur.”
4. “This is an unscientific and unproven method of determining ovulation, and is not recognized as a means of birth control.”

Answer:  3

Explanation:  3. The basal body temperature method is used to detect ovulation by an increase in the basal temperature during the menstrual cycle. It requires that the woman take her temperature every morning upon awakening (before any activity) and record the findings on a temperature graph, and is based on the fact that the temperature almost always rises and remains elevated after ovulation because of the production of progesterone, a thermogenic (heat-producing) hormone.

Page Ref: 56

Cognitive Level:  Understanding

Client Need/Sub:  Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: VII. 5. Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:  2 Discuss types of fertility awareness-based methods such as natural family planning.

MNL LO:  6.1.2 Compare advantages, disadvantages, risk factors, and contraindications of contraception methods.