Chapter 31: Family Planning

Chapter 31: Family Planning

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which contraceptive method provides protection against sexually transmitted diseases?

a.	Oral contraceptives
b.	Tubal ligation
c.	Male or female condoms
d.	Intrauterine device (IUD)

 

 

ANS:  C

Because latex condoms provide the best protection available, they should be used during any potential exposure to a sexually transmitted disease. Only the barrier methods provide some protection from sexually transmitted diseases. A tubal ligation is considered a permanent contraceptive method but does not offer any protection against sexually transmitted diseases. IUDs are inserted in the uterus but do not block or inhibit sexually transmitted diseases.

 

PTS:   1                    DIF:    Cognitive Level: Understanding       REF:   693

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Health Promotion and Maintenance

 

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

a.	Coitus interruptus
b.	Breastfeeding
c.	Natural family planning
d.	Intrauterine device

 

 

ANS:  D

IUDs are 98% effective. Although coitus interruptus is considered 81% effective, it requires great control by the man and may be unsatisfying for both partners. Only women who breastfeed every 2 hours around the clock may avoid ovulation. Another method should be used when the frequency of breastfeeding decreases. Couples must be highly motivated to use natural family planning because they must abstain from sex for as much as half of their cycle. Errors in the forbidden time carry a very high risk of pregnancy.

 

PTS:   1                    DIF:    Cognitive Level: Understanding       REF:   682

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Health Promotion and Maintenance

 

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

a.	39-year-old with a history of thrombophlebitis
b.	16-year-old with a benign liver tumor
c.	20-year-old who suspects she may be pregnant
d.	43-year-old who does not smoke cigarettes

 

 

ANS:  D

Heavy cigarette smoking is a contraindication. Oral contraceptives are contraindicated with a history of thrombophlebitis. Liver tumors, benign or malignant, preclude the use of oral contraceptives. Pregnancy is a contraindication.

 

PTS:   1                    DIF:    Cognitive Level: Understanding       REF:   689

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Health Promotion and Maintenance

 

4. The role of the nurse in family planning is to:

a.	refer the couple to a reliable physician.
b.	decide on the best method for the couple.
c.	advise couples on which contraceptive to use.
d.	educate couples on the various methods of contraception.

 

 

ANS:  D

The nurse’s role is to provide information to the couple so that they can make an informed decision about family planning. The nurse can help the couple; they do not need to be sent to a physician. The nurse’s role is to educate, not decide for the couple which is the best method or advise couples on which contraceptive to use.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   686, 687

OBJ:   Nursing Process Step: Implementation

MSC:  Client Needs: Health Promotion and Maintenance

 

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

a.	may not be reliable.
b.	require a surgical procedure to insert.
c.	have potentially dangerous side effects.
d.	are invasive procedures that require hospitalization.

 

 

ANS:  C

It is important for couples to be aware of potential side effects so they can make an informed decision about the use of contraceptives. Some contraceptives are not reliable but the side effects are the reason for the informed consent. A written consent is required if it involves a surgical procedure. Some contraceptive procedures are invasive but do not require hospitalization.

 

PTS:   1                    DIF:    Cognitive Level: Understanding       REF:   684

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Health Promotion and Maintenance