Chapter 6 Maternal and Child Health Nursing 7th Edition

Chapter 6  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
For which patient assessment finding would an intrauterine device (IUD) be contraindicated?
A)
Misshapen uterus
B)
Multiple sexual partners
C)
Diagnosis of hypertension
D)
History of thromboembolic disease
Ans:
A

Feedback:

Use of an IUD may be contraindicated for a woman whose uterus is distorted in shape because the device might perforate the uterine wall. The device is not contraindicated for multiple sexual partners, hypertension, or history of thromboembolic disease. Infection is no longer a concern because the vaginal string no longer conducts fluid. The device does not impact hormone levels and will not influence blood pressure or blood flow.

2.
A male patient is considering a vasectomy. Which information should the nurse instruct the patient about this procedure? (Select all that apply.)
A)
Sexual intercourse can resume in a week.
B)
The procedure can be done as an outpatient.
C)
An opioid analgesic will be prescribed for pain control.
D)
Use a birth control method until a negative sperm reports occur.
E)
Spermatozoa present in the vas deferens will be viable for 2 weeks.
Ans:
A, B, D

Feedback:

After a vasectomy, sexual intercourse can resume after 1 week. The procedure can be completed as an outpatient. The patient may experience a small amount of local pain afterward, which can be managed by taking a mild analgesic and applying ice to the site. An additional birth control method should be used until two negative sperm reports at about 6 and 10 weeks have been obtained. Spermatozoa, which were present in the vas deferens at the time of surgery, can remain viable for as long as 6 months.

3.
A patient comes into the family planning clinic and requests a prescription for birth control pills. Which assessment finding indicates that an ovulation suppressant would not be the best contraceptive method for the patient?
A)
Age 30 years
B)
Allergy to foreign protein
C)
Irregular menstrual cycles
D)
History of thromboembolism
Ans:
D

Feedback:

Combination oral contraceptives are not routinely prescribed for patient with a history of thromboembolic disease. The patients’ age would not be a contraindication for this type of contraceptive. An allergy to foreign protein would impact the patient’s ability to use condoms. Irregular menstrual cycles would be an indication for combination oral contraceptives.

4.
A female patient has forgotten to take an ovulation suppressant for two mornings in a row. What should the nurse advise the patient to do?
A)
Take two pills a day for the rest of the month.
B)
Take three pills immediately and avoid coitus for the remainder of the month.
C)
Start a new cycle of 21 pills immediately plus additional estrogen for the next 3 days.
D)
Take two pills now and use a second method of contraception for the remainder of the month.
Ans:
D

Feedback:

If two consecutive active pills are missed, the patient should be advised to take two pills immediately. Then the patient should continue the following day with the usual schedule. Missing two pills may allow ovulation to occur, so an added contraceptive such as a spermicide should be used for the remainder of the month. The patient does not need to take two pills every day for the rest of the month, take three pills and abstain from coitus, or start a new cycle of 21 pills.

5.
The nurse is planning an educational session on contraceptives for a group of adolescent high school students. What does the nurse need to do when planning this session?
A)
Argue that encouraging abstinence is unrealistic during the teenage years.
B)
Discuss that the application of a condom should occur after penile-vulvar contact.
C)
Explain that the combination oral contraceptive approach is the best for adolescents.
D)
Teaching about contraceptive options while avoiding indirect encouragement of sexual activity.
Ans:
D

Feedback:

The nurse can help the nation achieve the 2020 National Health Goals by teaching adolescents about contraceptive options while being cautious to avoid indirectly encouraging sexual activity among teens. A 2020 National Health Goal is to increase the number of adolescents being instructed on abstinence. A condom should be applied before penile-vulvar contact. Oral contraceptives are not the contraceptive of choice for adolescents.