Olds' Maternal Newborn Nursing & Women's Health Across the Lifespan 8th Edition by Michele C. Davidson - Test Bank

Olds’ Maternal Newborn Nursing & Women’s Health Across the Lifespan 8th Edition by Michele C. Davidson – Test Bank

 

Instant Download – Complete Test Bank With Answers

 

 

Sample Questions Are Posted Below

 

Chapter 5        Women’s Health: Family Planning     

 

MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question.

 

1)

 

The nurse is discussing the use of contraception with a client. Which factors should the nurse include when educating the client on contraceptive methods? (Select all that apply.)

 

1. A)

 

Partner’s belief in the effectiveness of the choice

 

1. B)

 

Contraindications in the client’s health history

 

1. C)

 

Future pregnancy plans

 

1. D)

 

Religious or moral beliefs

 

1. E)

 

Personal motivation to use method

 

Answer:

 

B, C, D, E

 

 

 

 

 

2)

 

The client asks the nurse how the cervical mucus method of contraception differs from the calendar (rhythm) method. The nurse’s best response is, “The cervical mucus method:

 

1. A)

 

Provides an increased awareness of the body.”

 

1. B)

 

Requires no artificial substances or devices.”

 

1. C)

 

Is more effective for women with irregular cycles.”

 

1. D)

 

Is free, safe, and acceptable to women of many religions.”

 

Answer:

 

C

 

 

 

 

 

3)

 

The nurse is planning an educational session about contraception. What is the most significant factor in choosing a specific method of contraception in order to avoid pregnancy?

 

1. A)

 

Ease of use

 

1. B)

 

Absolute reliability

 

1. C)

 

Consistency of use

 

1. D)

 

Cost

 

Answer:

 

C

 

 

 

 

 

4)

 

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

 

1. A)

 

“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.”

 

1. B)

 

“Take your temperature each day, immediately upon awakening, and keep a record of each finding. A noticeable drop in temperature indicates that ovulation is about to occur.”

 

1. C)

 

“This is an unscientific and unproven method of determining ovulation and is not recognized as a means of birth control.”

 

1. D)

 

“Take your temperature every day at the same time and keep a record of the findings. A noticeable rise in temperature indicates ovulation.”

 

Answer:

 

B

 

 

 

 

 

5)

 

A client wants to use the vaginal sponge as a method of contraception. Which of the following statements indicate that she will need further instruction? “I need to: (Select all that apply.)

 

1. A)

 

Add spermicidal cream prior to intercourse.”

 

1. B)

 

Moisten it with water prior to use.”

 

1. C)

 

Use the sponge on my most fertile days.”

 

1. D)

 

Leave it in no longer than six hours.”

 

1. E)

 

Use a lubricant prior to insertion.”

 

Answer:

 

A, C, D, E

 

 

 

 

 

6)

 

When teaching a woman about use of the diaphragm, it is important to instruct her that the diaphragm should be rechecked for correct size:

 

1. A)

 

After each pregnancy.

 

1. B)

 

Only after significant weight loss.

 

1. C)

 

When weight gain or loss beyond five pounds has occurred.

 

1. D)

 

Every five years routinely.

 

Answer:

 

A

 

 

 

 

 

7)

 

Instructions concerning the use of a diaphragm should include that it is an excellent method of contraception, provided that the woman:

 

1. A)

 

Does not use any spermicidal creams or jellies with it.

 

1. B)

 

Inserts it at least two hours prior to intercourse.

 

1. C)

 

Removes it promptly following intercourse and then douches.

 

1. D)

 

Leaves it in place for six hours following intercourse.

 

Answer:

 

D

 

 

 

 

 

8)

 

The nurse at the family planning clinic has done some teaching on oral contraceptives in the waiting room. The nurse knows that the teaching has been effective when one of the clients responds:

 

1. A)

 

“I can take ‘the pill’, even though I smoke heavily.”

 

1. B)

 

“I can’t take ‘the pill’ if I’m over 30.”

 

1. C)

 

“I can’t take ‘the pill’ if I have gallbladder disease.”

 

1. D)

 

“My periods will become slightly heavier when I take ‘the pill’.”

 

Answer:

 

C

 

 

 

 

 

9)

 

The nurse has taught a client about combined oral contraceptive use. Additional teaching is required if the client makes which statement? “Taking combined oral contraceptives will give me a:

 

1. A)

 

Higher risk for uterine cancer.”

 

1. B)

 

Higher risk for cervical cancer.”

 

1. C)

 

Lower risk for breast cancer.”

 

1. D)

 

Lower risk for ovarian cancer.”

 

Answer:

 

D

 

 

 

 

 

10)

 

The client is 36 years old, weighs 250 pounds, is monogamous, does not smoke, and desires birth control. In preparing an educational session for this client, the nurse understands that which of the following methods is inappropriate for this client?

 

1. A)

 

Combined oral contraceptives

 

1. B)

 

Vaginal sponge

 

1. C)

 

Intrauterine device

 

1. D)

 

Transdermal hormonal contraception

 

Answer:

 

D

 

 

 

 

 

11)

 

The nurse is preparing educational materials at a family planning clinic. The client who is an appropriate candidate for using emergency contraception would be one who reports:

 

1. A)

 

Unprotected intercourse during her menses.

 

1. B)

 

Increased dysmenorrhea since IUD insertion.

 

1. C)

 

That a condom broke yesterday in the middle of her cycle.

 

1. D)

 

Forgetting to start her pill pack yesterday.

 

Answer:

 

C

 

 

 

 

 

12)

 

The nurse is planning a group education session on the IUD. The nurse understands that the IUD is contraindicated for a woman:

 

1. A)

 

With three children and who is monogamous.

 

1. B)

 

Desiring another child in four years.

 

1. C)

 

Who has smoked heavily for several years.

 

1. D)

 

Without children and has two sex partners.

 

Answer:

 

D

 

 

 

 

 

13)

 

A couple asks the nurse what would be the safest method of sterilization. The nurse should reply, “Generally, the safest surgical method of permanent sterilization would be a:

 

1. A)

 

Laparotomy tubal ligation.”

 

1. B)

 

Vasectomy.”

 

1. C)

 

Laparoscopy tubal ligation.”

 

1. D)

 

Minilaparotomy.”

 

Answer:

 

B

 

 

 

 

 

14)

 

The client is using oral contraceptives. She tells the nurse that her family is complete, and that she now desires permanent contraception. Which statement should the nurse include in teaching this client about sterilization options?

 

1. A)

 

“Essure becomes effective three months after insertion.”

 

1. B)

 

“Oral contraception should be taken until menopause.”

 

1. C)

 

“Vasectomy is effective immediately after the procedure.”

 

1. D)

 

“Tubal ligation is not advised until the client is age 35.”

 

Answer:

 

A

 

 

 

 

 

15)

 

The client reports that she was raped three weeks ago, and now her menses is a week late. The client is extremely upset when a pregnancy test confirms that she is pregnant, and requests information regarding pregnancy termination. Which statement is best for the nurse to include?

 

1. A)

 

“Abortion is morally wrong and should not be undertaken.”

 

1. B)

 

“Both medical and surgical abortions are 100% effective.”

 

1. C)

 

“Surgical abortion can result in uterine perforation.”

 

1. D)

 

“You are too late to have a medical abortion.”

 

Answer:

 

C

 

 

 

 

 

1)

 

B, C, D, E

 

 

 

2)

 

C

 

 

 

3)

 

C

 

 

 

4)

 

B

 

 

 

5)

 

A, C, D, E

 

 

 

6)

 

A

 

 

 

7)

 

D

 

 

 

8)

 

C

 

 

 

9)

 

D

 

 

 

10)

 

D

 

 

 

11)

 

C

 

 

 

12)

 

D

 

 

 

13)

 

B

 

 

 

14)

 

A

 

 

 

15)

 

C