Chapter 4 Common Reproductive Issues 1. After discussing various methods of contraception with a client and her partner, the nurse determines that the teaching was successful when they identify which contraceptive method as providing protection against sexually transmitted infections (STIasb)i?rb A. oral contraceptives B. tubal ligation C. condoms D. intrauterine system Answer: C Rationale: Condoms are a barrier method of contraception. In addition to providing a physical barrier for sperm, they also protect against STIs. Oral contraceptives, tubal ligation, and intrauterine systems provide no protection against STIs. Question format: Multiple Choice Chapter 4: Common Reproductive Issues Cognitive Level: Analyze Client Needs: Health Promotion and Maintenance Reference: p. 141 2. When discussing contraceptive options, the nurse would recommend which option as being the most reliable? A. coitus interruptus B. lactational amenorrheal method (LAM) C. natural family planning D. intrauterine system Answer: D Rationale: An intrauterine system is the most reliable method because users have to consciously discontinue using them to become pregnant rather than making a proactive decision to avoid conception. Coitus interruptus, LAM, and natural family planninagbiarbr.ecobme/thesatvioral methods of contraception and require active participation of the couple to prevent pregnancy. These behavioral methods must be followed exactly as prescribed. Question format: Multiple Choice Chapter 4: Common Reproductive Issues Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Reference: p. 148 3. A client comes to the clinic with abdominal pain. Based on her history the nurse suspects endometriosis. The nurse expects to prepare the client for which evaluatory method to confirm this suspicion? A. pelvic examination B. transvaginal ultrasound C. laparoscopy D. hysterosalpingogram Answer: C
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