A. Satisfaction with prior methods.
B. Preference of sexual partner
C. Breast- or bottle-feeding plan
D. Desire for another child in 2 years.
Correct answer: A. The nurse should instruct the client to take a mild analgesic, such as ibuprofen, if menstrual pain or “cramps” are present. The client should also eat foods rich in iron and should continue moderate exercise during menstruation, which increases abdominal tone. Avoiding cold foods will not decrease dysmenorrhea. Sexual intercourse is not prohibited during menstruation, but the male partner should wear a condom to prevent exposure to blood.
2. Which of the following instructions about activities during menstruation would the nurse include when counseling an adolescent who has just begun to menstruate?
A. Take a mild analgesic if needed for menstrual pain
B. Avoid cold foods if menstrual pain persists..
C. Stop exercise while menstruating.
D. Avoid sexual intercourse while menstruating.
Correct answer: A. The nurse should instruct the client to take a mild analgesic, such as ibuprofen, if menstrual pain or “cramps” are present. The client should also eat foods rich in iron and should continue moderate exercise during menstruation, which increases abdominal tone. Avoiding cold foods will not decrease dysmenorrhea. Sexual intercourse is not prohibited during menstruation, but the male partner should wear a condom to prevent exposure to blood.
3. Before advising a 24-year-old client desiring oral contraceptives for family planning, the nurse would assess the client for signs and symptoms of which of the following?
A. Anemia.
B. Hypertension.
C. Dysmenorrhea.
D. Acne vulgaris.
Answer: B
Before advising a client about oral contraceptives, the nurse needs to assess the client for signs and symptoms of hypertension. Clients who have hypertension, thrombophlebitis, obesity, or a family history of cerebral or cardiovascular accident are poor candidates for oral contraceptives. In addition, women who smoke, are older than 40 years of age, or have a history of pulmonary disease should be advised to use a different method. Iron-deficiency anemia, dysmenorrhea, and acne are not contraindications for the use of oral contraceptives. Iron-deficiency anemia is a common disorder in young women. Oral contraceptives decrease the amount of menstrual flow and thus decrease the amount of iron lost through menses, thereby providing a beneficial effect when used by clients with anemia. Low-dose oral contraceptives to prevent ovulation may be effective in decreasing the severity of dysmenorrhea (painful menstruation). Dysmenorrhea is thought to be caused by the release of prostaglandins in response to tissue destruction during the ischemic phase of the menstrual cycle. Use of oral contraceptives often improves facial acne
4. After instructing a 20-year-old nulligravid client about adverse effects of oral contraceptives, the nurse determines that further instruction is needed when the client states which of the following as an adverse effec
A. Weight gain
B. Nausea
C. Headache
D. Ovarian cancer
Answer D. ovarian cancer
xplanation:
The nurse determines that the client needs further instruction when the client says that one of the adverse effects of oral contraceptive use is ovarian cancer. Some studies suggest that ovarian and endometrial cancers are reduced in women using oral contraceptives. Other adverse effects of oral contraceptives include weight gain, nausea, headache, breakthrough bleeding, and monilial infections. The most serious adverse effect is thrombophlebitis.
5. When instructing a client about the proper use of condoms for pregnancy prevention, which of the following instructions would be included to ensure maximum effectiveness?
A. Place the condom over the erect penis before coitus
B. Withdraw the condom after coitus when the penis is flaccid.
C. Ensure that the condom is pulled tightly over the penis before coitus
D. Obtain a prescription for a condom with nonoxynol 9.
Correct answer: A. To ensure maximum effectiveness, the condom should always be placed over the erect penis before coitus. Some couples find condom use objectionable because foreplay may have to be interrupted to apply the condom. The penis covered by the condom should be withdrawn before the penis becomes flaccid. Otherwise sperm may
escape from the condom providing an opportunity for possible fertilization. Rather than having the condom pulled tightly over the penis before coitus space should be left at the tip of the penis to allow the condom to hold the sperm. The client does not need a prescription for a condom with nonoxynol 9 because these are sold over the counter