Exam (elaborations)
Chapter 31 Management of Fertility and Infertility
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Chapter 31 Management of Fertility and Infertility
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Chapter 31: Management of Fertility and InfertilityTest Bank
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
Feedback
A Family planning is the process of deciding when and if to have children.
B Birth control is the device and/or practice used to reduce the risk of conceiving
or bearing children.
C Contraception is the intentional prevention of pregnancy during sexual
intercourse.
D Assisted reproductive therapy is one of several possible treatments for infertility.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 736
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 the natural phases of the
moon
c. Is the only contraceptive practice acceptable to the Roman Catholic Church
d. Relies on barrier methods during fertility phases
ANS: C
Feedback
A “Pulling out” is not the same as periodic abstinence, another name for natural
family planning.
B The phases of the moon are not part of the calendar method or any method.
C Natural family planning is the only contraceptive practice acceptable to the
Roman Catholic Church.
D Natural family planning is another name for periodic abstinence, which is the
accepted way to pass safely through the fertility phases without relying on
chemical or physical barriers.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 740
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
, 3. 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
Feedback
A Oral contraceptives do not provide any barrier protection against sexually
transmitted diseases because they work systemically.
B A tubal ligation is considered a permanent contraceptive method but does not
offer any protection against sexually transmitted diseases. The male condom is
inexpensive and offers the best protection available.
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.
D IUDs are inserted in the uterus but do not block or inhibit sexually transmitted
diseases.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 739
OBJ: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
4. A married 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
Feedback
A Fertility awareness methods are effective if used correctly by a woman with a
regular menstrual cycle. The typical failure rate for all FAMs is 25% during the
first year of use.
B FAMs are effective with proper vigilance about ovulatory changes in the body
and with adherence to coitus intervals.
C FAMs have no associated health risks.
D 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: Application REF: p. 751
OBJ: Nursing Process: Planning 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
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