NSG 170 Sexuality Exam with
Complete Solutions
Which disadvantage of the diaphragm for birth control would be emphasized to the
client receiving instruction from the nurse regarding family planning methods?
- its failure rate is 50% when it is used alone
- it is physically uncomfortable when in place
- thrombus formation and pulmonary emboli may occur
- some women find its insertion and removal inconvenient - ANSWER-- some women
find its insertion and removal inconvenient
Which guideline is useful for reducing disparity when caring for transgender clients?
- learning about health care needs of homosexual clients
- always referring to transgender clients using pronouns of the sex with which they were
born
- always referring to transgender clients using pronouns of the sex with which they
transition
- learning about the treatment options for transgender clients and requirements of
follow-up care - ANSWER-- learning about the treatment options for transgender clients
and requirements of follow-up care
Which response would the nurse provide to the mother questioning why her teenage
daughter was foolish and became pregnant despite several discussions with the mother
about birth control?
- apparently your daughter wasn't listening to you
- you should have made sure that her boyfriend understood birth control too
- teenagers often fail to use birth control because they forget to discuss it with their
sexual partners
- although teenagers can intellectually discuss birth control, they often don't believe that
they become pregnant - ANSWER-- although teenagers can intellectually discuss birth
control, they often don't believe that they become pregnant
Gonorrhea symptoms - ANSWER-women-greenish-yellow discharge, discomfort while
urinating, fever, abdominal cramping, pain, vaginal bleeding
men- inflammation of the urethra, yellowish-white or yellowish-green discharge, burning
while urination
, Gonorrhea testing - ANSWER-NAAT swab
emergency contraception - ANSWER-hormone pills or an IUD that can be used after
unprotected intercourse to prevent pregnancy; OTC; no protection against STIs
transdermal patch birth control - ANSWER-weekly patch, regulates menstural cycle,
increased clot risk, no protection against STIs
vaginal ring (NuvaRing) - ANSWER-3 weeks at a time, no fitting needed, regulates
menstural cycles, expulsion/discharge/irritation, no protection against STIs
male and female condoms - ANSWER-barrier method, STI protection, no Rx,
inexpensive, interferes with spontaneity, expiration date, break/slip off
Diaphragm
(birth control) - ANSWER-inserted into vagina and placed against cervix prior to sex. the
sponge contains a spermicide. remain in place for 8 hours after sex. some protection
against STIs. increased risk for TSS. must be fitted
cervical cap - ANSWER-a rubber cap that fits over the cervix, used with spermicide to
prevent conception. must be fitted. increased risk for TSS. must remain in place for 6
hours after sex
Sterilization - ANSWER-vasectomy and tubal ligation; permanent; no protection against
STIs
intrauterine device (IUD) - ANSWER-hormonal/non-hormonal; decreased menstural
symptom; stay in place for 3-10 years; insertion is painful and can cause infection; no
protection against STIs
oral contraceptives - ANSWER-synthetic hormones used to prevent pregnancy and
treat menstrual disorders; decrease acne/PMS/endometriosis Sx; contraindicated: HTN,
smoker, cancer; takes longer for fertility to return
Natural Family Planning (NFP) - ANSWER-taking basal temp, charting, avoiding sex
when temp is high, not very effective, must be consistent, no protection against STIs
hormone implant - ANSWER-Timed-release medication placed under the skin of the
upper arm, providing long-term protection. regulates menstural cycles. no protection
against STIs.
hormone injections - ANSWER-a three-month injectable shot, regulates menstrual
cycles, no protection against STIs
abstinence - ANSWER-refraining from sexual intercourse (all kinds); full protection from
STIs; does not regulate menstural cycle
Complete Solutions
Which disadvantage of the diaphragm for birth control would be emphasized to the
client receiving instruction from the nurse regarding family planning methods?
- its failure rate is 50% when it is used alone
- it is physically uncomfortable when in place
- thrombus formation and pulmonary emboli may occur
- some women find its insertion and removal inconvenient - ANSWER-- some women
find its insertion and removal inconvenient
Which guideline is useful for reducing disparity when caring for transgender clients?
- learning about health care needs of homosexual clients
- always referring to transgender clients using pronouns of the sex with which they were
born
- always referring to transgender clients using pronouns of the sex with which they
transition
- learning about the treatment options for transgender clients and requirements of
follow-up care - ANSWER-- learning about the treatment options for transgender clients
and requirements of follow-up care
Which response would the nurse provide to the mother questioning why her teenage
daughter was foolish and became pregnant despite several discussions with the mother
about birth control?
- apparently your daughter wasn't listening to you
- you should have made sure that her boyfriend understood birth control too
- teenagers often fail to use birth control because they forget to discuss it with their
sexual partners
- although teenagers can intellectually discuss birth control, they often don't believe that
they become pregnant - ANSWER-- although teenagers can intellectually discuss birth
control, they often don't believe that they become pregnant
Gonorrhea symptoms - ANSWER-women-greenish-yellow discharge, discomfort while
urinating, fever, abdominal cramping, pain, vaginal bleeding
men- inflammation of the urethra, yellowish-white or yellowish-green discharge, burning
while urination
, Gonorrhea testing - ANSWER-NAAT swab
emergency contraception - ANSWER-hormone pills or an IUD that can be used after
unprotected intercourse to prevent pregnancy; OTC; no protection against STIs
transdermal patch birth control - ANSWER-weekly patch, regulates menstural cycle,
increased clot risk, no protection against STIs
vaginal ring (NuvaRing) - ANSWER-3 weeks at a time, no fitting needed, regulates
menstural cycles, expulsion/discharge/irritation, no protection against STIs
male and female condoms - ANSWER-barrier method, STI protection, no Rx,
inexpensive, interferes with spontaneity, expiration date, break/slip off
Diaphragm
(birth control) - ANSWER-inserted into vagina and placed against cervix prior to sex. the
sponge contains a spermicide. remain in place for 8 hours after sex. some protection
against STIs. increased risk for TSS. must be fitted
cervical cap - ANSWER-a rubber cap that fits over the cervix, used with spermicide to
prevent conception. must be fitted. increased risk for TSS. must remain in place for 6
hours after sex
Sterilization - ANSWER-vasectomy and tubal ligation; permanent; no protection against
STIs
intrauterine device (IUD) - ANSWER-hormonal/non-hormonal; decreased menstural
symptom; stay in place for 3-10 years; insertion is painful and can cause infection; no
protection against STIs
oral contraceptives - ANSWER-synthetic hormones used to prevent pregnancy and
treat menstrual disorders; decrease acne/PMS/endometriosis Sx; contraindicated: HTN,
smoker, cancer; takes longer for fertility to return
Natural Family Planning (NFP) - ANSWER-taking basal temp, charting, avoiding sex
when temp is high, not very effective, must be consistent, no protection against STIs
hormone implant - ANSWER-Timed-release medication placed under the skin of the
upper arm, providing long-term protection. regulates menstural cycles. no protection
against STIs.
hormone injections - ANSWER-a three-month injectable shot, regulates menstrual
cycles, no protection against STIs
abstinence - ANSWER-refraining from sexual intercourse (all kinds); full protection from
STIs; does not regulate menstural cycle
