MCN - Unit 1 - Chapter 4: Common Reproductive Issues || with
Complete Solutions.
The nurse is caring for a client requesting oral contraceptive pills (OCPs). She has multiple
sexual partners. The nurse recommends condoms to the client, but the client states, "I cannot use
condoms because I am allergic to latex." Which response by the nurse is appropriate?
"I will let the health care provider know you desire oral contraceptive pills."
"You can still use condoms because they make latex-free condoms."
"We can have you allergy tested to see if certain condoms may work for you."
"Do you understand the potential ramifications of having multiple sexual partners?" correct
answers "You can still use condoms because they make latex-free condoms."
Because this client has multiple partners, there is concern over the risk for sexually transmitted
infections (STIs) as well as pregnancy. Condoms are the only method of contraception that
protects against STIs, which is an important concern if the client is not in a monogamous
relationship. The nurse would inform the client of latex-free condoms and where to purchase
them first. Regardless of whether the client chooses to use latex-free condoms, the client can
discuss other options for contraception with the health care provider at that time. There is no
need to have the client tested for latex sensitivity. The nurse should educate the client on risks
associated with multiple sexual partners; however, using therapeutic language will be most
effective.
A female client has been trying to conceive for 3 months. She tells the nurse, "I just know
something is wrong with me." Which response by the nurse is best?
"It is time to talk to your health care provider about hormone testing."
"Do you or your partner have a family history of subfertility?"
"The problem can be with the man, woman, or both. We will explore all possibilities."
"It can take up to 1 year of regular, unprotected intercourse to conceive." correct answers "It can
take up to 1 year of regular, unprotected intercourse to conceive."
The nurse would first provide accurate information by informing the client that 3 months is not
an adequate time frame to indicate a problem is present. Most couples conceive within 1 year
when they have regular intercourse without the use of contraceptives. There is no reason to
assess for infertility issues with the female or with the couple's families. It is true that subfertility
issues can be related to the man, woman, or both; however, it is not appropriate to indicate there
is concern by stating "we will explore all possibilities."
A healthy 28-year-old female client who has a sedentary lifestyle and is a chain smoker is
seeking information about contraception. The nurse informs this client of the various options
available and the benefits and the risks of each. Which should the nurse recognize as
contraindicated in the case of this client?
the medroxyprogesterone injection
,oral contraceptive pills (OCPs)
a copper intrauterine device
implantable contraceptives correct answers oral contraceptive pills (OCPs)
Considering the client's smoking habit, oral contraceptive pills may be contraindicated. Oral
contraceptives are highly effective when taken properly, but can aggravate many medical
conditions, especially in women who smoke. The medroxyprogesterone injection or copper
intrauterine devices are not contraindicated in this client and can be used with certain
precautions. Implantable contraceptives are subdermal time-release implants that deliver
synthetic progestin; these are highly effective and are not contraindicated in this client.
A client who delivered her baby 3 months ago is seen in the clinic and tells the nurse that she and
her husband have yet to resume a sexual relationship. The nurse notes that no contraception is
currently being used. What is the most appropriate nursing diagnosis for this client?
Altered sexual pattern related to fear of pregnancy
Spiritual distress related to partner's preference for contraception
Decisional conflict related to unintended pregnancy
Powerlessness related to failure of chosen contraceptive correct answers Altered sexual pattern
related to fear of pregnancy
The nurse should recognize that this exceeds the recommended postpartum abstinence period and
might contribute to a fear of a repeat pregnancy.
A client prescribed oral contraceptive pills (OCPs) has presented for a routine visit. Which
finding, if reported by the client upon assessment, should the nurse prioritize?
abdominal pain
small amount of breakthrough bleeding
light menstrual flow
cramping during menses correct answers abdominal pain
The warning signs to report for a client on OCPs are severe abdominal or chest pain, dyspnea,
headache, weakness, numbness, blurred or double vision, speech disturbances, or severe leg pain
and edema. Light bleeding, light flow, and cramping are all normal.
A young woman says she needs a temporary contraceptive but has a latex allergy. She mentions
that she has had a papillomavirus infection. Also, she says she is terrible about remembering to
take pills. Which method should the nurse recommend?
transdermal contraception
sterilization
cervical cap
diaphragm correct answers transdermal contraception
,The fact that this woman has a latex allergy rules out the cervical cap and diaphragm. Moreover,
the diaphragm is contraindicated in her case due to her papillomavirus infection. The best choice
for her is transdermal contraception, which involves wearing a patch for a week at a time and
does not require taking pills daily.
The nurse assess a 28-year-old client who presented to the clinic with concerns about increased
body hair and irregular menstrual cycles (above). What diagnostic testing does the nurse
anticipate the provider will prescribe? Select all that apply.
fasting blood glucose
lipid profile
hysterosalpingogram
clomiphene citrate challenge test
potassium blood level correct answers fasting blood glucose
lipid profile
This client is presenting with typical signs of polycystic ovary syndrome (PCOS), including
increased body weight, irregular (and often anovulatory) menstrual cycles, and increased body
hair. Because this disorder is commonly associated with metabolic syndrome, the nurse will
anticipate orders for fasting blood glucose and lipid profile. A hysterosalpingogram is not
indicated; there is no indication that this client is experiencing infertility or desiring pregnancy.
Clomiphene is often used to stimulate ovulation in clients with PCOS, but it is not indicated prior
to further assessment and diagnosis. Potassium blood level is not required for a diagnosis of
PCOS, but if the PCOS is treated with spironolactone the client would require potassium level
monitoring.
A client presents at the clinic and is interested in obtaining emergency contraception (EC). The
nurse explains that EC must be used within 72 hours of unprotected sex to be effective. This is
because:
ECs simply prevent embryo creation and uterine implantation from occurring in the first place.
ECs can induce an abortion (elective termination of pregnancy) of a recently implanted embryo.
ECs can help prevent STIs.
ECs are more effective than regular birth control. correct answers ECs simply prevent embryo
creation and uterine implantation from occurring in the first place.
ECs prevent the embryo creation and uterine implantation from occurring. There is no evidence
that ECs have any effect on an already-implanted ovum or that they induce abortion (elective
termination of pregnancy). They do not protect against STIs and are less effective than regular
birth control.
The school nurse is preparing a health education session on the topic of birth control for a
college group. Which method should the nurse emphasize for this group?
, barrier
hormonal
rhythm
transdermal correct answers barrier
The nurse should emphasize a barrier method of birth control such as a condom. The condom
will help not only with birth control but with the spread of STIs, which is common in this age
group. The other methods, such as hormonal, rhythm, and transdermal, will only prevent
pregnancy and are more commonly utilized in long-term monogamous relationships.
The nurse should carefully screen a client who insists on using only oral contraceptive pills
(OCPs) for which contraindication?
deep vein thrombosis
gastrointestinal disease
impaired absorption
use of alcohol correct answers deep vein thrombosis
The nurse should screen the client for deep vein thrombosis (DVT), migraine headaches,
neurological symptoms, coronary artery disease or cerebral vascular disease, severe diabetes,
hypertension, liver disease, breast or endometrial cancer, and unexplained vaginal bleeding when
oral contraceptive pills (OCPs) are used. Gastrointestinal diseases are contraindicated in the use
of progestin-only pills. OCPs are not contraindicated in clients who drink alcohol. Impaired
absorption is a contraindication for the use of progestin-only pills (mini-pills).
A nurse is preparing a presentation for a health fair on the topic of vasectomy. Which
information should the nurse point out in the presentation?
Relatively easy procedure with few complications
Regular sperm counts are not essential
Procedure is effective immediately
Birth control measures are not required correct answers Relatively easy procedure with few
complications
The nurse should inform the individuals that vasectomy is a relatively easy procedure with few
complications. Regular sperm counts following a vasectomy are important, as it will take
approximately a month for the remaining sperm to exit the body. The client should use birth
control measures until his sperm count remains at zero for 6 weeks.
The nurse informs the client that a diaphragm is an example of which type of contraception?
chemical barrier
mechanical barrier
transdermal
intrauterine correct answers mechanical barrier
Complete Solutions.
The nurse is caring for a client requesting oral contraceptive pills (OCPs). She has multiple
sexual partners. The nurse recommends condoms to the client, but the client states, "I cannot use
condoms because I am allergic to latex." Which response by the nurse is appropriate?
"I will let the health care provider know you desire oral contraceptive pills."
"You can still use condoms because they make latex-free condoms."
"We can have you allergy tested to see if certain condoms may work for you."
"Do you understand the potential ramifications of having multiple sexual partners?" correct
answers "You can still use condoms because they make latex-free condoms."
Because this client has multiple partners, there is concern over the risk for sexually transmitted
infections (STIs) as well as pregnancy. Condoms are the only method of contraception that
protects against STIs, which is an important concern if the client is not in a monogamous
relationship. The nurse would inform the client of latex-free condoms and where to purchase
them first. Regardless of whether the client chooses to use latex-free condoms, the client can
discuss other options for contraception with the health care provider at that time. There is no
need to have the client tested for latex sensitivity. The nurse should educate the client on risks
associated with multiple sexual partners; however, using therapeutic language will be most
effective.
A female client has been trying to conceive for 3 months. She tells the nurse, "I just know
something is wrong with me." Which response by the nurse is best?
"It is time to talk to your health care provider about hormone testing."
"Do you or your partner have a family history of subfertility?"
"The problem can be with the man, woman, or both. We will explore all possibilities."
"It can take up to 1 year of regular, unprotected intercourse to conceive." correct answers "It can
take up to 1 year of regular, unprotected intercourse to conceive."
The nurse would first provide accurate information by informing the client that 3 months is not
an adequate time frame to indicate a problem is present. Most couples conceive within 1 year
when they have regular intercourse without the use of contraceptives. There is no reason to
assess for infertility issues with the female or with the couple's families. It is true that subfertility
issues can be related to the man, woman, or both; however, it is not appropriate to indicate there
is concern by stating "we will explore all possibilities."
A healthy 28-year-old female client who has a sedentary lifestyle and is a chain smoker is
seeking information about contraception. The nurse informs this client of the various options
available and the benefits and the risks of each. Which should the nurse recognize as
contraindicated in the case of this client?
the medroxyprogesterone injection
,oral contraceptive pills (OCPs)
a copper intrauterine device
implantable contraceptives correct answers oral contraceptive pills (OCPs)
Considering the client's smoking habit, oral contraceptive pills may be contraindicated. Oral
contraceptives are highly effective when taken properly, but can aggravate many medical
conditions, especially in women who smoke. The medroxyprogesterone injection or copper
intrauterine devices are not contraindicated in this client and can be used with certain
precautions. Implantable contraceptives are subdermal time-release implants that deliver
synthetic progestin; these are highly effective and are not contraindicated in this client.
A client who delivered her baby 3 months ago is seen in the clinic and tells the nurse that she and
her husband have yet to resume a sexual relationship. The nurse notes that no contraception is
currently being used. What is the most appropriate nursing diagnosis for this client?
Altered sexual pattern related to fear of pregnancy
Spiritual distress related to partner's preference for contraception
Decisional conflict related to unintended pregnancy
Powerlessness related to failure of chosen contraceptive correct answers Altered sexual pattern
related to fear of pregnancy
The nurse should recognize that this exceeds the recommended postpartum abstinence period and
might contribute to a fear of a repeat pregnancy.
A client prescribed oral contraceptive pills (OCPs) has presented for a routine visit. Which
finding, if reported by the client upon assessment, should the nurse prioritize?
abdominal pain
small amount of breakthrough bleeding
light menstrual flow
cramping during menses correct answers abdominal pain
The warning signs to report for a client on OCPs are severe abdominal or chest pain, dyspnea,
headache, weakness, numbness, blurred or double vision, speech disturbances, or severe leg pain
and edema. Light bleeding, light flow, and cramping are all normal.
A young woman says she needs a temporary contraceptive but has a latex allergy. She mentions
that she has had a papillomavirus infection. Also, she says she is terrible about remembering to
take pills. Which method should the nurse recommend?
transdermal contraception
sterilization
cervical cap
diaphragm correct answers transdermal contraception
,The fact that this woman has a latex allergy rules out the cervical cap and diaphragm. Moreover,
the diaphragm is contraindicated in her case due to her papillomavirus infection. The best choice
for her is transdermal contraception, which involves wearing a patch for a week at a time and
does not require taking pills daily.
The nurse assess a 28-year-old client who presented to the clinic with concerns about increased
body hair and irregular menstrual cycles (above). What diagnostic testing does the nurse
anticipate the provider will prescribe? Select all that apply.
fasting blood glucose
lipid profile
hysterosalpingogram
clomiphene citrate challenge test
potassium blood level correct answers fasting blood glucose
lipid profile
This client is presenting with typical signs of polycystic ovary syndrome (PCOS), including
increased body weight, irregular (and often anovulatory) menstrual cycles, and increased body
hair. Because this disorder is commonly associated with metabolic syndrome, the nurse will
anticipate orders for fasting blood glucose and lipid profile. A hysterosalpingogram is not
indicated; there is no indication that this client is experiencing infertility or desiring pregnancy.
Clomiphene is often used to stimulate ovulation in clients with PCOS, but it is not indicated prior
to further assessment and diagnosis. Potassium blood level is not required for a diagnosis of
PCOS, but if the PCOS is treated with spironolactone the client would require potassium level
monitoring.
A client presents at the clinic and is interested in obtaining emergency contraception (EC). The
nurse explains that EC must be used within 72 hours of unprotected sex to be effective. This is
because:
ECs simply prevent embryo creation and uterine implantation from occurring in the first place.
ECs can induce an abortion (elective termination of pregnancy) of a recently implanted embryo.
ECs can help prevent STIs.
ECs are more effective than regular birth control. correct answers ECs simply prevent embryo
creation and uterine implantation from occurring in the first place.
ECs prevent the embryo creation and uterine implantation from occurring. There is no evidence
that ECs have any effect on an already-implanted ovum or that they induce abortion (elective
termination of pregnancy). They do not protect against STIs and are less effective than regular
birth control.
The school nurse is preparing a health education session on the topic of birth control for a
college group. Which method should the nurse emphasize for this group?
, barrier
hormonal
rhythm
transdermal correct answers barrier
The nurse should emphasize a barrier method of birth control such as a condom. The condom
will help not only with birth control but with the spread of STIs, which is common in this age
group. The other methods, such as hormonal, rhythm, and transdermal, will only prevent
pregnancy and are more commonly utilized in long-term monogamous relationships.
The nurse should carefully screen a client who insists on using only oral contraceptive pills
(OCPs) for which contraindication?
deep vein thrombosis
gastrointestinal disease
impaired absorption
use of alcohol correct answers deep vein thrombosis
The nurse should screen the client for deep vein thrombosis (DVT), migraine headaches,
neurological symptoms, coronary artery disease or cerebral vascular disease, severe diabetes,
hypertension, liver disease, breast or endometrial cancer, and unexplained vaginal bleeding when
oral contraceptive pills (OCPs) are used. Gastrointestinal diseases are contraindicated in the use
of progestin-only pills. OCPs are not contraindicated in clients who drink alcohol. Impaired
absorption is a contraindication for the use of progestin-only pills (mini-pills).
A nurse is preparing a presentation for a health fair on the topic of vasectomy. Which
information should the nurse point out in the presentation?
Relatively easy procedure with few complications
Regular sperm counts are not essential
Procedure is effective immediately
Birth control measures are not required correct answers Relatively easy procedure with few
complications
The nurse should inform the individuals that vasectomy is a relatively easy procedure with few
complications. Regular sperm counts following a vasectomy are important, as it will take
approximately a month for the remaining sperm to exit the body. The client should use birth
control measures until his sperm count remains at zero for 6 weeks.
The nurse informs the client that a diaphragm is an example of which type of contraception?
chemical barrier
mechanical barrier
transdermal
intrauterine correct answers mechanical barrier
