ATI RN
Contraception Questions and Answers Questions
Question 1 of 5
Which statement by the client would alert the nurse that she should not take oral contraceptives?
Correct Answer: C
Rationale: Cigarette smoking, particularly in women over the age of 35, is a significant risk factor when using oral contraceptives due to the increased risk of blood clots. Choice A is incorrect as moderate alcohol consumption does not directly contraindicate oral contraceptive use. Choice B, being overweight, may increase the risk of side effects, but it does not necessarily contraindicate oral contraceptives. Choice D is unrelated to oral contraceptive use and does not provide relevant information.
Question 2 of 5
The nurse assesses a patient for medical eligibility for contraceptive use. What is the meaning of an MEC score of 1?
Correct Answer: A
Rationale: In the context of medical eligibility for contraceptive use, an MEC (Medical Eligibility Criteria) score of 1 indicates that there are no restrictions for using the particular contraceptive method. A score of 1 suggests that the advantages of using the contraceptive method outweigh any potential risks, making it a safe and recommended choice for the patient. Therefore, a patient with an MEC score of 1 can use the contraceptive method without any concerns regarding health risks or restrictions.
Question 3 of 5
When evaluating cervical mucus, what is the quality of spinnbarkeit?
Correct Answer: A
Rationale: The quality of spinnbarkeit refers to the elasticity of cervical mucus. Spinnbarkeit is a term used to describe the stretchability or stretchy quality of cervical mucus during ovulation. This elasticity is an important characteristic as it indicates the fertile window for a woman trying to conceive. High levels of spinnbarkeit allow for easier passage and survival of sperm, increasing the chances of conception. The other choices (B. amount, C. clarity, D. color) do not specifically refer to the stretchability or elasticity of cervical mucus, which is what is assessed when evaluating spinnbarkeit.
Question 4 of 5
Why would FAM not be appropriate for the nurse to recommend to a perimenopausal person?
Correct Answer: C
Rationale: Fertility Awareness Methods (FAM) rely on tracking menstrual cycles and using that information to predict fertile and infertile days. In perimenopausal individuals, menstrual periods can become irregular due to hormonal fluctuations associated with menopause. As a result, it can be challenging to accurately determine fertile and infertile days, making FAM less effective for contraception in this population. Therefore, recommending FAM to a perimenopausal person with irregular menstrual periods would not be appropriate.
Question 5 of 5
The nurse provides counseling on coitus interruptus. What important counseling should be included?
Correct Answer: A
Rationale: The important counseling that should be included when discussing coitus interruptus (withdrawal method) is that the partners must communicate well to use this method effectively. Coitus interruptus involves the male partner withdrawing his penis from the vagina before ejaculation to prevent sperm from entering the woman's reproductive tract. Effective communication between partners is crucial to ensure that the method is used correctly and consistently. This method does not protect against sexually transmitted infections (STIs), so it's also important to discuss alternative methods of contraception for STI prevention. The statement that this method is 100 percent effective is incorrect, as pre-ejaculate can contain sperm and there is a risk of pregnancy if withdrawal is not done correctly.