Ricci Chapter 4 – Contraception
questions well answered already passed
1. After discussing various methods of contraception with a client and her partner, the nurse
determines that the teaching was successful when they identify which contraceptive method as
providing protection against sexually transmitted infections (STIs)?
A. oral contraceptives
B. tubal ligation
C. condoms
D. intrauterine system - correct answer ✔✔Answer: C
Rationale: Condoms are a barrier method of contraception. In addition to providing a physical
barrier for sperm, they also protect against STIs. Oral contraceptives, tubal ligation, and
intrauterine systems provide no protection against STIs.
2. When discussing contraceptive options, the nurse would recommend which option as being
the most reliable?
A. coitus interruptus
B. lactational amenorrheal method (LAM)
C. natural family planning
D. intrauterine system - correct answer ✔✔Answer: D
Rationale: An intrauterine system is the most reliable method because users have to consciously
discontinue using them to become pregnant rather than making a proactive decision to avoid
conception. Coitus interruptus, LAM, and natural family planning are behavioral methods of
contraception and require active participation of the couple to prevent pregnancy. These
behavioral methods must be followed exactly as prescribed.
, 3. A client comes to the clinic with abdominal pain. Based on her history the nurse suspects
endometriosis. The nurse expects to prepare the client for which evaluatory method to confirm
this suspicion?
A. pelvic examination
B. transvaginal ultrasound
C. laparoscopy
D. hysterosalpingogram - correct answer ✔✔Answer: C
Rationale: The only certain method of diagnosing endometriosis is by seeing it. Therefore, the
nurse would expect to prepare the client for a laparoscopy to confirm the diagnosis. A pelvic
examination and transvaginal ultrasound are done to assess for endometriosis but do not
confirm
its presence. Hysterosalpingography aids in identifying tubal problems resulting in infertility.
4. The nurse discusses various contraceptive methods with a client and her partner. Which
method would the nurse explain as being available only by prescription?
A. condom
B. spermicide
C. diaphragm
D. basal body temperature - correct answer ✔✔Answer: C
Rationale: The diaphragm is available only by prescription and must be professionally fitted by a
health care provider. Condoms and spermicides are available over the counter. Basal body
temperature requires the use of a special thermometer that is available over the counter.
5. When developing a teaching plan for a couple who are considering contraception options, the
nurse would include which statement?
A. "You should select one that is considered to be 100% effective."
questions well answered already passed
1. After discussing various methods of contraception with a client and her partner, the nurse
determines that the teaching was successful when they identify which contraceptive method as
providing protection against sexually transmitted infections (STIs)?
A. oral contraceptives
B. tubal ligation
C. condoms
D. intrauterine system - correct answer ✔✔Answer: C
Rationale: Condoms are a barrier method of contraception. In addition to providing a physical
barrier for sperm, they also protect against STIs. Oral contraceptives, tubal ligation, and
intrauterine systems provide no protection against STIs.
2. When discussing contraceptive options, the nurse would recommend which option as being
the most reliable?
A. coitus interruptus
B. lactational amenorrheal method (LAM)
C. natural family planning
D. intrauterine system - correct answer ✔✔Answer: D
Rationale: An intrauterine system is the most reliable method because users have to consciously
discontinue using them to become pregnant rather than making a proactive decision to avoid
conception. Coitus interruptus, LAM, and natural family planning are behavioral methods of
contraception and require active participation of the couple to prevent pregnancy. These
behavioral methods must be followed exactly as prescribed.
, 3. A client comes to the clinic with abdominal pain. Based on her history the nurse suspects
endometriosis. The nurse expects to prepare the client for which evaluatory method to confirm
this suspicion?
A. pelvic examination
B. transvaginal ultrasound
C. laparoscopy
D. hysterosalpingogram - correct answer ✔✔Answer: C
Rationale: The only certain method of diagnosing endometriosis is by seeing it. Therefore, the
nurse would expect to prepare the client for a laparoscopy to confirm the diagnosis. A pelvic
examination and transvaginal ultrasound are done to assess for endometriosis but do not
confirm
its presence. Hysterosalpingography aids in identifying tubal problems resulting in infertility.
4. The nurse discusses various contraceptive methods with a client and her partner. Which
method would the nurse explain as being available only by prescription?
A. condom
B. spermicide
C. diaphragm
D. basal body temperature - correct answer ✔✔Answer: C
Rationale: The diaphragm is available only by prescription and must be professionally fitted by a
health care provider. Condoms and spermicides are available over the counter. Basal body
temperature requires the use of a special thermometer that is available over the counter.
5. When developing a teaching plan for a couple who are considering contraception options, the
nurse would include which statement?
A. "You should select one that is considered to be 100% effective."
