Chapter 61: Birth Control

Chapter 61: Birth Control

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. A nurse working in a family planning clinic is teaching a class on intrauterine devices (IUDs). Which patient should be advised against using an IUD for contraception?

a.	A 45-year-old mother of four
b.	A 30-year-old monogamous married woman
c.	An 18-year-old with multiple sexual partners
d.	A 35-year-old woman with a history of rosacea

 

 

ANS:   C

Women at risk for sexually transmitted diseases (STDs) should not use an IUD, because the risk of infection is higher. Women who have multiple sexual partners are especially at risk for STDs.

Women such as a mother of four and a monogamous married woman are less apt to contract STDs.

Women with rosacea can use an IUDs like any other woman.

 

DIF:    Cognitive Level: Application             REF:    p. 738

TOP:    Nursing Process: Planning

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. The nurse is teaching a contraceptive class to a group of college students. Which of the following responses by a student best demonstrates understanding of the use of oral contraception? “Oral contraceptives should be avoided by women who

a.	do not have monogamous relationships.”
b.	have given birth.”
c.	have had an IUD in the past.”
d.	smoke heavily.”

 

 

ANS:   D

Women who smoke are at a higher risk for thrombotic events if they use oral contraceptives.

Women who are in a monogamous relationship, have given birth, or have had an IUD in the past can take oral contraceptives.

 

DIF:    Cognitive Level: Application             REF:    p. 740

TOP:    Nursing Process: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. A nurse counsels a patient preparing for major abdominal surgery. She has been taking an oral contraceptive (OC) for 6 years. When discussing medication alterations, it is important that the nurse instruct the patient to

a.	stop the oral contraceptives at least 4 weeks prior to surgery.
b.	continue the oral contraceptives until the day prior to surgery.
c.	continue the oral contraceptives through the surgical experience.
d.	stop the oral contraceptives immediately after surgery.

 

 

ANS:   A

The nurse should advise the patient to discontinue the OC at least 4 weeks prior to surgery to reduce the risk of thrombosis.

The OC should not be continued until the day prior to surgery, through the surgical experience, or stopped immediately after surgery.

 

DIF:    Cognitive Level: Application             REF:    p. 740

TOP:    Nursing Process: Planning

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. A 25-year-old patient is planning to start oral contraceptives. When she asks about increasing her cancer risk, the nurse should inform her that oral contraceptives

a.	increase the risk of ovarian cancer.
b.	increase the risk of endometrial cancer.
c.	reduce the risk of breast cancer.
d.	do not increase the risk of breast cancer.

 

 

ANS:   D

Studies show that OCs do not increase the risk of breast cancer, although they do not reduce the risk of breast cancer either.

Studies show that OCs protect against ovarian and endometrial cancer.

Studies show that OCs do not reduce the risk of breast cancer.

 

DIF:    Cognitive Level: Application             REF:    p. 741

TOP:    Nursing Process: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential