Nokea
A 35-year-old patient comes to the clinic 2 days after a tubal ligation. She complains of abdominal pain and swelling and redness at the surgical incision. What does the nurse know is a common complication of this procedure?
- A. Ileus
- B. Liver enlargement
- C. Constipation
- D. Infection
Correct Answer: D
Rationale: Infection is a common complication after tubal ligation, indicated by redness and swelling at the surgical site. Choice A is incorrect as ileus is a bowel obstruction, not typically a complication of tubal ligation. Choice B, liver enlargement, is unrelated to tubal ligation. Choice C, constipation, may be a side effect but is not a primary concern after this procedure.
You may also like to solve these questions
Which is a disadvantage of the progesterone-only contraception pill?
- A. Side effects could be increased for persons who are underweight.
- B. There could be a decrease in bone mineral density over time.
- C. They may cause irregular bleeding and spotting.
- D. Return to fertility after discontinuing the pill may take several months.
Correct Answer: B
Rationale: One of the main disadvantages of progesterone-only contraception pills is the potential decrease in bone mineral density over time with long-term use. Progesterone has been linked to a decrease in bone density, which can increase the risk of osteoporosis and fractures, particularly in women. It is important for individuals, especially those at higher risk for osteoporosis, to discuss this potential side effect with their healthcare provider before initiating progesterone-only contraception. Monitoring bone health and considering supplementation may be necessary for those using this type of contraception long-term.
The nurse is providing education on a medical abortion. How would she describe the action of the medications?
- A. Medications thicken the lining of the uterus and decrease uterine contractions.
- B. Medications stop the fetal heart and induce contractions.
- C. Medications soften the cervix, cause uterine lining necrosis, and induce contractions.
- D. Medications thicken the cervix and the uterine lining.
Correct Answer: C
Rationale: Medications used in a medical abortion typically consist of a combination of Mifepristone and Misoprostol. The action of these medications involves three main effects: softening the cervix to facilitate the expulsion of the pregnancy tissue, causing necrosis of the uterine lining to disrupt the pregnancy, and inducing contractions to expel the contents of the uterus. This process is different from a surgical abortion, which involves a procedure to remove the pregnancy tissue from the uterus.
What is an advantage of the cervical cap over the diaphragm?
- A. a lower failure rate
- B. its ease of insertion
- C. that it can remain in place for 48 hours
- D. that spermicide is not needed
Correct Answer: A
Rationale: The advantage of the cervical cap over the diaphragm is that it typically has a lower failure rate in preventing pregnancy. Failure rates for contraceptive methods refer to the percentage of women who become pregnant within the first year of typical use. The cervical cap is generally associated with a lower failure rate compared to the diaphragm due to its snugger fit and ability to cover the cervix more effectively, resulting in better protection against sperm entering the uterus. This makes the cervical cap a more reliable option for women seeking effective contraception.
When evaluating cervical mucus, what is the quality of spinnbarkeit?
- A. elasticity
- B. amount
- C. clarity
- D. color
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.
What is one difference between the copper IUC and the LNG-IUC?
- A. efficacy
- B. placement in the uterus
- C. presence of a normal period
- D. shape
Correct Answer: B
Rationale: One difference between the copper IUC and the LNG-IUC is their placement in the uterus. The copper IUC, also known as the copper intrauterine device (IUD), is a small, T-shaped device that is inserted into the uterus by a healthcare provider. On the other hand, the LNG-IUC, or levonorgestrel-releasing intrauterine system, is also a T-shaped device but it releases a hormone called levonorgestrel into the uterus. Both devices are placed within the uterus, but the LNG-IUC releases hormones while the copper IUC relies on the copper to provide contraception.