UNMC PCC 2 EXAM 2 NEWEST ACTUAL EXAM COMPLETE 150
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
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A male client asks the nurse why it is better to purchase condoms that are not
lubricated with nonoxynol-9 (a common spermicide). The nurse's most
appropriate response is:
A. "The lubricant prevents vaginal irritation."
B. "Nonoxynol-9 does not provide protection against sexually transmitted
infections, as originally thought; also, it has been linked to an increase in the
transmission of human immunodeficiency virus (HIV) and can cause genital
lesions."
C. "The additional lubrication improves sex."
D. "Nonoxynol-9 improves penile sensitivity." - Correct Answer-B
N-9 causes vaginal irritation
has no effect on quality of sexual activity or penile sensitivity.
A woman was treated recently for toxic shock syndrome (TSS). She has intercourse
occasionally and uses over-the-counter protection. On the basis of her history,
what contraceptive method should she and her partner avoid?
A. Cervical cap
B. Condom
C. Vaginal film
D. Vaginal sheath - Correct Answer-A
Hx of TSS = not use cervical cap
Condoms, vaginal film, & vaginal sheaths are not contraindicated
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, UNMC PCC 2 Exam 2
Which statement is true about the term contraceptive failure rate?
A. It refers to the percentage of users expected to have an accidental pregnancy
over a 5-year span.
B. It refers to the minimum level that must be achieved to receive a government
license.
C. It increases over time as couples become more careless.
D. It varies from couple to couple, depending on the method and the users. -
Correct Answer-D
Contraceptive Failure rate is statistical measure of likely accidental preganancy
over couple's 1st year of use.
Failure rates decline over time because users gain experience.
Varies depending on how well method is used & how well it suits couple.
What important aspects do all the fertility awareness-based (FAB) methods have
in common?
A. They all require a woman to be able to touch her genitals to assess cervical
mucus.
B. They all involve abstinence at some point.
C. They all rely on measurement of body temperature.
D. They all require the cooperation of the woman's partner. - Correct Answer-D
Fertile phases determined several different ways, but all require cooperation of
partner
Some use chemical or physical barrier contraception during fertile periods
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, UNMC PCC 2 Exam 2
With regard to emergency contraception pills, nurses should be aware that:
A. The pills should be readily available during the initial learning phase when a
woman is using a new method of contraception.
B. The pills must be taken no later than 48 hours after unprotected intercourse or
birth control mishap.
C. The pills protect the woman against pregnancy even if she engages in
unprotected intercourse in the days after treatment.
D. Emergency contraception has no medical contraindications. - Correct Answer-A
Backup method also good idea for beginners
Woman has up to 120 hours after unprotected intercourse
Do NOT protect against subsequent unprotected intercourse
Contraindicated during pregnancy & if woman has undiagnosed abnormal vaginal
bleeding
Nurses, certified nurse-midwives, and other advanced practice nurses have the
knowledge and expertise to assist women in making informed choices regarding
contraception. A multidisciplinary approach should ensure that the woman's
social, cultural, and interpersonal needs are met. Which action should the nurse
take first when meeting with a new client to discuss contraception?
A. Obtain data about the frequency of coitus.
B. Determine the woman's level of knowledge about contraception and
commitment to any particular method.
C. Assess the woman's willingness to touch her genitals and cervical mucus.
D. Evaluate the woman's contraceptive life plan. - Correct Answer-B
All are part of assessment, but B is primary step.
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, UNMC PCC 2 Exam 2
Frequency of coitus include # of partners, level of contraceptive involvement, &
partner objectives
Willingness to touch genitals & cervical mucus if she expresses interest in form of
contraception that would require that
A woman taking an oral contraceptive pill (OCP) as her birth control method of
choice should notify her health care provider immediately if she notes:
A. Breast tenderness and swelling
B. Weight gain
C. Swelling and pain in one of her legs
D. Mood swings - Correct Answer-C - may indicate thrombophlebitis
others are common side effects
A married couple is discussing male and female sterilization with the nurse. Which
statement is most appropriate for the nurse to make?
A. "Male and female sterilization methods are 100% effective."
B. "A vasectomy may have a slight effect on sexual performance."
C. "Tubal ligation can be easily reversed if you change your mind in the future."
D. "Major complications after sterilization are rare." - Correct Answer-D
Failure rate for female sterilization is 0.5%, failure rate for male sterilization is
0.15%
Vasectomy has no effect on potency or volume of ejaculate
Sterilization reversal is costly, difficult, and uncertain.
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