Chapter 6 Human Sexuality and Fertility

Chapter 6  Human Sexuality and Fertility

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The reproductive health nurse counsels a 17-year-old woman who is interested in initiating contraception. Which of the following would be a short-term positive outcome of the visit?
A.
Able to describe how to obtain and use the contraceptive chosen
B.
Continued use and pregnancy prevention for 6 months
C.
Lack of side effects and complaints about the method after 3 months
D.
Voiced satisfaction with this method over 6 months

ANS: A
Short-term outcomes include the patient’s ability to voice an understanding about the selected contraceptive method, voice an understanding of all information necessary to provide informed consent, and voice a comfort level with the use of the contraceptive method selected. Intermediate and long-term goals include the patient’s correct and consistent use of the selected contraceptive method, denial of adverse side effects, continued satisfaction with the selected contraceptive method, and consistent use of the contraceptive method and avoidance of pregnancy for the following year.

Cognitive Level: Evaluation/Evaluating
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Difficulty: Moderate

PTS: 1

2. The clinic nurse is counseling a woman who had a Nexplanon rod implanted. The nurse reminds her that she will need an appointment to replace this birth control method in what time frame?
A.
12 months
B.
24 months
C.
36 months
D.
48 months

ANS: C
Nexplanon is a subdermal contraceptive that must be removed and replaced every 3 years if continued contraception is desired. The single-rod implant, which is inserted on the inner side of the woman’s upper arm, contains etonogestrel, which is a progestin.

Objective: 6-3
Reference:
Cognitive Level: Comprehension/Understanding
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Difficulty: Easy

PTS: 1

3. A 24-year-old lactating woman asks about contraceptive options. The family planning clinic nurse recommends an oral contraceptive formulated with which ingredients?
A.
Biphasic formulation
B.
Estrogen-progestin
C.
Progestin only
D.
Triphasic formulation

ANS: C
Low-dose progestin-only contraceptive pills are often referred to as the “mini-pill” because they contain no estrogen. The mini-pill may be used during breastfeeding because it does not interfere with milk production.

Cognitive Level: Application/Applying
Content Area: Pediatrics/Maternity
Patient Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
Integrated Process: Teaching/Learning
Difficulty: Moderate

PTS: 1

4. A woman is interested in the transdermal contraceptive patch. She is 5’5” tall and weighs 200 lb (90.9 kg). What information should the nurse provide this patient as a priority?
A.
It may cause skin irritation.
B.
She can’t use the patch at her weight.
C.
The patch is about 95% effective.
D.
Withdrawal bleeding occurs monthly.

ANS: B
All answers are correct; however, because this woman is obese, the nurse needs to tell her that women weighing over 198 lb should not use the patch. This is because of concerns that excessive adipose tissue may be associated with inconsistent levels of hormonal absorption.

Cognitive Level: Application/Applying
Content Area: Pediatrics/Maternity
Patient Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
Integrated Process: Teaching/Learning
Difficulty: Moderate

PTS: 1

5. A nurse works with many women who self-identify as lesbian or bisexual. What action by the nurse would best address this population’s needs?
A.
Aggressive screening for sexually transmitted infections
B.
Assisting with procedures related to conception
C.
Providing information on increased cancer risks
D.
Using questions that do not assume sexual orientation

ANS: D
Lesbians and bisexuals are more likely to report poor physical or mental health compared with heterosexual women. Although the origins of this are not totally clear, one factor may relate to the homosexual/bisexual woman’s hesitancy in seeking health care. Nurses can greatly assist with this by being nonjudgmental and by using language and questions that do not assume sexual orientation. Sexually transmitted infections do occur in this population, although woman-to-woman transmission is lower than man-to-woman transmission. Some lesbian women do seek to become pregnant and bear children; they should be apprised of all available options. Lesbian women have increased risks for breast, endometrial, and ovarian cancer. Although all options are feasible, the option that has the potential to have the greatest impact is the one related to neutral language, which can be perceived as welcoming and accepting.

Cognitive Level: Application/Applying
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Communication and Documentation
Difficulty: Moderate

PTS: 1