Foundations of maternal newborn womens health nursing textbook questions

Foundations of maternal newborn womens health nursing textbook questionsChapter 25: Family Planning Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition MULTIPLE CHOICE 1. Which contraceptive method provides protection against sexually transmitted diseases? a. Oral contraceptives b. Tubal ligation c. Male or female condoms d. Intrauterine device (IUD) ANS: C Because latex condoms provide the best protection available, they should be used during any potential exposure to a sexually transmitted disease (STD). Only the barrier methods provide some protection from STDs. A tubal ligation is considered a permanent contraceptive method; however, does not offer any protection against sexually transmitted diseases. IUDs are inserted into the uterus and provide no protection from STDs. PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Promotion and Maintenance 2. A nurse is leading a discussion regarding options for birth control. Which of the following methods is considered the most reliable? a. Coitus interruptus b. Breastfeeding c. Natural family planning d. Intrauterine device ANS: D IUDs are 99% effective. Although coitus interruptus is considered 78% effective, it requires great control by the man and may be unsatisfying for both partners. Women who exclusively breast feed (without formula or solid food supplementation) may avoid ovulation. Another method of birth control should be used when the frequency of breastfeeding decreases. At 6 months postpartum ovulation commences in most women, even if exclusively breastfeeding. Couples must be highly motivated to use natural family planning because they must abstain from sex for as much as half of the menstrual cycle. Errors in the forbidden time carry a very high risk of pregnancy. PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Promotion and Maintenance 3. Which patient is a safe candidate for the use of oral contraceptives? a. 39-year-old with a history of thrombophlebitis. b. 16-year-old with a benign liver tumor. c. 20-year-old who suspects she may be pregnant. d. 43-year-old who does not smoke cigarettes. NURSINGTB.COM Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank Downloaded by bakr amar () lOMoARcPSD| Harryson NU RS IN GT B.CO M ANS: D Heavy cigarette smoking is a contraindication to oral contraceptive use due to risk of stroke. Oral contraceptives are contraindicated with a history of thrombophlebitis. Liver tumors, benign or malignant, preclude the use of oral contraceptives. Pregnancy is also a contraindication. PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Promotion and Maintenance 4. The role of the nurse in family planning is to a. refer the couple to a reliable physician. b. decide on the best method for the couple. c. advise couples on which contraceptive to use. d. educate couples on the various methods of contraception. ANS: D The nurse’s role is to provide information to the couple so that they can make an informed decision about family planning. The nurse can assist the couple; they do not need to be sent to a physician for contraceptive education. The nurse’s role is to evaluate the couple’s knowledge base and educate regarding birth control options, not to decide which is the best contraceptive method for them to utilize. PTS: 1 DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Health Promotion and Maintenance 5. Informed consent concerning contraceptive use is important since some of the methods a. may not be reliable. b. require a surgical procedure to insert. c. have potentially dangerous side effects. d. are invasive procedures that require hospitalization. ANS: C It is important for couples to be aware of potential side effects in order for them to make an informed decision regarding the use of contraceptives. Even if a method is less reliable, it still carries with it side effects that require informed consent. A written consent is required if the contraceptive choice involves a surgical procedure. Some contraceptive procedures are invasive; however, do not require hospitalization for insertion. PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Promotion and Maintenance 6. Which contraceptive method should be contraindicated in a patient with a history of toxic shock syndrome? a. Condom b. Spermicide c. Cervical cap d. Oral contraceptives