NUR 335 Quiz 1 Questions and Complete
Solutions
Fertility Awareness Methods ✅Calendar (rhythm) method (day 14)
Basal body temperature (inc. c ovulation)
Cervical mucus (Billings) method (thin mucuc c ovulation)
Ovulation awareness
Lactation amenorrhea method
Coitus interruptus (pull out)
Oral Contraceptives ✅Composed of varying amounts of estrogen combined with small
amount of progesterone
Estrogen suppresses FSH and LH, thereby suppressing ovulation
Progesterone decreases the permeability of cervical mucus
Monophasic ✅Fixed doses of estrogen and progesterone
Biphasic ✅Constant amount of estrogen with increased progesterone
Triphasic ✅Varying levels of estrogen and progesterone
Contraindications to oral contraceptions ✅smoking,dvt, cardiovascular disease, htn,
diabetes
Tubal Ligation ✅28% of all women in US
cut fallopian tubes
egg reabsorbed
Vasectomy ✅11% of all men in US
cut
Elective Termination of Pregnancy ✅Procedure to deliberately end a pregnancy before
fetal viability
Induced
Medically induced
Reproductive life planning refers to counseling involving which of the following?
A.Adult women of legal age, not minors
B.Couples concerning methods of contraception prior to pregnancy, not postpartum
C.Couples with concerns related to conceiving, genetic abnormalities, and child-spacing
needs
, D. Family members participating in group therapy ✅C. Couples with concerns related
to conceiving, genetic abnormalities, and child-spacing needs.
Rationale: Reproductive life planning refers to planning for both having and not having
children.
During a prephysical interview, the client reports she and her husband use the rhythm
method of contraception. This method of family planning
A. requires abstinence from sexual intercourse the week after menstruation.
B.requires abstinence from sexual intercourse 3 to 4 days before ovulation and 3 to 4
days after ovulation.
c. requires close monitoring of temperature and assessment of cervical mucus.
d.combines abstinence from sexual intercourse 2 days before ovulation and 2 to 3 days
after ovulation in addition to monitoring temperature. ✅B. Requires abstinence from
sexual intercourse 3 to 4 days before ovulation and 3 to 4 days after ovulation
Rationale: Abstinence during these periods provides some degree of protection during
the most fertile days of the cycle.
A woman reports to the clinic after her method of birth control failed 24 hours ago. She
is requesting the "morning-after pill." She has many questions about the medication.
During the teaching session, she should be advised that
A. the mode of action is to suppress ovulation and, thus, prevent pregnancy.
B.the pills prevent pregnancy by reducing progesterone and reducing ovulation.
C.implantation is prevented by the high levels of estrogen.
d.the pills induce early menses due to their high levels of estrogen. ✅C. Implantation is
prevented by the high levels of estrogen
Rationale: The pills have a high level of estrogen. The high levels of estrogen inhibit
progesterone and implantation. There is no change in the onset of menses.
When a woman uses a vaginal spermicide, which of the following techniques should
she use?
A.Use a douche within 6 hours after coitus.
B.Insert the product by applicator no more than 1 hour prior to coitus.
C.Keep a feminine-hygiene product available to use in case her supply of spermicide
runs out.
D.Place the product near the vaginal orifice instead of further back for immediate
contact. ✅B. Insert the product by applicator no more than 1 hour prior to coitus.
Rationale: Vaginal spermicides are most effective when placed far back in the vagina;
because they have a short half-life, they should not be placed more than 1 hour before
sexual relations; feminine-hygiene products are not substitutes for spermicides.
A man you care for is interested in learning about vasectomy. Which of the following
would you include in your teaching?
A.It is usually done as an office procedure.
B.He will no longer ejaculate.
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