lOMoARcPSD|50131128
08 - test bank
Women’s health (Louisiana State University Health Sciences Center)
i
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, lOMoARcPSD|50131128
Chapter 08: Contraception and Abortion
Lowdermilk: Maternity & Women’s Health Care, 12th Edition
MULTIPLE CHOICE
1. A woman has chosen the calendar method of conception control. Which is the most
important action the nurse should perform during the assessment process in preparation to
discuss the implementation of this method?
a. Obtain a history of the woman’s menstrual cycle lengths for the past 6 to 12
months.
b. Determine the client’s weight gain and loss pattern for the previous year.
c. Examine skin pigmentation and hair texture for hormonal changes.
d. Explore the client’s previous experiences with conception control.
ANS: A
The calendar method of conception control is based on the number of days in each cycle,
counting from the first day of menses. The fertile period is determined after the lengths of
menstrual cycles have been accurately recorded for 6 months. Weight gain or loss may be
partly related to hormonal fluctuations, but it has no bearing on the use of the calendar
method. Integumentary changes may be related to hormonal changes, but they are not
indicators for use of the calendar method. Exploring previous experiences with conception
control may demonstrate client understanding and compliancy, but these experiences are not
the most important aspect to assess for the discussion of the calendar method.
PTS: 1 DIF:
TOP:Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
2. A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks
the nurse about the pill as a contraceptive choice. What is the nurse’s best response?
a. “Oral contraceptives are a highly effective method, but they have some side
effects.”
b. “Your current medications will reduce the effectiveness of the pill.”
c. “Oral contraceptives will reduce the effectiveness of your seizure medication.”
d. “The pill is a good choice for a woman of your age and with your personal
history.”
ANS: B
Because the liver metabolizes oral contraceptives, their effectiveness is reduced when they
are simultaneously taken with anticonvulsants. Stating that the pill is an effective birth
control method with side effects is a true statement, but this response is not the most
appropriate. The anticonvulsant reduces the effectiveness of the pill, not the other way
around. Stating that the pill is a good choice for a woman of her age and personal history
does not teach the client that the effectiveness of the pill may be reduced because of her
anticonvulsant therapy.
PTS: 1 DIF: Cognitive Level: Apply
TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
i
08 - test bank
Women’s health (Louisiana State University Health Sciences Center)
i
i
, lOMoARcPSD|50131128
Chapter 08: Contraception and Abortion
Lowdermilk: Maternity & Women’s Health Care, 12th Edition
MULTIPLE CHOICE
1. A woman has chosen the calendar method of conception control. Which is the most
important action the nurse should perform during the assessment process in preparation to
discuss the implementation of this method?
a. Obtain a history of the woman’s menstrual cycle lengths for the past 6 to 12
months.
b. Determine the client’s weight gain and loss pattern for the previous year.
c. Examine skin pigmentation and hair texture for hormonal changes.
d. Explore the client’s previous experiences with conception control.
ANS: A
The calendar method of conception control is based on the number of days in each cycle,
counting from the first day of menses. The fertile period is determined after the lengths of
menstrual cycles have been accurately recorded for 6 months. Weight gain or loss may be
partly related to hormonal fluctuations, but it has no bearing on the use of the calendar
method. Integumentary changes may be related to hormonal changes, but they are not
indicators for use of the calendar method. Exploring previous experiences with conception
control may demonstrate client understanding and compliancy, but these experiences are not
the most important aspect to assess for the discussion of the calendar method.
PTS: 1 DIF:
TOP:Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
2. A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks
the nurse about the pill as a contraceptive choice. What is the nurse’s best response?
a. “Oral contraceptives are a highly effective method, but they have some side
effects.”
b. “Your current medications will reduce the effectiveness of the pill.”
c. “Oral contraceptives will reduce the effectiveness of your seizure medication.”
d. “The pill is a good choice for a woman of your age and with your personal
history.”
ANS: B
Because the liver metabolizes oral contraceptives, their effectiveness is reduced when they
are simultaneously taken with anticonvulsants. Stating that the pill is an effective birth
control method with side effects is a true statement, but this response is not the most
appropriate. The anticonvulsant reduces the effectiveness of the pill, not the other way
around. Stating that the pill is a good choice for a woman of her age and personal history
does not teach the client that the effectiveness of the pill may be reduced because of her
anticonvulsant therapy.
PTS: 1 DIF: Cognitive Level: Apply
TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
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