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What information will the nurse provide when educating a woman about the correct use of a diaphragm?
- A. Use of a spermicidal cream or jelly is not recommended.
- B. Leave in place for at least 6 hours after intercourse.
- C. Remove immediately after intercourse for douching.
- D. It is effective for up to 48 hours if positioned properly.
Correct Answer: B
Rationale: To act as a barrier, the diaphragm must be left in place for at least 6 hours after intercourse and can be left in place up to, but no more than 24 hours.
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On day 13 of a 28-day cycle, a woman's basal body temperature is 36.5?°C (97.7?°F). What will her temperature measurement most likely be if ovulation takes place on day 14?
- A. 35.9?°C (96.7?°F)
- B. 36.3?°C (97.3?°F)
- C. 36.7?°C (98.1?°F)
- D. 37.1?°C (98.9?°F)
Correct Answer: C
Rationale: At the time of ovulation, body temperature will increase slightly, about 0.2?°C (0.4?°F).
A woman asks the nurse, 'How do oral contraceptives prevent pregnancy?' What will the nurse explain about the combination of estrogen and progesterone in oral contraceptives?
- A. Makes cervical mucus hostile to sperm
- B. Prevents ovulation
- C. Prohibits implantation of the egg
- D. Acts as a barrier by destroying sperm
Correct Answer: B
Rationale: Oral contraceptives contain a combination of estrogen and progesterone that suppresses ovulation.
The nurse cautions that women with a history of which disorders are not candidates for HRT? (Select all that apply.)
- A. Melanoma
- B. Estrogen-dependent breast cancer
- C. Hepatitis C
- D. Thromboembolic disease
- E. Hyperthyroidism
Correct Answer: A,B,C,D
Rationale: Persons who are absolutely restricted from HRT are those with melanoma, estrogen-dependent breast cancers, chronic liver disorders, thromboembolic disease, and seizure disorders.
What will the nurse advise when a woman asks what she can do to reduce the discomfort of hot flashes?
- A. Aerobic exercise helps control hot flashes.'
- B. Increase the amount of calcium and vitamin D in your diet.'
- C. Dress in layers of cotton clothing.'
- D. Drink plenty of fluids, particularly caffeinated beverages.'
Correct Answer: C
Rationale: Cotton allows easier passage of air than synthetic fabrics. Layering allows the woman to take off or put on clothes when symptoms occur.
The nurse is discussing cervical mucus changes with a woman who wishes to use natural family-planning methods. What information about cervical mucus at ovulation will the woman indicate to the nurse, demonstrating that learning has taken place?
- A. Cervical mucus enhances the motility of the sperm.
- B. Cervical mucus indicates endometrial readiness for implantation.
- C. Cervical mucus facilitates movement of the ovum through the fallopian tube.
- D. Cervical mucus provides vaginal lubrication during intercourse.
Correct Answer: A
Rationale: Around the time of ovulation, the slippery, clear cervical mucus enhances the motility of the sperm.