Ramont2e Rev TIF Ch40

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Ramont, Niedringhous, Comprehensive Nursing Care 2nd Edition Update Test

Bank

Chapter 40Question 1

Type: MCSA

The client considering a mammoplasty asks the nurse if she will still be able to breastfeed if she has the

procedure. The nurse's best response includes what information?

1 The removal of adipose tissue disturbs the flow of milk so she likely will not be able to breast feed.

2 The insertion of a saline device can be pocketed under the muscle to allow for future breastfeeding.

! The likelihood of producing milk is slim because the duct system is interrupted by the surgical procedure andimplant.

4 !reastfeeding is discouraged postprocedure because it can change the shape of the breast and damage the

implant.

Corre"t #ns$er: "

Rationa%e 1# Cutting into the mammary tissue and placing a saline implant disturbs the duct system in the breastand makes the likelihood of breastfeeding very low but not impossible.

Rationa%e 2# Cutting into the mammary tissue and placing a saline implant disturbs the duct system in the breast

and makes the likelihood of breastfeeding very low but not impossible.

Rationa%e !# Cutting into the mammary tissue and placing a saline implant disturbs the duct system in the breast


Rationa%e 4# Cutting into the mammary tissue and placing a saline implant disturbs the duct system in the breast


&%o'a% Rationa%e:

Cogniti(e )e(e%: Analy$ing

C%ient Need: %ealth &romotion and Maintenance

C%ient Need *u':Nursing+ntegrated Con"epts: ursing &rocess# (mplementation

)earning -ut"ome: )eview the structure and function of the female and male reproductive systems.

Question 2

Type: MCSA

)amont iedringhous Comprehensive Nursing Care *nd +dition ,pdate Test !ank

Copyright *-* by &earson +ducation (nc.



The nurse working in a &lanned &arenthood clinic admits a woman who re/uests a pregnancy test. 0hile waiting

for the results the client asks the nurse 1(f ('m pregnant the father could be either of two men ('ve been seeing.

Can you tell me what day ( got pregnant if you know how far along ( am so ( can figure out who the father is?1

The nurse's best response is#

1 10omen usually ovulate on the 23th day with the first day of your period being day one. %owever every

woman is different so there is no way to know what day you ovulated or became pregnant.1

2 10omen usually ovulate on the 324 th day with the last day of your period being day one. %owever everywoman is different so there is no way to know what day you ovulated or became pregnant1

! 10omen usually ovulate on the 324 th day with the first day of your period being day one. %owever every

woman is different so there is no way to know what day you ovulated or became pregnant1

4 10omen usually ovulate on the 23th day with the last day of your period being day one. %owever everywoman is different so there is no way to know what day you ovulated or became pregnant1

Corre"t #ns$er:

Rationa%e 1# The first day of the menstrual period is considered day one of the menstrual cycle. 0hile most

women ovulate between the th and 3th day of the cycle every woman is different and it is possible to ovulate

any day of the cycle. 0hile most women have a *42day cycle some have shorter cycles and others have longercycles. (t is virtually impossible to determine what day a woman became pregnant.




Rationa%e !# The first day of the menstrual period is considered day one of the menstrual cycle. 0hile most




women ovulate between the th and 3th day of the cycle every woman is different and it is possible to ovulateany day of the cycle. 0hile most women have a *42day cycle some have shorter cycles and others have longer

cycles. (t is virtually impossible to determine what day a woman became pregnant.

&%o'a% Rationa%e:



C%ient Need *u':

Nursing+ntegrated Con"epts: ursing &rocess# (mplementation

)earning -ut"ome: )eview the structure and function of the female and male reproductive systems.





Question !

Type: MCMA

The nurse is preparing to obtain a comprehensive se5ual history from the client in the reproductive clinic. 0hat

actions can the nurse take to help the client feel comfortable enough to share this information?

*tandard Te.t: Select all that apply.

1 The nurse presents a non6udgmental and nonthreatening environment.

2 &rovide privacy for the client.

! The nurse should act like a friend of the client.

4 The nurse should use medical terminology to reduce embarrassment.

/ The nurse should maintain good eye contact with the client.

Corre"t #ns$er: *

Rationa%e 1# Making sure the environment is non6udgmental and nonthreatening is important to make the client

feel more comfortable sharing private information. Strict privacy should be maintained and the client might

prefer to e5clude other family members or friends from the conversation to allow full disclosure. The nurse shoulnot act like a friend but should maintain professionalism. Medical terminology might not be understood by the

client and should be avoided. The amount of eye contact to use in a given situation depends on the culture and

comfort level of the client.


feel more comfortable sharing private information. Strict privacy should be maintained and the client might prefer to e5clude other family members or friends from the conversation to allow full disclosure. The nurse shoul

not act like a friend but should maintain professionalism. Medical terminology might not be understood by theclient and should be avoided. The amount of eye contact to use in a given situation depends on the culture and


Rationa%e !# Making sure the environment is non6udgmental and nonthreatening is important to make the client

feel more comfortable sharing private information. Strict privacy should be maintained and the client might prefer to e5clude other family members or friends from the conversation to allow full disclosure. The nurse shoul

not act like a friend but should maintain professionalism. Medical terminology might not be understood by the




feel more comfortable sharing private information. Strict privacy should be maintained and the client might

prefer to e5clude other family members or friends from the conversation to allow full disclosure. The nurse shoulnot act like a friend but should maintain professionalism. Medical terminology might not be understood by the







Rationa%e /# Making sure the environment is non6udgmental and nonthreatening is important to make the clientfeel more comfortable sharing private information. Strict privacy should be maintained and the client might

prefer to e5clude other family members or friends from the conversation to allow full disclosure. The nurse shoul

not act like a friend but should maintain professionalism. Medical terminology might not be understood by theclient and should be avoided. The amount of eye contact to use in a given situation depends on the culture and


&%o'a% Rationa%e:

Cogniti(e )e(e%: Applying


C%ient Need *u':


)earning -ut"ome: (dentify points to cover in obtaining a comprehensive se5ual history.

Question 4

Type: MCSA

The nurse working in a urologist's office is caring for a male client admitted with concerns regarding erectile

dysfunction. The nurse suspects a contributing factor to the client's condition is#

1 %istory of hypertension.

2 %istory of wearing tight2fitting underwear.

! %istory of vasectomy.

4 %istory of psoriasis.

Corre"t #ns$er:

Rationa%e 1# Clients with hypertension can e5perience erectile dysfunction due to inability of the vascular systemto properly engorge. This can be related to the increased pressure within the arteries as well as a side effect of

antihypertensives. The other answer options would not create a risk for erectile dysfunction.

Rationa%e 2# Clients with hypertension can e5perience erectile dysfunction due to inability of the vascular system

to properly engorge. This can be related to the increased pressure within the arteries as well as a side effect ofantihypertensives. The other answer options would not create a risk for erectile dysfunction.

Rationa%e !# Clients with hypertension can e5perience erectile dysfunction due to inability of the vascular systemto properly engorge. This can be related to the increased pressure within the arteries as well as a side effect of


Rationa%e 4# Clients with hypertension can e5perience erectile dysfunction due to inability of the vascular system

to properly engorge. This can be related to the increased pressure within the arteries as well as a side effect of






&%o'a% Rationa%e:


C%ient Need: &hysiological (ntegrity

C%ient Need *u':

Nursing+ntegrated Con"epts: ursing &rocess# Assessment

)earning -ut"ome: 7escribe common disorders of the male reproductive system treatment and nursing

interventions.

Question /

Type: MCSA

The nurse is caring for a woman newly diagnosed with breast cancer who asks the nurse to e5plain the difference

between a mastectomy and a radical mastectomy. The nurse's best response is#

1 1They are both the same e5cept that a radical mastectomy removes muscles from the chest wall.1

2 1!oth remove the breast tissue but a radical mastectomy removes muscles and lymph nodes.1

! 1The radical mastectomy takes more tissue from the chest and improves the chances of survival.1

4 1The mastectomy removes more tissue and reduces the risk of metastasis thereby improving survival rates.1

Corre"t #ns$er: *

Rationa%e 1# !oth a mastectomy and a radical mastectomy remove breast tissue but a radical mastectomy also

removes underlying muscle structure and surrounding lymph nodes and is usually indicated when cancer cellshave been found in the lymph nodes. (n the absence of lymph node involvement a radical mastectomy does not

improve survival rates or decrease the risk of metastasis.




Rationa%e !# !oth a mastectomy and a radical mastectomy remove breast tissue but a radical mastectomy also






&%o'a% Rationa%e:







C%ient Need *u':


)earning -ut"ome: 7iscuss common breast disorders treatment and nursing interventions.

Question

Type: MCSA

The nurse is preparing a woman for discharge following a left radical mastectomy. (mportant teaching for this

client includes#

1 Abstaining from se5 for at least 824 weeks following surgery.

2 )esuming her oral birth control medication immediately.

! )ange of motion e5ercises for the involved arm.

4 ,se of a splint for the involved arm until the tissue fully heals.

Corre"t #ns$er: "

Rationa%e 1# 9ollowing a radical mastectomy it is important that the client begin range of motion e5ercises such

as climbing the wall with her fingers in order to regain full range of motion in the affected arm. There is no need

to abstain from se5 once she feels well enough to consider it and oral birth control medications will most likely be discontinued by the doctor because breast cancer is often hormone2dependent and could increase the risk of

metastasis. The arm should not be splinted and gentle movement and activity will be encouraged.

Rationa%e 2# 9ollowing a radical mastectomy it is important that the client begin range of motion e5ercises suchas climbing the wall with her fingers in order to regain full range of motion in the affected arm. There is no needto abstain from se5 once she feels well enough to consider it and oral birth control medications will most likely

be discontinued by the doctor because breast cancer is often hormone2dependent and could increase the risk of


Rationa%e !# 9ollowing a radical mastectomy it is important that the client begin range of motion e5ercises such


to abstain from se5 once she feels well enough to consider it and oral birth control medications will most likely

be discontinued by the doctor because breast cancer is often hormone2dependent and could increase the risk ofmetastasis. The arm should not be splinted and gentle movement and activity will be encouraged.

Rationa%e 4# 9ollowing a radical mastectomy it is important that the client begin range of motion e5ercises such


to abstain from se5 once she feels well enough to consider it and oral birth control medications will most likely be discontinued by the doctor because breast cancer is often hormone2dependent and could increase the risk of


&%o'a% Rationa%e:







C%ient Need *u':


)earning -ut"ome: 7iscuss common breast disorders treatment and nursing interventions.

Question

Type: MCSA

The nurse is preparing a female client for discharge who will be prescribed Coumadin :warfarin; secondary to a

diagnosis of thrombophlebitis. The nurse instructs the woman to#

1 Stop taking oral contraceptives.

2 0ear a peripad during menstruation and notify the doctor if the pad fills more than once an hour.

! Continue medication if she learns she is pregnant.

4 Anticipate heavier2than2normal periods and call the doctor if bleeding continues for more than one week.

Corre"t #ns$er: *

Rationa%e 1# The client taking anticoagulants might have heavier than normal periods and should plan to use a

peripad because it is impossible to determine amount of blood loss with a tampon. (f the peripad fills more than

once an hour or hourly for more than two hours the client should call her provider because this is defined asheavy bleeding and must be treated to prevent hemorrhagic shock. The physician will determine if oral

contraceptives should be continued or changed to a different formula. &regnancy should be avoided while on

Coumadin :warfarin; because of the risk of fetal hemorrhage. %eavy bleeding should be reported immediately noafter a week.

Rationa%e 2# The client taking anticoagulants might have heavier than normal periods and should plan to use a

peripad because it is impossible to determine amount of blood loss with a tampon. (f the peripad fills more than




Rationa%e !# The client taking anticoagulants might have heavier than normal periods and should plan to use a peripad because it is impossible to determine amount of blood loss with a tampon. (f the peripad fills more than








Rationa%e 4# The client taking anticoagulants might have heavier than normal periods and should plan to use a peripad because it is impossible to determine amount of blood loss with a tampon. (f the peripad fills more than

once an hour or hourly for more than two hours the client should call her provider because this is defined as

heavy bleeding and must be treated to prevent hemorrhagic shock. The physician will determine if oralcontraceptives should be continued or changed to a different formula. &regnancy should be avoided while on

Coumadin :warfarin; because of the risk of fetal hemorrhage. %eavy bleeding should be reported immediately no

after a week.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: (dentify common uterine disorders and changes with menopause as well as treatment and

nursing care for them.

Question

Type: MCSA

The nurse is providing discharge teaching for a client in the gynecologist's office who has been diagnosed with

premenstrual syndrome. The nurse determines the client understood instructions when she states#

1 1( will drink only diet cola in my daily rum and Coke and eat more fruits and vegetables.1

2 1( will avoid carbohydrates and increase my intake of vitamin C.1

! 1( will take a calcium supplement and eat more pasta.1

4 1( will allow myself a few pieces of chocolate and eat a diet high in protein.1

Corre"t #ns$er: "

Rationa%e 1# The client with &MS should follow a diet high in comple5 carbohydrates and limit simple sugars

while reducing sodium caffeine and alcohol. (ncreased intake of calcium magnesium and vitamin ! 8 might behelpful. Comple5 carbohydrates are found in grains pasta beans and peas. 9ruits and most vegetables have

simple sugars in them. Chocolate contains both caffeine and simple sugar.

Rationa%e 2# The client with &MS should follow a diet high in comple5 carbohydrates and limit simple sugars



Rationa%e !# The client with &MS should follow a diet high in comple5 carbohydrates and limit simple sugars







Rationa%e 4# The client with &MS should follow a diet high in comple5 carbohydrates and limit simple sugarswhile reducing sodium caffeine and alcohol. (ncreased intake of calcium magnesium and vitamin ! 8 might be

helpful. Comple5 carbohydrates are found in grains pasta beans and peas. 9ruits and most vegetables have


&%o'a% Rationa%e:

Cogniti(e )e(e%: Analy$ingC%ient Need: %ealth &romotion and Maintenance

C%ient Need *u':

Nursing+ntegrated Con"epts: ursing &rocess# +valuation

)earning -ut"ome: (dentify common uterine disorders and changes with menopause as well as treatment and

nursing care for them.

Question 3

Type: MCSA

The nurse is teaching a class for adolescent girls on the topic of cervical cancer prevention. The nurse informs theclass that risk can be reduced by#

1 Smoking.

2 ,se of oral contraceptives.

! <imiting se5ual partners.

4 9ollowing a low2calorie diet.

Corre"t #ns$er: "

Rationa%e 1# Multiple se5ual partners especially when younger than 8 years of age increase the risk of cervical

cancer possibly due to the increased risk of e5posure to %&=. Smoking use of oral contraceptives for longer thanfive years and poor nutrition all increase the risk of cervical cancer.

Rationa%e 2# Multiple se5ual partners especially when younger than 8 years of age increase the risk of cervical

cancer possibly due to the increased risk of e5posure to %&=. Smoking use of oral contraceptives for longer than

five years and poor nutrition all increase the risk of cervical cancer.

Rationa%e !# Multiple se5ual partners especially when younger than 8 years of age increase the risk of cervical

cancer possibly due to the increased risk of e5posure to %&=. Smoking use of oral contraceptives for longer thanfive years and poor nutrition all increase the risk of cervical cancer.

Rationa%e 4# Multiple se5ual partners especially when younger than 8 years of age increase the risk of cervicalcancer possibly due to the increased risk of e5posure to %&=. Smoking use of oral contraceptives for longer than

five years and poor nutrition all increase the risk of cervical cancer.

&%o'a% Rationa%e:







C%ient Need *u':


)earning -ut"ome: 7iscuss tumors of the female reproductive system their treatment and appropriate nursingcare.

Question 10

Type: MCSA

The nurse working in the +mergency 7epartment admits a woman who states she has been raped. The nurse's

priority of care includes#

1 Assist the woman to bathe to remove the dirty feeling she reports.

2 %ave the woman tested for blood alcohol level.

! &rovide emotional support.

4 Ask the woman to e5plain e5actly what happened.

Corre"t #ns$er: "

Rationa%e 1# The nurse's priority of care is providing emotional support and helping to collect data. !athing

would destroy physical evidence and should be avoided until after the physical e5amination is conducted by the provider. The physician will determine if a blood alcohol level is needed which is unlikely. Asking the woman to

e5plain what happened is inappropriate and she will be /uestioned by the police. The nurse should supply

emotional support and listen to the client without confrontation.

Rationa%e 2# The nurse's priority of care is providing emotional support and helping to collect data. !athingwould destroy physical evidence and should be avoided until after the physical e5amination is conducted by the

provider. The physician will determine if a blood alcohol level is needed which is unlikely. Asking the woman to

e5plain what happened is inappropriate and she will be /uestioned by the police. The nurse should supplyemotional support and listen to the client without confrontation.

Rationa%e !# The nurse's priority of care is providing emotional support and helping to collect data. !athing

would destroy physical evidence and should be avoided until after the physical e5amination is conducted by the

provider. The physician will determine if a blood alcohol level is needed which is unlikely. Asking the woman to

e5plain what happened is inappropriate and she will be /uestioned by the police. The nurse should supplyemotional support and listen to the client without confrontation.

Rationa%e 4# The nurse's priority of care is providing emotional support and helping to collect data. !athing

would destroy physical evidence and should be avoided until after the physical e5amination is conducted by the provider. The physician will determine if a blood alcohol level is needed which is unlikely. Asking the woman to

e5plain what happened is inappropriate and she will be /uestioned by the police. The nurse should supply

emotional support and listen to the client without confrontation.





&%o'a% Rationa%e:


C%ient Need: &sychosocial (ntegrity

C%ient Need *u':

Nursing+ntegrated Con"epts: ursing &rocess# &lanning

)earning -ut"ome: (dentify other disorders of the female reproductive system and appropriate nursing care.

Question 11

Type: MCSA

0hen caring for the client who has been raped the nurse considers a referral to#

1 Social Services.

2 )ape counseling.

! &sychiatrist.

4 >bstetrician.

Corre"t #ns$er: *

Rationa%e 1# )ape counselors are often women who have survived rape and have the resources to provide the

long2term follow up and care re/uired by the rape victim. Social Services would most likely refer to a rapecounselor. A psychiatrist or obstetrician would not be indicated unless other issues e5isted.

Rationa%e 2# )ape counselors are often women who have survived rape and have the resources to provide the

long2term follow up and care re/uired by the rape victim. Social Services would most likely refer to a rapecounselor. A psychiatrist or obstetrician would not be indicated unless other issues e5isted.

Rationa%e !# )ape counselors are often women who have survived rape and have the resources to provide the

long2term follow up and care re/uired by the rape victim. Social Services would most likely refer to a rape

counselor. A psychiatrist or obstetrician would not be indicated unless other issues e5isted.

Rationa%e 4# )ape counselors are often women who have survived rape and have the resources to provide thelong2term follow up and care re/uired by the rape victim. Social Services would most likely refer to a rape

counselor. A psychiatrist or obstetrician would not be indicated unless other issues e5isted.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: (dentify other disorders of the female reproductive system and appropriate nursing care.





Question 12

Type: MCSA

The nurse is collecting a se5ual history from a female client who was raped four years ago. The client reports the

ability to become aroused and says she becomes e5cited but cannot orgasm. The nurse documents loss of arousal

during#

1 The e5citement phase.

2 The plateau phase.

! The orgasmic phase.

4 The resolution phase.

Corre"t #ns$er: "

Rationa%e 1# >rgasm occurs during the orgasmic phase. The client reports the ability to become e5cited:e5citement phase; and approaches orgasm :the plateau phase; but then the sensation subsides and she cannot

reach orgasm.

Rationa%e 2# >rgasm occurs during the orgasmic phase. The client reports the ability to become e5cited

:e5citement phase; and approaches orgasm :the plateau phase; but then the sensation subsides and she cannotreach orgasm.

Rationa%e !# >rgasm occurs during the orgasmic phase. The client reports the ability to become e5cited

:e5citement phase; and approaches orgasm :the plateau phase; but then the sensation subsides and she cannot

reach orgasm.

Rationa%e 4# >rgasm occurs during the orgasmic phase. The client reports the ability to become e5cited:e5citement phase; and approaches orgasm :the plateau phase; but then the sensation subsides and she cannot

reach orgasm.

&%o'a% Rationa%e:

Cogniti(e )e(e%: ,nderstanding


C%ient Need *u':


)earning -ut"ome: 7escribe the normal se5ual response cycle and list possible causes of reproductive issues.

Question 1!

Type: MCSA

The nurse admits a 8*2year2old man who reports 1( always feel like ( need to void but it takes so long for me to

get my flow started and then ( only go a few drops.1 The nurse suspects#





1 !ladder infection.

2 !enign prostatic hypertrophy.

! )enal failure.

4 &rostatitis.

Corre"t #ns$er: *

Rationa%e 1# +nlargement of the prostate places pressure on the urethra making it difficult to begin the stream

and causes inade/uate emptying leading to fre/uency. &rostatitis manifests with fever chills fre/uency andnocturia and can include back pain and pain after e6aculation. )enal failure would result in reduced urine output

and edema. !ladder infection will need to be ruled out but with the client's age !&% would be a higher

likelihood.

Rationa%e 2# +nlargement of the prostate places pressure on the urethra making it difficult to begin the streamand causes inade/uate emptying leading to fre/uency. &rostatitis manifests with fever chills fre/uency and

nocturia and can include back pain and pain after e6aculation. )enal failure would result in reduced urine outputand edema. !ladder infection will need to be ruled out but with the client's age !&% would be a higher

likelihood.

Rationa%e !# +nlargement of the prostate places pressure on the urethra making it difficult to begin the stream

and causes inade/uate emptying leading to fre/uency. &rostatitis manifests with fever chills fre/uency and

nocturia and can include back pain and pain after e6aculation. )enal failure would result in reduced urine outputand edema. !ladder infection will need to be ruled out but with the client's age !&% would be a higher

likelihood.

Rationa%e 4# +nlargement of the prostate places pressure on the urethra making it difficult to begin the stream

and causes inade/uate emptying leading to fre/uency. &rostatitis manifests with fever chills fre/uency andnocturia and can include back pain and pain after e6aculation. )enal failure would result in reduced urine output

and edema. !ladder infection will need to be ruled out but with the client's age !&% would be a higher

likelihood.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: 7escribe common disorders of the male reproductive system treatment and nursinginterventions.

Question 14

Type: MCMA





0hen admitting the client diagnosed with to5ic shock syndrome the nurse would /uestion the client about which

of the following to gather data related to the cause of the infection? Select all that apply.

*tandard Te.t: Select all that apply.

1 )ecent surgery

2 ,se of a diaphragm

! ,se of tampons

4 &resence of (,7

/ Type of underwear worn

Corre"t #ns$er: *"

Rationa%e 1# Cause of to5ic shock syndrome is infre/uent tampon changing in -@ of cases. >ther causes includimproper use of a diaphragm infected surgical wounds and subcutaneous abscesses. (,7s have not been

associated with TSS but could result in &(7. Type of underwear is not related to TSS.

Rationa%e 2# Cause of to5ic shock syndrome is infre/uent tampon changing in -@ of cases. >ther causes includ

improper use of a diaphragm infected surgical wounds and subcutaneous abscesses. (,7s have not beenassociated with TSS but could result in &(7. Type of underwear is not related to TSS.

Rationa%e !# Cause of to5ic shock syndrome is infre/uent tampon changing in -@ of cases. >ther causes includ

improper use of a diaphragm infected surgical wounds and subcutaneous abscesses. (,7s have not beenassociated with TSS but could result in &(7. Type of underwear is not related to TSS.

Rationa%e 4# Cause of to5ic shock syndrome is infre/uent tampon changing in -@ of cases. >ther causes includ

improper use of a diaphragm infected surgical wounds and subcutaneous abscesses. (,7s have not been


Rationa%e /# Cause of to5ic shock syndrome is infre/uent tampon changing in -@ of cases. >ther causes includimproper use of a diaphragm infected surgical wounds and subcutaneous abscesses. (,7s have not been


&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: ame three infectious disorders that have an impact on family planning issues.

Question 1/

Type: 9(!





The nurse teaches adolescents that which method of birth control is --@ effective?

*tandard Te.t:

Corre"t #ns$er: Abstinence

Rationa%e # o contraceptive is --@ effective --@ of the time. The only form of birth control that is --@

effective is abstinence.

&%o'a% Rationa%e:

Cogniti(e )e(e%: )emembering


C%ient Need *u':


)earning -ut"ome: 7iscuss common contraceptive methods and the effectiveness of each.

Question 1Type: MCSA

The nurse caring for a client with strong prolife beliefs recommends which of the following contraceptives

because it prevents fertili$ation of the ova?

1 Condom

2 (ntrauterine device

! >ral hormonal contraceptives

4 &lan ! contraceptives

Corre"t #ns$er:

Rationa%e 1# The condom prevents the sperm from contact with the ova and prevents fertili$ation. The (,7 and

hormonal contraceptives including plan ! do not prevent fertili$ation but create a hostile uterine environment

that does not allow implantation of the fertili$ed ovum.

Rationa%e 2# The condom prevents the sperm from contact with the ova and prevents fertili$ation. The (,7 andhormonal contraceptives including plan ! do not prevent fertili$ation but create a hostile uterine environment


Rationa%e !# The condom prevents the sperm from contact with the ova and prevents fertili$ation. The (,7 and

hormonal contraceptives including plan ! do not prevent fertili$ation but create a hostile uterine environmentthat does not allow implantation of the fertili$ed ovum.





Rationa%e 4# The condom prevents the sperm from contact with the ova and prevents fertili$ation. The (,7 andhormonal contraceptives including plan ! do not prevent fertili$ation but create a hostile uterine environment


&%o'a% Rationa%e:


C%ient Need: %ealth &romotion and MaintenanceC%ient Need *u':


)earning -ut"ome: 7iscuss common contraceptive methods and the effectiveness of each.

Question 1

Type: MCSA

The clients come to the fertility clinic to determine the cause of their inability to become pregnant. The nurse

anticipates the first action will be#

1 Semen analysis.

2 ,ltrasound of the woman's reproductive organs.

! Administration of hormone therapy.

4 Measurement of hormone levels.

Corre"t #ns$er:

Rationa%e 1# !ecause it is noninvasive generally the first test to be performed when e5amining for the cause ofinfertility is a semen analysis which includes measuring sperm mobility and number. (f this is normal the

mother's hormone levels will be checked. ,ltrasound and more invasive tests are performed if cause of infertility

is not indicated by other tests.

Rationa%e 2# !ecause it is noninvasive generally the first test to be performed when e5amining for the cause ofinfertility is a semen analysis which includes measuring sperm mobility and number. (f this is normal the



Rationa%e !# !ecause it is noninvasive generally the first test to be performed when e5amining for the cause of

infertility is a semen analysis which includes measuring sperm mobility and number. (f this is normal themother's hormone levels will be checked. ,ltrasound and more invasive tests are performed if cause of infertility


Rationa%e 4# !ecause it is noninvasive generally the first test to be performed when e5amining for the cause of

infertility is a semen analysis which includes measuring sperm mobility and number. (f this is normal the







&%o'a% Rationa%e:


C%ient Need: Safe +ffective Care +nvironment

C%ient Need *u':


)earning -ut"ome: 7escribe some of the issues involved in infertility and possible methods of treatment.



Documents

Ramont2e Rev TIF Ch40