Maternity Nursing 8th Edition By Lowdermilk, Perry, Cashion
Maternity Nursing 8th Edition By Lowdermilk, Perry, Cashion
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Chapter 04: Contraception, Abortion, and Infertility
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “They’re not very effective, and it’s very likely you’ll get pregnant.” |
| b. | “They can be effective for many couples, but they require motivation.” |
| c. | “These methods have a few advantages and several health risks.” |
| d. | “You would be much safer going on the pill and not having to worry.” |
ANS: B
| Feedback | |
| A | FAMs are effective if used correctly by a woman with a regular menstrual cycle. The typical failure rate for all FAMs is 25% during the first year of use. |
| B | FAMs are effective with proper vigilance of ovulatory changes in the body and adherence to coitus intervals. |
| C | FAMs have no associated health risks. |
| D | The use of birth control has associated health risks. In addition, taking a pill daily requires compliance on the patient’s part. |
DIF: Cognitive Level: Application REF: 98, 99
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Planning
| a. | Hysterosalpingogram |
| b. | Endometrial biopsy |
| c. | Laparoscopy |
| d. | Follicle-stimulating hormone (FSH) level |
ANS: B
| Feedback | |
| A | A hysterosalpingogram is scheduled 2 to 5 days after menstruation to avoid flushing potentially fertilized ovum out through a uterine tube into the peritoneal cavity. |
| B | Endometrial biopsy is scheduled after ovulation, during the luteal phase of the menstrual cycle. |
| C | Laparoscopy usually is scheduled early in the menstrual cycle. |
| D | Hormone analysis is performed to assess endocrine function of the hypothalamic-pituitary-ovarian axis when menstrual cycles are absent or irregular. |
DIF: Cognitive Level: Knowledge REF: 125
OBJ: Client Needs: Physiologic Integrity TOP: Nursing Process: Planning
| a. | “Your sperm count seems to be okay based on the first semen analysis.” |
| b. | “Only marijuana cigarettes affect sperm count.” |
| c. | “Smoking can give you lung cancer, even though it has no effect on sperm.” |
| d. | “Smoking can reduce the quality of your sperm.” |
ANS: D
| Feedback | |
| A | This statement is inaccurate. Sperm counts vary from day to day and depend on emotional and physical status and sexual activity. Therefore a single analysis may be inconclusive. A minimum of two analyses must be performed several weeks apart to assess male fertility. |
| B | The use of alcohol and marijuana may affect sperm counts. |
| C | The use of tobacco may affect sperm counts. |
| D | The use of tobacco may reduce the quality of the sperm. |
DIF: Cognitive Level: Application REF: 123
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Diagnosis
| a. | “Tell your friends and family so they can help you.” |
| b. | “Talk only to other friends who are infertile because only they can help.” |
| c. | “Get involved with a support group. I’ll give you some names.” |
| d. | “Start adoption proceedings immediately because it is very difficult to obtain an infant.” |
ANS: C
| Feedback | |
| A | Although talking about their feelings may unburden them of negative feelings, infertility can be a major stressor that affects the couple’s relationships with family and friends. |
| B | Limiting their interactions to other infertile couples may be a beginning point for addressing psychosocial needs, but depending on where the other couple is in their own recovery process, this may or may not help them. |
| C | Venting negative feelings may unburden the couple. A support group may provide a safe haven for the couple to share their experiences and gain insight from others’ experiences. |
| D | This statement is not supportive of the psychosocial needs of this couple and may be detrimental to their well-being. |
DIF: Cognitive Level: Application REF: 124
OBJ: Client Needs: Psychosocial Integrity TOP: Nursing Process: Assessment
| a. | Standard days |
| b. | Periodic abstinence |
| c. | Ovulation method |
| d. | Coitus interruptus |
ANS: A
| Feedback | |
| A | The standard days variation on the calendar method has a failure rate of 14%. |
| B | The periodic abstinence method has a failure rate of 25% or higher. The standard days variation on the calendar method has a failure rate of 14%. |
| C | The postovulation method has a failure rate of 25% or higher. |
| D | The coitus interruptus method has a failure rate of 27% or higher. |
DIF: Cognitive Level: Knowledge REF: 99, 100
OBJ: Client Needs: Health Promotion and Maintenance
TOP: Nursing Process: Implementation
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