Chapter 4:
Special Issues of Women's Health Care and Reproduction - ML4
A nurse is teaching a couple about how to use a condom. The nurse determines the couple can
properly apply the condom when they state that it should be applied at which time to be most
effective?
Correct response:
before penile–vulvar contact
A nurse performs an assessment on a 35-year-old client who developed leg pain. The client
smokes one pack of cigarettes per day and drinks alcohol socially. Assessment reveals a red,
swollen right lower extremity that is warm to the touch, and pain increases with ambulation or
dorsiflexion of the right foot. Client reports recent nausea, vomiting, breast tenderness, and
weight gain after starting oral contraceptives.
Complete the following sentence(s) by choosing from the lists of options.
The nurse suspects the client may
have developed a deep vein thrombosis (DVT)
as evidenced by
calf pain and swelling
When using the contraceptive patch, a client should understand that it:
Correct response:
should be applied to the abdomen, buttocks, or back.
The nurse is planning instruction for a client desiring to have a tubal ligation. Which information
should the nurse emphasize when teaching the client?
Correct response:
She must think of the procedure as irreversible.
The nurse has provided information to a client about oral contraceptive pills (OCPs). Which
statement by the client would indicate a need for further education?
Correct response:
"Some oral contraceptive pills protect against STIs."
A nursing instructor is teaching about subfertility to nursing students and perceives their
understanding when they define subfertility existing when a pregnancy has not occurred after
how much time of engaging in unprotected sex?
Correct response:
, 12 months
A young woman comes to the free clinic asking for oral contraceptive pills. Which
factor best indicates that another type of contraception would be better for this client?
Correct response:
history of noncompliance with medications
An intrauterine device (IUD) has been inserted into a client as a requested birth control method.
What is an advantage of IUDs?
Correct response:
continuous protection without client's active participation
Clients who have had PID are prone to which complication?
Correct response:
ectopic pregnancy
A woman has just been prescribed clomiphene citrate to stimulate ovulation. Which possible
effect should the nurse warn the woman about?
Correct response:
overstimulation of the ovary resulting in potential multiple births
A client's subfertility has been attributed to intrauterine adhesions. When talking with the client
about treating this condition, which treatment will the nurse describe?
Correct response:
myomectomy
A nurse should instruct a client who has premenstrual syndrome (PMS) to make which lifestyle
modification?
Correct response:
Reduce caffeine, walk several times a week, use relaxation techniques, and maintain a
regular sleep schedule.
A woman uses a diaphragm for contraception. The nurse would instruct her to return to the clinic
to have her diaphragm fit checked after which occurrence?
Correct response:
2
, a weight gain of 10 lb (4.5 kg)
A nurse is preparing a client for intrauterine device (IUD) insertion. Which education will the
nurse provide to the client?
Correct response:
"Checking the strings is recommended following insertion."
The nurse is conducting a health history on a couple planning to become pregnant over the next
few months. Which statement by the male client most concerns the nurse?
Correct response:
“I have a degree as a chemical engineer and work at the local plant.”
Which description best explains the hysterosalpingogram procedure?
Correct response:
radiograph of the uterus and fallopian tubes following introduction of a radiopaque
medium through the cervix
A client is admitted for repair of cystocele and rectocele. The client has nine living children. In
taking the client's health history, what would the nurse expect to find?
Correct response:
stress incontinence with feeling of low abdominal pressure
The nurse is providing care to a woman who has come to the clinic for suggestions about
contraception. When determining the recommendation for a client, which factor would be most
important for the nurse to integrate into the plan of care?
Correct response:
client’s ability to tolerate side effects
A couple is considering vasectomy as a contraception option. However, the husband is nervous
about how such a procedure would affect his sexual functioning. Which information should the
nurse mention to the man?
Correct response:
The man will still have full erection capacity.
A client comes into the family planning clinic and requests a prescription for birth control pills.
Which assessment finding indicates that an ovulation suppressant would not be
the best contraceptive method for the client?
Special Issues of Women's Health Care and Reproduction - ML4
A nurse is teaching a couple about how to use a condom. The nurse determines the couple can
properly apply the condom when they state that it should be applied at which time to be most
effective?
Correct response:
before penile–vulvar contact
A nurse performs an assessment on a 35-year-old client who developed leg pain. The client
smokes one pack of cigarettes per day and drinks alcohol socially. Assessment reveals a red,
swollen right lower extremity that is warm to the touch, and pain increases with ambulation or
dorsiflexion of the right foot. Client reports recent nausea, vomiting, breast tenderness, and
weight gain after starting oral contraceptives.
Complete the following sentence(s) by choosing from the lists of options.
The nurse suspects the client may
have developed a deep vein thrombosis (DVT)
as evidenced by
calf pain and swelling
When using the contraceptive patch, a client should understand that it:
Correct response:
should be applied to the abdomen, buttocks, or back.
The nurse is planning instruction for a client desiring to have a tubal ligation. Which information
should the nurse emphasize when teaching the client?
Correct response:
She must think of the procedure as irreversible.
The nurse has provided information to a client about oral contraceptive pills (OCPs). Which
statement by the client would indicate a need for further education?
Correct response:
"Some oral contraceptive pills protect against STIs."
A nursing instructor is teaching about subfertility to nursing students and perceives their
understanding when they define subfertility existing when a pregnancy has not occurred after
how much time of engaging in unprotected sex?
Correct response:
, 12 months
A young woman comes to the free clinic asking for oral contraceptive pills. Which
factor best indicates that another type of contraception would be better for this client?
Correct response:
history of noncompliance with medications
An intrauterine device (IUD) has been inserted into a client as a requested birth control method.
What is an advantage of IUDs?
Correct response:
continuous protection without client's active participation
Clients who have had PID are prone to which complication?
Correct response:
ectopic pregnancy
A woman has just been prescribed clomiphene citrate to stimulate ovulation. Which possible
effect should the nurse warn the woman about?
Correct response:
overstimulation of the ovary resulting in potential multiple births
A client's subfertility has been attributed to intrauterine adhesions. When talking with the client
about treating this condition, which treatment will the nurse describe?
Correct response:
myomectomy
A nurse should instruct a client who has premenstrual syndrome (PMS) to make which lifestyle
modification?
Correct response:
Reduce caffeine, walk several times a week, use relaxation techniques, and maintain a
regular sleep schedule.
A woman uses a diaphragm for contraception. The nurse would instruct her to return to the clinic
to have her diaphragm fit checked after which occurrence?
Correct response:
2
, a weight gain of 10 lb (4.5 kg)
A nurse is preparing a client for intrauterine device (IUD) insertion. Which education will the
nurse provide to the client?
Correct response:
"Checking the strings is recommended following insertion."
The nurse is conducting a health history on a couple planning to become pregnant over the next
few months. Which statement by the male client most concerns the nurse?
Correct response:
“I have a degree as a chemical engineer and work at the local plant.”
Which description best explains the hysterosalpingogram procedure?
Correct response:
radiograph of the uterus and fallopian tubes following introduction of a radiopaque
medium through the cervix
A client is admitted for repair of cystocele and rectocele. The client has nine living children. In
taking the client's health history, what would the nurse expect to find?
Correct response:
stress incontinence with feeling of low abdominal pressure
The nurse is providing care to a woman who has come to the clinic for suggestions about
contraception. When determining the recommendation for a client, which factor would be most
important for the nurse to integrate into the plan of care?
Correct response:
client’s ability to tolerate side effects
A couple is considering vasectomy as a contraception option. However, the husband is nervous
about how such a procedure would affect his sexual functioning. Which information should the
nurse mention to the man?
Correct response:
The man will still have full erection capacity.
A client comes into the family planning clinic and requests a prescription for birth control pills.
Which assessment finding indicates that an ovulation suppressant would not be
the best contraceptive method for the client?
