Chapter 31 Management of Fertility and Infertility

Chapter 31  Management of Fertility and Infertility

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The conscious decision on when to conceive or avoid pregnancy throughout the

reproductive years is called
a. family planning.
b. birth control.
c. contraception.
d. assisted reproductive therapy.

ANS: A
Family planning is the process of deciding when and if to have children. Birth control is the
device and/or practice used to reduce the risk of conceiving or bearing children.
Contraception is the intentional prevention of pregnancy during sexual intercourse. Assisted
reproductive therapy is one of several possible treatments for infertility.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 659 OBJ: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

2. While instructing a couple regarding birth control, the nurse should be aware that the

method called natural family planning
a. is the same as coitus interruptus, or “pulling out.”
b. uses the calendar method to align the woman’s cycle with sexual activity.
c. is used by 2% of Roman Catholics.
d. relies on barrier methods during fertility phases.

ANS: C
Natural family planning is used by about 2% of Roman Catholics. It is not the same a coitus
interruptus. It uses a variety of methods to determine a woman’s fertility. Those practicing
natural family planning do not use barrier methods at any time.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 663 OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance

3. A nurse is providing information about contraceptives to a couple. 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

Only the barrier methods provide some protection from sexually transmitted diseases.
Because latex condoms provide the best protection available, they should be used during
any potential exposure to a sexually transmitted disease. Oral contraceptives, tubal ligations,
or IUDs do not provide protection against STDs.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 671 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment

4. A couple is discussing alternatives for pregnancy prevention and has asked about fertility

awareness methods (FAMs). The nurse’s most appropriate reply is
a. “They’re not very effective, and it’s very likely you’ll get pregnant.”
b. “They can be effective for many couples, but they require motivation.”
c. “These methods have a few advantages and several health risks.”
d. “You would be much safer going on the pill and not having to worry.”

ANS: B
FAMs are effective with proper vigilance about ovulatory changes in the body and with
adherence to coitus intervals. However, the typical failure rate is 25%. This is not the best
response, however. The nurse should provide positive feedback first; otherwise, the couple
may become discouraged and think the nurse is negative or biased against a method they are
interested in. FAMs have no associated health risks. The use of birth control has associated
health risks. In addition, taking a pill daily requires compliance on the patient’s part.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 671 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance

5. A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks

the nurse about the pill as a contraceptive choice. The nurse’s most appropriate response is
a. “This is a highly effective method, but it has some side effects.”
b. “Your current medications will reduce the effectiveness of the pill.”
c. “The pill will reduce the effectiveness of your seizure medication.”
d. “This is a good choice for a woman of your age and personal history.”

ANS: B
Because the liver metabolizes oral contraceptives, their effectiveness is reduced when they
are taken simultaneously with anticonvulsants. Telling the woman the pill has some side
effects or that it is a good choice for some women is not tailoring teaching to her specific
situation. The anticonvulsant will reduce the effectiveness of the pill, not the other way
around.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 668 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance