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Contraception NCLEX Questions with 100% Correct Answers
Contraception NCLEX Questions with 100% Correct Answers
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Contraception NCLEX Questions with100% Correct Answers
Assessment of a 16-year-old nulligravid client who visits the clinic and asks
for information on contraceptives reveals a menstrual cycle of 28 days. The
nurse formulates a nursing diagnosis of Deficient Knowledge related to
ovulation and fertility management. Which of the following would be
important to include in the teaching plan for the client?
A) The ovum survives for 96 hours after ovulation, making conception
possible during this time.
B) The basal body temperature falls at least 0.2°F after ovulation has
occurred.
C) Ovulation usually occurs on day 14, plus or minus 2 days, before the onset
of the next menstrual cycle.
D) Most women can tell they have ovulated because of severe pain and
thick, scant cervical mucus. - -Answer: C
For a client with a 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 another way, the menstrual period begins about 2 weeks after
ovulation has occurred. Ovulation does not usually occur during the menses
component of the cycle when the uterine lining is being shed. In most
women, the ovum survives for about 12 to 24 hours after ovulation, during
which time conception is possible. The basal body temperature rises 0.5° to
1.0°F 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.
-Which of the following instructions about activities during menstruation
would the nurse include when counseling an adolescent who has just begun
to menstruate?
A) Take a mild analgesic if needed for menstrual pain.
B) Avoid cold foods if menstrual pain persists.
C) Stop exercise while menstruating.
D) Avoid sexual intercourse during menstruation. - -Answer: A
The nurse should instruct the client to take a mild analgesic, such as
ibuprofen, if menstrual pain or "cramps" are present. The client should also
eat foods rich in iron and should continue moderate exercise during
menstruation, which increases abdominal tone. Avoiding cold foods will not
decrease dysmenorrhea. Sexual intercourse is not prohibited during
, menstruation, but the male partner should wear a condom to prevent
exposure to blood.
-Before advising a 24-year-old client desiring oral contraceptives for family
planning, the nurse would assess the client for signs and symptoms of which
of the following?
A) Anemia.
B) Hypertension.
C) Dysmenorrhea.
D) Acne vulgaris. - -Answer: B
Before advising a client about oral contraceptives, the nurse needs to assess
the client for signs and symptoms of hypertension. Clients who have
hypertension, thrombophlebitis, obesity, or a family history of cerebral or
cardiovascular accident are poor candidates for oral contraceptives. In
addition, women who smoke, are older than 40 years of age, or have a
history of pulmonary disease should be advised to use a different method.
Iron-deficiency anemia, dysmenorrhea, and acne are not contraindications
for the use of oral contraceptives. Iron-deficiency anemia is a common
disorder in young women. Oral contraceptives decrease the amount of
menstrual flow and thus decrease the amount of iron lost through menses,
thereby providing a beneficial effect when used by clients with anemia. Low-
dose oral contraceptives to prevent ovulation may be effective in decreasing
the severity of dysmenorrhea (painful menstruation). Dysmenorrhea is
thought to be caused by the release of prostaglandins in response to tissue
destruction during the ischemic phase of the menstrual cycle. Use of oral
contraceptives often improves facial acne
-A 22-year-old nulligravid client tells the nurse that she and her husband
have been considering using condoms for family planning. Which of the
following instructions would the nurse include about the use of condoms as a
method for family planning?
A) Using a spermicide with the condom offers added protection against
pregnancy.
B) Natural skin condoms protect against sexually transmitted diseases.
C) The typical failure rate for couples using condoms is about 25%.
D) Condom users frequently report penile gland sensitivity - -Answer: A
The typical failure rate of a condom is approximately 12% to 14%. Adding a
spermicide can decrease this potential failure rate because it offers
additional protection against pregnancy. Natural skin condoms do not offer
the same protection against sexually transmitted diseases caused by viruses
as latex condoms do. Unlike latex condoms, natural skin (membrane)
condoms do not prevent the passage of viruses. Most condom users report
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