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Situation : Nurse Macarena is a Family Planning and Infertility Nurse Specialist and currently attends to FAMILY PLANNING CLIENTS AND INFERTILE COUPLES. The following conditions pertain to meeting the nursing needs of this particular population group.
1. Daphne, 19 years old, asks nurse Macarena how can pregnancy be prevented through tubal ligation. Which would be the best answer?
A. Prostaglandins released from the cut fallopian tubes will lead to permanent closure of the vagina.
B. Sperm can not enter the uterus because the cervical entrance is blocked.
C. Sperm can no longer reach the ova, because the fallopian tubes are blocked
D. The ovary no longer releases ova as there is no where for them to go.
2. The Stevens are a couple undergoing testing for infertility. Infertility is said to exist when:
A. A woman has no uterus
B. A woman has no children
C. A couple has been trying to conceive for 1 year
D. A couple has wanted a child for 6 months
3. Another client named Cindy is diagnosed as having endometriosis. This condition interferes with fertility because:
A. Endometrial implants can block the fallopian tubes
B. The uterine cervix becomes inflamed and swollen
C. The endometrial lining becomes inflamed leading to narrowing of the cervix.
D. Inflammation of the endometrium causes release of substance P which kills the sperm.
4. Cindy submits herself to Fatima Medical Center and is scheduled to have a hysterosalpingogram. Which of the following instructions would you give her regarding this procedure?
A. Menstruation will be irregular for few months as an effect of the dye but it is just normal
B. The sonogram of the uterus will reveal any tumors present
C. The women may experience some itchiness in the vagina as an after effect.
D. Cramping may be felt when the dye is inserted
5. Cindy’s cousin on the other hand, knowing nurse Macarena’s specialization asks what artificial insemination by donor entails. Which would be your best answer if you were Nurse Macarena?
A. Donor sperm are introduced vaginally into the uterus or cervix
B. Donor sperm are injected intra-abdominally into each ovary
C. Artificial sperm are injected vaginally to test tubal patency
D. The husband’s sperm is administered intravenously weekly
6. Pain in geriatric clients require careful assessment because they:
A. experienced reduce sensory perception
B. have increased sensory perception
C. are expected to experience chronic pain
D. have a increased pain sensitivity
7. Administration of aminoglycosides to the older persons requires careful patient assessment because older people:
A. are more sensitive to drugs
