Review Practice Excercise 3

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Practice Excercise 3

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Total Questions : 5

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Question 1:

When counseling a client about the contraceptive implant (e.g., Nexplanon), the nurse should inform them that it is effective for approximately how long?

A. 1 year B. 2 years C. 3–5 years D. 7–10 years

Answer and Explanation

Choice A:

The 1-year duration is incorrect. Etonogestrel levels remain well above the ovulation suppression threshold for at least 3 years. There is no scientific basis for replacing the implant annually.

Choice B:

While 2 years falls within the effective window, it underestimates the approved and evidence-based duration. Nexplanon maintains contraceptive efficacy beyond 2 years, making this choice incomplete and misleading.

Choice C:

Nexplanon is FDA-approved for 3 years of use. Clinical trials demonstrate sustained ovulation suppression and contraceptive efficacy for up to 3 years, with some off-label data supporting up to 5 years. The question asks for approximate duration, making 3–5 years the most scientifically accurate range.

Choice D:

7–10 years is incorrect. No contraceptive implant maintains therapeutic etonogestrel levels for this duration. Long-term options like intrauterine devices may last this long, but not subdermal implants.

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Question 2:

Which permanent contraceptive method requires semen analysis to confirm efficacy?

A. Tubal ligation B. Vasectomy C. Copper IUD insertion D. Hormonal IUD insertion

Answer and Explanation

Choice A:

Tubal ligation is a female sterilization method involving occlusion of fallopian tubes. It prevents egg-sperm meeting and does not require semen analysis, as male fertility is unaffected.

Choice B:

Vasectomy interrupts sperm transport but does not eliminate existing sperm immediately. Semen analysis is essential to confirm azoospermia and ensure contraceptive efficacy. Without this confirmation, pregnancy risk remains.

Choice C:

Copper IUD insertion provides long-term contraception by inducing a local inflammatory response toxic to sperm. It is not a sterilization method and does not require semen analysis.

Choice D:

Hormonal IUDs release levonorgestrel to thicken cervical mucus and suppress endometrial growth. They are reversible and do not affect sperm production or transport, so semen analysis is not relevant.

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Question 3:

Which of the following are considered permanent contraceptive methods? Select all that apply.

A. Contraceptive Implant B. Tubal Ligation C. Vasectomy D. Depot Medroxyprogesterone Acetate (DMPA) E. Hormonal Intrauterine Device (IUD)

Answer and Explanation

Choice A:

The contraceptive implant (e.g., Nexplanon) is a long-acting reversible method effective for 3–5 years. It does not cause permanent sterility and can be removed to restore fertility.

Choice B:

Tubal ligation is a surgical sterilization method that permanently blocks the fallopian tubes, preventing fertilization. It is classified as a permanent contraceptive method.

Choice C:

Vasectomy is a male sterilization procedure that permanently interrupts sperm transport. It is considered a permanent method and requires semen analysis to confirm efficacy.

Choice D:

Depot medroxyprogesterone acetate (DMPA) is an injectable progestin given every 3 months. It suppresses ovulation temporarily and is fully reversible upon discontinuation.

Choice E:

Hormonal IUDs release levonorgestrel locally and are effective for 3–8 years depending on the type. They are reversible and fertility returns quickly after removal.

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Question 4:

What is the primary benefit of family planning?

A. Increased maternal mortality B. Reduced unintended pregnancies C. Higher healthcare costs D. Decreased family size only

Answer and Explanation

Choice A:

Family planning reduces maternal mortality, not increases it. By preventing high-risk and closely spaced pregnancies, it lowers complications and deaths.

Choice B:

Family planning directly reduces unintended pregnancies by enabling access to effective contraception. This leads to improved maternal health, reduced abortion rates, and better outcomes for children.

Choice C:

Family planning lowers healthcare costs by reducing the need for emergency obstetric care, unsafe abortion management, and neonatal intensive care due to preterm births.

Choice D:

While decreased family size may result, it is not the primary benefit. The main goal is to prevent unintended pregnancies and improve health outcomes.

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Question 5:

What are key components of effective, client-centered family planning counseling? Select all that apply.

A. Presenting only the most effective contraceptive methods. B. Actively listening to the client's needs and preferences. C. Providing accurate and unbiased information about all available options. D. Empowering the client to make an informed decision. E. Recommending a method based on the nurse's personal experience.

Answer and Explanation

Choice A:

Presenting only the most effective methods disregards client preferences and medical eligibility. Counseling must include all options to support informed choice.

Choice B:

Actively listening ensures the counselor understands the client’s values, concerns, and reproductive goals. It builds trust and supports personalized care.

Choice C:

Providing accurate and unbiased information allows the client to compare methods based on efficacy, side effects, and suitability, facilitating informed decision-making.

Choice D:

Empowering the client respects autonomy and supports voluntary contraceptive choice, which is central to ethical and effective family planning counseling.

Choice E:

Recommending based on personal experience introduces bias and undermines client autonomy. Counseling should be evidence-based and client-focused, not anecdotal.

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Practice Excercise 3

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