Reproductive Choices

Questions in section: 13

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Question 1: In a lecture on sexual functioning, the nurse plans to include the

fact that ovulation occurs when the:
Selected Choice: Blood level of LH is high
Your Selection: Correct
Rationale: It is the surge of LH secretion in midcycle that is responsible for
ovulation.
Related information: Chapter 3, section 64

Question 2: After ovulation has occurred, the ovum is believed to remain viable
for:
Selected Choice: 24 to 36 hours
Your Selection: Correct
Rationale: The ovum is capable of being fertilized for only 24 to 36 hours
following ovulation; after this time it travels a variable distance between the
fallopian tube and uterus, disintegrates, and is phagocytized by leukocytes.
Related information: Chapter 3, section 64

Question 3: The time of ovulation can be determined by taking the basal

temperature. During ovulation the basal temperature:
Selected Choice: Drops slightly and then rises
Your Selection: Correct
Rationale: As ovulation approaches, there may be a drop in the basal temperature
because of an increased production of estrogen; when ovulation occurs, there will
be a rise in the basal temperature because of an increased production of
progesterone.
Related information: Chapter 3, section 58

Question 4: The nurse explains that the efficiency of rhythm is dependent on the
basal body temperature. A factor that will alter its effectiveness is:
Selected Choice: Presence of stress
Your Selection: Correct
Rationale: Stress or infection alters the body's metabolism, causing an elevation
in temperature; a rise in temperature from these causes may be misinterpreted as
ovulation.
Related information: Chapter 3, section 58

Question 5: A couple are desirous of using the rhythm method of contraception but
do not understand how it works. The nurse's explanation to this couple about when
to refrain from intercourse will be based on the fact that ovulation occurs:
Selected Choice: Fourteen days prior to the onset of menstruation
Your Selection: Correct
Rationale: Ovulation is anticipated approximately 14 days prior to menstruation;
however, it is more reliable to avoid using a specific number of days and to
calculate on the basis of an individual's cycle rather than an average 28-day
cycle.
Related information: Chapter 3, section 64
Question 6: A biphasic antiovulatory medication of combined progestin and
estrogen is prescribed for a female client. The nurse, instructing the client
about the medication, should include the need to:
Selected Choice: Report any vaginal bleeding
Your Selection: Correct
Rationale: Antiovulatory drugs suppress menstruation. Breakthrough bleeding is
abnormal with biphasic drugs. The drug is given for only 21 days and menstrual
flow does not occur during this time.
Related information: Chapter 3, section 58

Question 7: Following delivery a cardiac client with type II diabetes asks the
nurse, 'Which contraceptives will I be able to use to prevent pregnancy in the
near future?' The nurse's best response would be:
Selected Choice: You may want to use a foam and a condom to prevent pregnancy
until you consult with your doctor at your postpartum visit.
Your Selection: Correct
Rationale: Some type of a barrier contraceptive (condom with foam or jelly or a
diaphragm) is usually recommended for the client with diabetes mellitus and a
cardiac condition.
Related information: Chapter 3, section 58

Question 8: The nurse teaches that the most frequent side effect associated with
the use of IUDs is:
Selected Choice: Excessive menstrual flow
Your Selection: Correct
Rationale: Subsequent to IUD insertion, there may be an excessive menstrual flow
for several cycles; this is probably because of an increase in the blood supply
(inflammatory process), since the IUD is really a foreign body.
Related information: Chapter 3, section 58

Question 9: The nurse should explain that a very common problem that has been
associated with IUDs when they are used is:
Selected Choice: Spontaneous expulsion of the device
Your Selection: Correct
Rationale: The IUD may cause irritability of the myometrium, inducing contraction
of the uterus and expulsion of the device.
Related information: Chapter 3, section 58

Question 10: A client seeking advice about contraception asks the nurse about an
IUD. The nurse explains that the IUD provides contraception by:
Selected Choice: Interferes with the reproductive process anatomically and
temporally before ova reach the uterus
Your Selection: Correct
Rationale: Because of the IUD, the uterine lining is not receptive to the
implantation of the fertilized egg.
Related information: Chapter 3, section 58

Question 11: During the salinization method of elective abortion, the nurse
should be alert for side effects such as:
Selected Choice: Headache
Your Selection: Correct
Rationale: A headache is a symptom of hypernatremia which can occur with the
salinization method of elective abortion.
Related information: Chapter 3, section 57

Question 12: Following a salinization procedure for an elective abortion of a 20-

week pregnancy, the client is told that labor will probably begin within:
Selected Choice: Eight to twenty-four hours after the procedure
Your Selection: Correct
Rationale: The saline causes puffing of the placenta, fetal death, placental
separation, release of fibrin, and then labor and paradoxical hemorrhaging. This
takes at least 8 to 24 hours in most cases.
Related information: Chapter 3, section 57

Question 13: In the dilation and suction evacuation method of elective abortion,
Laminarias are used in the dilation stage of the procedure because:
Selected Choice: They are hygroscopic and expand
Your Selection: Correct
Rationale: Laminaria is a seaweed that expands in a moist environment. It is a
natural and safe method of dilating the cervix.
Related information: Chapter 3, section 21

Question total: 13
Questions correct: 13
Score: 100%