WITH QUESTIONS AND
ANSWERS[ACTUAL EXAM 100%] GRADED
A+
Types of barrier methods - ANS✔✔---condoms, diaphragms
A client must be fitted every ___ years for a diaphragm. - ANS✔✔---2
Reasons clients will have to be refitted for diaphragm: - ANS✔✔----Every 2
years
-Gained 15 pounds (7 kg)
-had full term pregnancy
-had 2nd term abortion
What must be used in addition will diaphragms? - ANS✔✔---spermicide
,True or False: Spermicide must be used with diaphragm for each act of
intercourse. - ANS✔✔---True
Side effects of hormonal methods (oral, patch, Nuva Ring) of contraception: -
ANS✔✔---chest pain, SOB, leg pain (possible clot), headache, eye
problems, HTN
Hormonal methods risks - ANS✔✔----blood clots, leading to a stroke or PE
-HTN
Contraindications of hormonal contraceptives: - ANS✔✔---hx of blood clots,
stroke, cardiac problems, breast/estrogen related cancers, smoker
Depo-provera - ANS✔✔---injectable progestin
Depo-provera can cause: - ANS✔✔---decreased bone mineral density
Education for client receiving Depo injection: - ANS✔✔---receive adequate
intake of calcium and vitamin D
IUDs increase the risk of: - ANS✔✔---pelvic inflammatory disease, uterine
perforation, and ectopic pregnancy
Clients who had IUDs must be on the look out for: - ANS✔✔---increase in
string length, foul smelling vaginal discharge, pain w/ intercourse, fever, chills
Definition of infertility - ANS✔✔---the inability to conceive after trying for 12
months
Smokers should not take: - ANS✔✔---hormonal contraceptives
Workup after determining infertility: - ANS✔✔----Sperm analysis on male
(done 1st)
, - Woman tested if male comes out negative
The nurse must ensure that the client receiving a test with dye does not have hx
or allergy to __ or ___. - ANS✔✔---iodine or seafood
A diaphragm must remain in place for ___ hours after intercourse. -
ANS✔✔---6
Presumptive signs of pregnancy - ANS✔✔---amenorrhea, fatigue, nausea,
vomiting, urinary frequency, breast changes, quickening
Probable signs of pregnancy - ANS✔✔---abdominal enlargement, hegar sign
(softening of uterus), chadwick's sign (bluish color of cervix, Goodell's sign
(softening of cervical tip), ballottement (rebound of unengaged fetus), braxton
hicks contractions, positive pregnancy test, fetal outline felt by examiner
Positive signs of pregnancy - ANS✔✔---hearing fetal heart sounds, see baby
with ultra sounds, feeling of movement in uterus
Presumptive signs can: - ANS✔✔---be explained for problems other than
pregnancy
Positive signs of pregnancy are: - ANS✔✔---very distinct
Naegele's rule - ANS✔✔---subtract 3 months, add 7 days, add 1 year
***Easier way: Add 9 months, add 1 week***
GTPAL - ANS✔✔---G- gravitity (# of times woman has been pregnant,
including the current pregnancy)
T- pregnancies of 38 wks or more
P- pregnancies of less than 38 wks
A- abortions/miscarriages
L- living children