NUR1025 MODULE 5 EAQS REPRODUCTIVE HEALTH,
FERTILITY, AND CONTRACEPTION — Q&A WITH
RATIONALES COMPLETE SOLUTION!!
1. Which contraceptive method is contraindicated for a woman with a history of
toxic shock syndrome?
Answer: Cervical cap.
Rationale: Devices that remain in the vagina for extended periods—like cervical
caps—can increase the risk of recurrent toxic shock syndrome.
2. What should a woman understand when using the basal body temperature
method?
Answer: Her temperature will rise about 0.4°–0.8°F after ovulation.
Rationale: Progesterone increases after ovulation, causing a slight but measurable
increase in basal body temperature.
3. A 37-year-old with secondary infertility has a reduced ovarian reserve. Which
lab value indicates this?
Answer: Follicle-stimulating hormone (FSH) levels.
Rationale: Elevated FSH levels indicate diminished ovarian reserve and declining
fertility potential.
4. A patient on oral contraceptives reports severe leg pain. What should the nurse
assess for?
,Answer: Possible thrombus formation.
Rationale: Oral contraceptives increase the risk of blood clots; leg pain may signify
deep vein thrombosis.
5. A patient frequently uses lubricants containing nonoxynol-9. Why should the
nurse advise against this?
Answer: Frequent use increases susceptibility to sexually transmitted infections.
Rationale: N-9 can irritate and damage vaginal tissues, making them more
vulnerable to infection.
6. A patient taking griseofulvin also takes oral contraceptives. What should the
nurse advise?
Answer: “Use an additional contraceptive method.”
Rationale: Griseofulvin can decrease the effectiveness of oral contraceptives.
7. A couple with fertility concerns is meeting a specialist. What test is typically
done first?
Answer: Semen analysis.
Rationale: It is simple, noninvasive, and evaluates sperm count, motility, and
morphology—common infertility factors.
8. Which woman is a suitable candidate for oral contraceptives?
, Answer: A 43-year-old who does not smoke.
Rationale: Smoking—especially after age 35—increases cardiovascular risks
associated with estrogen-containing contraceptives.
9. Which contraceptive method protects against STIs?
Answer: Male or female condoms.
Rationale: Condoms provide a physical barrier that reduces transmission of
sexually transmitted infections.
10. What symptom in a woman using oral contraceptives requires immediate
medical attention?
Answer: Leg pain and swelling.
Rationale: These symptoms may indicate a blood clot—a known risk of hormone-
based contraceptives.
11. A woman asks about herbal fertility aids. Which herbs should she avoid while
trying to conceive?
Answer: Licorice root, lavender, fennel, sage, and thyme.
Rationale: These herbs may alter hormone balance or impair fertility.
FERTILITY, AND CONTRACEPTION — Q&A WITH
RATIONALES COMPLETE SOLUTION!!
1. Which contraceptive method is contraindicated for a woman with a history of
toxic shock syndrome?
Answer: Cervical cap.
Rationale: Devices that remain in the vagina for extended periods—like cervical
caps—can increase the risk of recurrent toxic shock syndrome.
2. What should a woman understand when using the basal body temperature
method?
Answer: Her temperature will rise about 0.4°–0.8°F after ovulation.
Rationale: Progesterone increases after ovulation, causing a slight but measurable
increase in basal body temperature.
3. A 37-year-old with secondary infertility has a reduced ovarian reserve. Which
lab value indicates this?
Answer: Follicle-stimulating hormone (FSH) levels.
Rationale: Elevated FSH levels indicate diminished ovarian reserve and declining
fertility potential.
4. A patient on oral contraceptives reports severe leg pain. What should the nurse
assess for?
,Answer: Possible thrombus formation.
Rationale: Oral contraceptives increase the risk of blood clots; leg pain may signify
deep vein thrombosis.
5. A patient frequently uses lubricants containing nonoxynol-9. Why should the
nurse advise against this?
Answer: Frequent use increases susceptibility to sexually transmitted infections.
Rationale: N-9 can irritate and damage vaginal tissues, making them more
vulnerable to infection.
6. A patient taking griseofulvin also takes oral contraceptives. What should the
nurse advise?
Answer: “Use an additional contraceptive method.”
Rationale: Griseofulvin can decrease the effectiveness of oral contraceptives.
7. A couple with fertility concerns is meeting a specialist. What test is typically
done first?
Answer: Semen analysis.
Rationale: It is simple, noninvasive, and evaluates sperm count, motility, and
morphology—common infertility factors.
8. Which woman is a suitable candidate for oral contraceptives?
, Answer: A 43-year-old who does not smoke.
Rationale: Smoking—especially after age 35—increases cardiovascular risks
associated with estrogen-containing contraceptives.
9. Which contraceptive method protects against STIs?
Answer: Male or female condoms.
Rationale: Condoms provide a physical barrier that reduces transmission of
sexually transmitted infections.
10. What symptom in a woman using oral contraceptives requires immediate
medical attention?
Answer: Leg pain and swelling.
Rationale: These symptoms may indicate a blood clot—a known risk of hormone-
based contraceptives.
11. A woman asks about herbal fertility aids. Which herbs should she avoid while
trying to conceive?
Answer: Licorice root, lavender, fennel, sage, and thyme.
Rationale: These herbs may alter hormone balance or impair fertility.
