RN- NCLEX exam
Terms in this set (115)
A client has obtained Plan B 1. I can wait 3 to 4 days after intercourse to start taking
(levonorgestrel 0.75 mg, 2 these to prevent pregnancy.
tablets) as emergency Plan B is a series of contraceptive pills similar in
contraception. After composition to birth control pills that have been used
unprotected intercourse , for the past 30 years. Plan B is the brand name for
the client calls the clinic to levonorgestrel 0.75 mg. Pills are most effective if taken
ask questions about taking immediately after unprotected intercourse and then
the contraceptives. The again 12 hours later. Males can purchase this
nurse realizes the client contraceptive as long as they are over 18 years of age.
needs further explanation Common side effects include nausea, breast tenderness,
when she makes which of vertigo, and stomach pain.
the following responses?
3. Breast - or bottle-feeding plan.
Birth control plans are influenced primarily by whether
the mother is breast- or bottle-feeding her infant. The
maternal milk supply must be well established prior to
An antenatal G2, T1, P0, Ab0,
the initiation of most hormonal birth control methods.
L1 client is discussing her
Low-dose oral contraceptives would be the exception.
postpartum plans for birth
Use of estrogen-/progesterone-based pills and
control with her health care
progesterone-only pills are commonly initiated from 4 to
provider. In analyzing the
6 weeks postpartum because the milk supply is well
available choices, which of
established by this time. Prior experiences with birth
the following factors has
control methods have an impact on the method chosen
the greatest impact on her
as do to preferences of the client's partner; however,
birth control options?
they are not the most influential factors. Desire to have
another child in two years would make some methods,
such as an IUD, less attractive but would still be
secondary to the choice to breast-feed.
, 4. If there is discharge from my nipples, I should call my
health care provider.
The nurse determines that the client has understood the
instructions when the client says that she will notify her
After the nurse instructs a primary health care provider if she notices discharge or
20 year old nulligravid bleeding because this may be symptomatic of
client on how to perform a underlying disease. Ideally, breast self-examination
breast self-examination, should be performed about 1 week after the onset of
which of the following client menses because hormonal influences on breast tissue
statements indicates that are at a low ebb at this time. The client should perform
the teaching has been breast self-examination on the same day each month
successful? only if she has stopped menstruating (as with
menopause). The client's breasts should mirror each
other. If one breast is significantly larger than the other,
or if there is "pitting" of breast tissue, a tumor may be
present.
3. Ovulation usually occurs on day 14, plus or minus 2
days, before the onset of the next menstrual cycle.
For a client with a typical menstrual cycle of 28 days,
ovulation usually occurs on day 14, plus or minus 2 days,
before the onset of the next menstrual cycle. Stated
Which of the following
another way, the menstrual period begins about 2 weeks
would be important to
after ovulation has occurred. Ovulation does not usually
include in the teaching plan
occur during the menses component of the cycle when
for the client who wants
the uterine lining is being shed. In most women, the
more information on
ovum survives for about 12 to 24 hours after ovulation,
ovulation and fertility
during which time conception is possible. The basal
management?
body temperature rises 0.5 F to 1.0 F (0.28 C to 0.56 C)
when ovulation occurs. Although some women
experience some pelvic discomfort during ovulation
(mittelschmerz), severe or unusual pain is rare. After
ovulation, the cervical mucus is thin and copious.
, 1. Take a mild analgesic if needed for menstrual pain.
The nurse should instruct the client to take a mild
Which of the following
analgesic, such as ibuprofen, if menstrual pain or
instructions about activities
"cramps" are present. The client should also eat foods
during menstruation would
rich in iron and should continue moderate exercise
the nurse include when
during menstruation, which increases abdominal tone.
counseling an adolescent
Avoiding cold foods will not decrease dysmenorrhea.
who has just begun to
Sexual intercourse is not prohibited during menstruation,
menstruate?
but the male partner should wear condom to prevent
expose to blood.
1. Under ideal conditions, sperm can reach the ovum in
15 to 30 minutes, resulting in pregnancy.
Under ideal conditions, sperm can reach the ovum in 15
to 30 minutes. This is an important point to make with
adolescents who may be sexually active. Many people
believe that the time interval is much longer and that
After conducting a class for
they can wait until after intercourse to take steps to
female adolescents about
prevent conception. Without protection, pregnancy and
human reproduction, which
sexually transmitted diseases can occur. When using the
of the following statements
abstinence or calendar method, the couple should
indicates that the school
abstain from intercourse on the days of menstrual cycle
nurse's teaching has been
when the woman is most likely to conceive. Using a 28-
effective?
day cycle as an example, a couple should abstain from
coitus 3 to 4 days before ovulation (days 10 through 14)
and 3 to 4 days after after ovulation (days 15 through 18).
Sperm from a healthy male can remain viable for 24 to
72 hours in the female reproductive tract. If the female
client ovu
, 3. Cervical mucus is carefully monitored for changes.
The symptothermal method is a natural method of
fertility management that depends on knowing when
ovulation has occurred. Because regular menstrual
cycles can vary by 1 or 2 days in either direction, the
A 20-year-old nulligravid symptothermal method requires daily basal body
client expresses a desire to temperature assessments plus close monitoring of
learn more about the cervical mucus changes. The method relies on
symptothermal method of abstinence during the period of ovulation, which occurs
family planning. Which of approximately 14 days before the beginning of the next
the following would the cycle. Abstinence from coitus for 5 days after menses is
nurse include in the unnecessary because it is unlikely that ovulation will
teaching plan? occur during this time period (days 1 through 10).
Typically, the failure rate for this method is between 10%
and 20 %. Although a condom may increase the
effectiveness of this method, most clients who choose
natural methods are not interested in chemical or barrier
types of family planning.
