Lowdermilk - Chapter 8 Study Exam Questions &
Answers.
1. A woman has chosen the choice. What is the nurse's best
cal- endar method of re- sponse?
conception control.
Which is the most a. "Oral contraceptives are a
important action the
nurse should perform
during the as- sessment
process in prepara- tion
to discuss the implemen-
tation 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
previ- ous experiences
with concep- tion control.
2. A woman who has a
seizure disorder and
takes barbitu- rates and
phenytoin sodium daily
asks the nurse about the
pill as a contraceptive
, Lowdermilk - Chapter 8 Study Exam Questions &
Answers.
ANS: A taken with anticonvulsants. Stating that the pill is an
The calendar method of conception control is ettective birth control method with side ettects is a true
based on the number of days in each cycle, statement, but this response is not the most
counting from the first day of menses. The appropriate. The anticonvulsant reduces the
fertile period is determined after the lengths ettectiveness of the pill, not the other way around.
of menstrual cycles have been accurately Stating that the pill is a good choice for a woman of
recorded for 6 months. Weight gain or loss may her age and personal
be partly related to hormonal fluctua- tions, 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.
ANS: B
Because the liver metabolizes oral
contraceptives, their ettec- tiveness is
reduced when they are simultaneously
, Lowdermilk - Chapter 8 Study Exam Questions &
Answers.
highly effective method, history does not teach the client that the ettectiveness
but they have some side of the pill may be reduced because of her
effects." anticonvulsant therapy.
b. "Your current
medications will reduce
the effectiveness of the
pill."
c. "Oral contraceptives will
re- duce the effectiveness
of your seizure
medication."
d. "The pill is a good choice
for a woman of your age
and with your personal
ANS: C
history."
Advantages of medroxyprogesterone acetate includes its
3. Which client would be an con-
ideal candidate for
injectable prog-
estins such as medroxyproges- traceptive ettectiveness, compared with the
ettectiveness of
terone acetate as a combined oral contraceptives, and the requirement of
contracep- tive choice? only four injections a year. The disadvantages of
injectable prog- estins are prolonged amenorrhea and
a. The ideal candidate uterine bleeding. The use of injectable progestin carries
wants menstrual
an increased risk of venous thrombosis and
regularity and pre-
thromboembolism. To be ettective, injections must be
dictability.
administered every 11 to 13 weeks. Access to health
b. The client has a history
care is necessary to prevent pregnancy or potential
of
complica-
thrombotic problems or breast tions.
cancer.
c. The ideal candidate has
Answers.
1. A woman has chosen the choice. What is the nurse's best
cal- endar method of re- sponse?
conception control.
Which is the most a. "Oral contraceptives are a
important action the
nurse should perform
during the as- sessment
process in prepara- tion
to discuss the implemen-
tation 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
previ- ous experiences
with concep- tion control.
2. A woman who has a
seizure disorder and
takes barbitu- rates and
phenytoin sodium daily
asks the nurse about the
pill as a contraceptive
, Lowdermilk - Chapter 8 Study Exam Questions &
Answers.
ANS: A taken with anticonvulsants. Stating that the pill is an
The calendar method of conception control is ettective birth control method with side ettects is a true
based on the number of days in each cycle, statement, but this response is not the most
counting from the first day of menses. The appropriate. The anticonvulsant reduces the
fertile period is determined after the lengths ettectiveness of the pill, not the other way around.
of menstrual cycles have been accurately Stating that the pill is a good choice for a woman of
recorded for 6 months. Weight gain or loss may her age and personal
be partly related to hormonal fluctua- tions, 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.
ANS: B
Because the liver metabolizes oral
contraceptives, their ettec- tiveness is
reduced when they are simultaneously
, Lowdermilk - Chapter 8 Study Exam Questions &
Answers.
highly effective method, history does not teach the client that the ettectiveness
but they have some side of the pill may be reduced because of her
effects." anticonvulsant therapy.
b. "Your current
medications will reduce
the effectiveness of the
pill."
c. "Oral contraceptives will
re- duce the effectiveness
of your seizure
medication."
d. "The pill is a good choice
for a woman of your age
and with your personal
ANS: C
history."
Advantages of medroxyprogesterone acetate includes its
3. Which client would be an con-
ideal candidate for
injectable prog-
estins such as medroxyproges- traceptive ettectiveness, compared with the
ettectiveness of
terone acetate as a combined oral contraceptives, and the requirement of
contracep- tive choice? only four injections a year. The disadvantages of
injectable prog- estins are prolonged amenorrhea and
a. The ideal candidate uterine bleeding. The use of injectable progestin carries
wants menstrual
an increased risk of venous thrombosis and
regularity and pre-
thromboembolism. To be ettective, injections must be
dictability.
administered every 11 to 13 weeks. Access to health
b. The client has a history
care is necessary to prevent pregnancy or potential
of
complica-
thrombotic problems or breast tions.
cancer.
c. The ideal candidate has
