Women's Health Practice| 135 Questions with 100% correct answers already graded A+.

Which test used to diagnose the basis of infertility is done during the luteal or secretory phase of the menstrual cycle? endometrial biopsy A man smokes two packs of cigarettes a day. He wants to know if smoking is contributing to the difficulty he and his wife are having getting pregnant. The nurses most appropriate response is: smoking can reduce the quality of your sperm A couple comes in for an infertility workup, having attempted to get pregnant for 2 years. The woman, 37, has always had irregular menstrual cycles but is otherwise healthy. The man has fathered two children from a previous marriage and had a vasectomy reversal 2 years ago. The man has had two normal semen analyses, but FSH level A couple is trying to cope with an infertility problem. They want to know what they can do to preserve their emotional equilibrium. The nurses most appropriate response is: Get involved with a support group. Ill give you some names. A woman inquires about herbal alternative methods for improving fertility. Which statement by the nurse is the most appropriate when instructing the client in which herbal preparations to avoid while trying to conceive? You may want to avoid licorice root, lavender, fennel, sage, and thyme while you are trying to conceive. In vitro fertilization-embryo transfer (IVF-ET) is a common approach for women with blocked fallopian tubes or unexplained infertility and for men with very low sperm counts. A husband and wife have arrived for their preprocedural interview. The husband asks the nurse to explain what the procedure entails. The nurses most appropriate response is: IVF-ET is a type of assisted reproductive therapy that involves collecting eggs from your wifes ovaries, fertilizing them in the laboratory with your sperm, and transferring the embryo to her uterus. Nurses should be aware that infertility: Is perceived differently by women and men. With regard to the assessment of female, male, and couple infertility, nurses should be aware that: The investigation takes 3-4 months and a significant financial investment In their role of implementing a plan of care for infertile couples, nurses should: Do all of the above plus be knowledgeable about potential drug and surgical remedies. Although remarkable developments have occurred in reproductive medicine, assisted reproductive therapies are associated with numerous legal and ethical issues. Nurses can provide accurate information about the risks and benefits of treatment alternatives so couples can make informed decisions about their choice of treatment. Which issue would not need to be addressed by an infertile couple before treatment? Financial ability to cover the cost of treatment A woman has chosen the calendar method of conception control. During the assessment process, it is most important that the nurse: Obtain a history of menstrual cycle lengths for the past 6-12 months A woman is using the basal body temperature (BBT) method of contraception. She calls the clinic and tells the nurse, My period is due in a few days, and my temperature has not gone up. The nurses most appropriate response is: You probably didnt ovulate during this cycle A married couple is discussing alternatives for pregnancy prevention and has asked about fertility awareness methods (FAMs). The nurses most appropriate reply is: They can be effective for many couples, but they require motivation A male client asks the nurse why it is better to purchase condoms that are not lubricated with nonoxynol-9 (a common spermicide). The nurses most appropriate response is: Nonoxynol-9 does not provide protection against sexually transmitted infections, as originally thought; it has also been linked to an increase in the transmission of human immunodeficiency virus and can cause genital lesions. A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice. The nurses most appropriate response would be: Your current medications will reduce the effectiveness of the pill. Injectable progestins (DMPA, Depo-Provera) are a good contraceptive choice for women who: Have difficulty remembering to take oral contraceptives daily A woman currently uses a diaphragm and spermicide for contraception. She asks the nurse what the major differences are between the cervical cap and diaphragm. The nurses most appropriate response is: The cervical cap can safely be used for repeated acts of intercourse without adding more spermicide later. A woman was treated recently for toxic shock syndrome (TSS). She has intercourse occasionally and uses over-the-counter protection. On the basis of her history, what contraceptive method should she and her partner avoid? cervical cap An unmarried young woman describes her sex life as active and involving many partners. She wants a contraceptive method that is reliable and does not interfere with sex. She requests an intrauterine device (IUD). The nurses most appropriate response is: The risk of pelvic inflammatory disease (PID) will be higher for you. A woman is 16 weeks pregnant and has elected to terminate her pregnancy. The nurse knows that the most common technique used for medical termination of a pregnancy in the second trimester is: dilation and evacuation (D&E) A woman will be taking oral contraceptives using a 28-day pack. The nurse should advise this woman to protect against pregnancy by: taking one pill at the same time every day A woman had unprotected intercourse 36 hours ago and is concerned that she may become pregnant because it is her fertile time. She asks the nurse about emergency contraception. The nurse tells her that: An over-the-counter antiemetic can be taken 1 hour before each contraceptive dose to prevent nausea and vomiting. Which statement is true about the term contraceptive failure rate? It varies from couple to couple, depending on the method and the users. While instructing a couple regarding birth control, the nurse should be aware that the method called natural family planning: Is the only contraceptive practice acceptable to the Roman Catholic church. Which contraceptive method has a failure rate of less than 25%? standard days Which contraceptive method best protects against sexually transmitted infections (STIs) and human immunodeficiency virus (HIV)? barrier methods With regard to the noncontraceptive medical effects of combined oral contraceptive pills (COCs), nurses should be aware that: The effectiveness of COCs can be altered by some over-the-counter medications and herbal supplements With regard to the use of intrauterine devices (IUDs), nurses should be aware that: IUDs containing copper can provide an emergency contraception option if inserted within a few days of unprotected intercourse. Which of the following statements is the most complete and accurate description of medical abortions? They can be either elective or therapeutic Nurses, certified nurse-midwives, and other advanced practice nurses have the knowledge and expertise to assist women in making informed choices regarding contraception. A multidisciplinary approach should ensure that the womans social, cultural, and interpersonal needs are met. Which action should the nurse take first when meeting with a new client to discuss contraception? Determine the womans level of knowledge about contraception and commitment to any particular method. Postcoital contraception with Ovral: Requires that the first dose be taken within 72 hours of unprotected intercourse. Informed consent concerning contraceptive use is important because some of the methods: have potentially dangerous side effects A physician prescribes clomiphene citrate (Clomid, Serophene) for a woman experiencing infertility. She is very concerned about the risk of multiple births. The nurses most appropriate response is: This is a legitimate concern. Would you like to discuss this further before your treatment begins? You (the nurse) are reviewing the educational packet provided to a client about tubal ligation. What is an important fact you should point out (Select all that apply)? - It is highly unlikely that you will become pregnant after the procedure - Sterilization offers no protection against STIs endometrial or myometrial tumors caused by uterine factors anorexia ovarian factors isoimmunization Vaginal/cervical Thyroid dysfunction or obesity other factors endometriosis tubal/ peritoneal The two primary functions of the ovary are: Ovulation and hormone production. The uterus is a muscular, pear-shaped organ that is responsible for: cyclic menstruation Unique muscle fibers make the uterine myometrium ideally suited for: the birth process The hormone responsible for maturation of mammary gland tissue is: progesterone Because of the effect of cyclic ovarian changes on the breast, the best time for breast self-examination (BSE) is: 5-7 days after menses ceases Menstruation is periodic uterine bleeding: That is regulated by ovarian hormones. Individual irregularities in the ovarian (menstrual) cycle are most often caused by: variations in the follicular (preovulatory) phase Prostaglandins are produced in most organs of the body, including the uterus. Other source(s) of prostaglandins is/are: menstrual blood Physiologically, sexual response can be characterized by: myotonia and vasocongestion The long-term treatment plan for an adolescent with an eating disorder focuses on: restructuring perception of body image The nurse guides a woman to the examination room and asks her to remove her clothes and put on an examination gown with the front open. The woman states, I have special undergarments that I do not remove for religious reasons. The most appropriate response from the nurse would be: Tell me about your undergarments. Ill explain the examination procedure, and then we can discuss how you can have your examination comfortably. A 62-year-old woman has not been to the clinic for an annual examination for 5 years. The recent death of her husband reminded her that she should come for a visit. Her family doctor has retired, and she is going to see the womens health nurse practitioner for her visit. To facilitate a positive health care experience, the nurse should: Listen carefully and allow extra time for this womans health history interview. During a health history interview, a woman states that she thinks that she has bumps on her labia. She also states that she is not sure how to check herself. The correct response would be to: Explain the process of vulvar self-examination to the woman and reassure her that she should become familiar with normal and abnormal findings during the examination. A woman arrives at the clinic for her annual examination. She tells the nurse that she thinks she has a vaginal infection and she has been using an over-the-counter cream for the past 2 days to treat it. The nurses initial response should be to: Ask the woman to describe the symptoms that indicate to her that she has a vaginal infection The transition phase during which ovarian function and hormone production decline is called: the climacteric Which statement would indicate that the client requires additional instruction about breast self examination? Yellow discharge from my nipple is normal if Im having my period A woman who is 6 months pregnant has sought medical attention, saying she fell down the stairs. What scenario would cause an emergency department nurse to suspect that the woman has been a victim of intimate partner violence (IPV)? The woman has injuries on various parts of her body that are in different stages of healing A 20-year-old patient calls the clinic to report that she has found a lump in her breast. The nurses best response is: Many women have benign lumps and bumps in their breasts. However, to make sure that its benign, you should come in for an examination by your physician. The female reproductive organ(s) responsible for cyclic menstruation is/are the: uterus