Nokea
A client asks about the effectiveness of emergency contraception. Which of the following responses by the nurse is accurate?
- A. Emergency contraception is 100% effective if taken within 24 hours.
- B. Emergency contraception is most effective when taken within 72 hours of unprotected intercourse.
- C. Emergency contraception can be used as a regular contraceptive method.
- D. Emergency contraception requires a surgical procedure.
Correct Answer: B
Rationale: Emergency contraception is most effective when taken within 72 hours of unprotected intercourse, with efficacy decreasing over time. It is not 100% effective, not suitable for regular use, and does not require surgery.
You may also like to solve these questions
A neonate with heart failure is being discharged home. In teaching the parents about the neonate's nutritional needs, the nurse should explain that:
- A. Fluids should be restricted.
- B. Decreased activity level should reduce the need to additional reduces.
- C. The formula should be low in sodium.
- D. The neonate may need a formula with higher calories per fluid ounce.
Correct Answer: D
Rationale: A neonate with heart failure may require a higher-calorie formula to meet energy needs without increasing fluid volume.
After teaching a multiparous client about the effects of hemolysis due to Rh sensitization on the neonate at delivery, the nurse determines that the client needs further instruction when the mother reports that the neonate may have which of the following?
- A. Cardiac decompensation.
- B. Polycythemia.
- C. Splenomegaly.
- D. Reduced bilirubin levels.
Correct Answer: D
Rationale: Hemolysis due to Rh sensitization causes increased bilirubin levels, not reduced levels, indicating a need for further instruction.
A client has obtained Plan B (levonorgestrel 0.75 mg, 2 tablets) as emergency contraception. After unprotected intercourse, the client calls the clinic to ask questions about taking the contraceptives. The nurse realizes the client needs further explanation when she makes which of the following responses?
- A. I can wait 3 to 4 days after intercourse to start taking these to prevent pregnancy.
- B. My boyfriend can buy Plan B from the pharmacy if he is over 18 years old.
- C. The birth control works by preventing ovulation or fertilization of the egg.
- D. I can be discussed and have breast tenderness or a headache after using the contraceptive.
Correct Answer: A
Rationale: Plan B is most effective when taken within 72 hours of unprotected intercourse, ideally as soon as possible. Waiting 3 to 4 days reduces its efficacy, indicating a need for further explanation.
A multigravid client at 40 weeks' gestation with a history of previous cesarean delivery is admitted for a trial of labor. The fetal monitor shows late decelerations. Which interventions should the nurse perform? Select all that apply.
- A. Administer oxygen at 8–10 L/min via mask.
- B. Stop the oxytocin infusion.
- C. Reposition the client to her right side.
- D. Increase the IV fluid rate.
- E. Apply a fetal scalp electrode.
Correct Answer: A,B,D
Rationale: Late decelerations suggest uteroplacental insufficiency. Administering oxygen, stopping oxytocin (if running), and increasing IV fluids improve fetal oxygenation and uterine perfusion. Right-side repositioning is less effective than left-side, and scalp electrodes are not the first step.
A male neonate born at 38 weeks' gestation by cesarean delivery after prolonged rupture of the membranes and a maternal oral temperature of 102°F (38.8°C) is being observed for signs and symptoms of infection. Which of the following would alert the nurse to notify the physician?
- A. Leukocytosis.
- B. Apical heart rate of 132 bpm.
- C. Alertness changes.
- D. Warm, moist skin.
Correct Answer: A
Rationale: Leukocytosis is a sign of infection and warrants notifying the physician, especially given the maternal fever and prolonged rupture of membranes.