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A nurse is teaching patients about contraception methods. Which statement by a patient indicates a need for further teaching?
- A. Depo-Provera is not effective against sexually transmitted infections, but contraceptive protection is immediate if I get the injection on the first day of my period.
- B. The hormonal contraceptive, NuvaRing, protects against pregnancy by suppressing ovulation, thickening cervical mucus, and preventing implantation of the fertilized eggs.
- C. Abstinence is an effective method of contraception and may be used as a periodic or continuous strategy to prevent pregnancy and STIs.
- D. Withdrawal is an effective method of birth control that reduces risk for STIs.
Correct Answer: D
Rationale: Withdrawal is not effective for contraception or STI prevention, indicating a need for teaching. A, B, and C are accurate.
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A patient who developed a pulmonary embolism (blood clot in the lung) after using oral contraceptives asks the nurse what she should do if she can no longer use 'the pill.' The nurse suggests which mechanical barrier for birth control?
- A. Diaphragm
- B. Transdermal contraceptive patch
- C. Depo-Provera
- D. Evra patch
Correct Answer: A
Rationale: The diaphragm is a mechanical barrier method, unlike the hormonal options B, C, and D, which are contraindicated due to the patient's history of pulmonary embolism.
A parent brings their preteen daughter to the pediatric office for an annual checkup. The parent asks when they should tell the child about menses. What information will the nurse provide?
- A. You can discuss this when you are ready.
- B. It isn't necessary to discuss menstruation until age 13.
- C. Most preteens have heard about menses from their friends. There is no rush.
- D. Menses begins between ages 10 and 13 years, so now is a good time.
Correct Answer: D
Rationale: Menses typically begins between ages 10-13 , so discussing now prepares the child. A, B, and C delay education, risking confusion or fear.
During a checkup in a pediatric office, the mother of a school-aged boy tells the nurse that she is worried because she has occasionally found him masturbating. She asks the nurse how she should handle this 'problem.' How would the nurse best respond to this mother's concern?
- A. Children should be taught not to masturbate because most people believe self-stimulation is wrong.
- B. Masturbation is a means of learning what a person prefers sexually; overreacting can lead the child to believe sex is bad or dirty.
- C. There are serious health risks associated with frequent masturbation, and the practice should be discouraged in children.
- D. Children who masturbate demonstrate sexual dysfunction and should be seen by a child psychologist.
Correct Answer: B
Rationale: Masturbation is a normal way to explore sexuality; overreacting can cause shame. A, C, and D are incorrect as they perpetuate myths or pathologize normal behavior.
A nurse is teaching parents about expected developmental aspects of sexuality in children. Which statements from parents indicate further teaching is needed? Select all that apply.
- A. When my 2-year-old son touches his genitals, I push his hand away and tell him 'No'.
- B. I should wean my infant by 4 months and encourage him to use a sippy cup.
- C. I should explain sexuality to my 9-year-old in a factual manner when they ask questions about their body.
- D. I should explain about body changes to my 11-year-old prior to them happening to alleviate their fears.
- E. I should teach my 10-year-old about contraception and ways to avoid sexually transmitted diseases.
- F. I should allow my teenager to establish their own beliefs and moral value system rather than sharing my own beliefs.
Correct Answer: A,B,E,F
Rationale: Statements A, B, E, and F indicate misunderstanding. Genital touching is normal exploration and should not be shamed. Early weaning may cause oral deprivation. Teaching contraception at age 10 is premature; age 12-13 is more appropriate. Parents should share their values (F) while allowing autonomy. C and D reflect appropriate teaching.
A school nurse is providing sex education classes for adolescents. Which statement would the nurse include when describing normal sexual functioning?
- A. People are born with a certain amount of sexual drive, which can be depleted in later years.
- B. If you want to be a great athlete, sexual abstinence is necessary during training.
- C. A nocturnal emission (wet dream), is an indicator of a sexual disorder.
- D. It is natural for women to have as strong a desire for sex and enjoy it as much as men.
Correct Answer: D
Rationale: Women's sexual desire can be as strong as men's , supported by physiologic studies. Sexual drive does not deplete with age. Abstinence is not required for athletic performance. Nocturnal emissions are normal, not a disorder.