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Reproductive Choices Questions in section:

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To go to the related information as listed below, close or minimize this application and select the Content Menu button. Be sure to print or note the specific section(s) you wish to review. Question 1: In a lecture on sexual functioning, the nurse plans to include the fact that ovulation occurs when the: Selected Choice: Blood level of LH is high Your Selection: Correct Rationale: It is the surge of LH secretion in midcycle that is responsible for ovulation. Related information: Chapter 3, section 64 Question 2: After ovulation has occurred, the ovum is believed to remain viable for: Selected Choice: 24 to 36 hours Your Selection: Correct Rationale: The ovum is capable of being fertilized for only 24 to 36 hours following ovulation; after this time it travels a variable distance between the fallopian tube and uterus, disintegrates, and is phagocytized by leukocytes. Related information: Chapter 3, section 64 Question 3: The time of ovulation can be determined by taking the basal temperature. During ovulation the basal temperature: Selected Choice: Drops slightly and then rises Your Selection: Correct Rationale: As ovulation approaches, there may be a drop in the basal temperature because of an increased production of estrogen; when ovulation occurs, there will be a rise in the basal temperature because of an increased production of progesterone. Related information: Chapter 3, section 58 Question 4: The nurse explains that the efficiency of rhythm is dependent on the basal body temperature. A factor that will alter its effectiveness is: Selected Choice: Presence of stress Your Selection: Correct Rationale: Stress or infection alters the body's metabolism, causing an elevation in temperature; a rise in temperature from these causes may be misinterpreted as ovulation. Related information: Chapter 3, section 58 Question 5: A couple are desirous of using the rhythm method of contraception but do not understand how it works. The nurse's explanation to this couple about when to refrain from intercourse will be based on the fact that ovulation occurs: Selected Choice: Fourteen days prior to the onset of menstruation Your Selection: Correct Rationale: Ovulation is anticipated approximately 14 days prior to menstruation; however, it is more reliable to avoid using a specific number of days and to calculate on the basis of an individual's cycle rather than an average 28-day cycle. Related information: Chapter 3, section 64

Question 6: A biphasic antiovulatory medication of combined progestin and estrogen is prescribed for a female client. The nurse, instructing the client about the medication, should include the need to: Selected Choice: Report any vaginal bleeding Your Selection: Correct Rationale: Antiovulatory drugs suppress menstruation. Breakthrough bleeding is abnormal with biphasic drugs. The drug is given for only 21 days and menstrual flow does not occur during this time. Related information: Chapter 3, section 58 Question 7: Following delivery a cardiac client with type II diabetes asks the nurse, 'Which contraceptives will I be able to use to prevent pregnancy in the near future?' The nurse's best response would be: Selected Choice: You may want to use a foam and a condom to prevent pregnancy until you consult with your doctor at your postpartum visit. Your Selection: Correct Rationale: Some type of a barrier contraceptive (condom with foam or jelly or a diaphragm) is usually recommended for the client with diabetes mellitus and a cardiac condition. Related information: Chapter 3, section 58 Question 8: The nurse teaches that the most frequent side effect associated with the use of IUDs is: Selected Choice: Excessive menstrual flow Your Selection: Correct Rationale: Subsequent to IUD insertion, there may be an excessive menstrual flow for several cycles; this is probably because of an increase in the blood supply (inflammatory process), since the IUD is really a foreign body. Related information: Chapter 3, section 58 Question 9: The nurse should explain that a very common problem that has been associated with IUDs when they are used is: Selected Choice: Spontaneous expulsion of the device Your Selection: Correct Rationale: The IUD may cause irritability of the myometrium, inducing contraction of the uterus and expulsion of the device. Related information: Chapter 3, section 58 Question 10: A client seeking advice about contraception asks the nurse about an IUD. The nurse explains that the IUD provides contraception by: Selected Choice: Interferes with the reproductive process anatomically and temporally before ova reach the uterus Your Selection: Correct Rationale: Because of the IUD, the uterine lining is not receptive to the implantation of the fertilized egg. Related information: Chapter 3, section 58 Question 11: During the salinization method of elective abortion, the nurse should be alert for side effects such as: Selected Choice: Headache Your Selection: Correct

Rationale: A headache is a symptom of hypernatremia which can occur with the salinization method of elective abortion. Related information: Chapter 3, section 57 Question 12: Following a salinization procedure for an elective abortion of a 20week pregnancy, the client is told that labor will probably begin within: Selected Choice: Eight to twenty-four hours after the procedure Your Selection: Correct Rationale: The saline causes puffing of the placenta, fetal death, placental separation, release of fibrin, and then labor and paradoxical hemorrhaging. This takes at least 8 to 24 hours in most cases. Related information: Chapter 3, section 57 Question 13: In the dilation and suction evacuation method of elective abortion, Laminarias are used in the dilation stage of the procedure because: Selected Choice: They are hygroscopic and expand Your Selection: Correct Rationale: Laminaria is a seaweed that expands in a moist environment. It is a natural and safe method of dilating the cervix. Related information: Chapter 3, section 21 Question total: 13 Questions correct: 13 Score: 100%