Nokea
A patient asks the nurse about using the basal body temperature method as contraception. What statement made by the patient indicates that the patient needs further teaching?
- A. “I need to take my temperature before I even sit up in bed.â€
- B. “A rise of 0.4° F above my baseline temperatures for 3 days indicates it is safe to have condomless sex.â€
- C. “I need to use a special thermometer to take my basal body temperature.â€
- D. “I know I am about to ovulate when my temperature rises at least 0.4° F.â€
Correct Answer: B
Rationale: Option B is the statement made by the patient that indicates the need for further teaching. In the basal body temperature method of contraception, a sustained temperature rise typically indicates ovulation has already occurred, making it unsafe to have condomless sex. It is the drop in temperature just before ovulation that is used to predict a fertile window. Therefore, a rise in temperature would not indicate that it is safe to have condomless sex. The patient should be educated that the temperature shift indicates the end of the fertile window and that it is safest to avoid unprotected sex during the fertile window.
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Why is it important to consider special considerations, such as age, cultural background, or specific health conditions, during a health history for a well-person exam?
- A. to tailor the examination and screening tests to the individual’s health needs
- B. to assess the risk of occupational and environmental exposures
- C. to determine the individual's immunization history
- D. to identify potential safety considerations, such as intimate partner violence or mental abuse
Correct Answer: A
Rationale:
What education does the nurse provide to a person taking Ella for emergency contraception?
- A. abstain from sex or use a barrier method for 5 days and then restart their COCs
- B. abstain from sex or use a barrier method until their menses occur and then restart their COCs
- C. restart their COCs the next day; no backup method is needed
- D. restart their COCs the next day and use a backup method for 7 days
Correct Answer: D
Rationale: The education the nurse should provide to a person taking Ella for emergency contraception is to restart their COCs the next day and use a backup method, such as condoms, for 7 days. This is important to ensure continued protection against pregnancy, as Ella may potentially reduce the effectiveness of the COCs. Using a backup method during this time is essential to prevent unintended pregnancy.
A family member stands at the nurse station and requests help for their partner. What response should the nurse give to the family member?
- A. Are you the husband?
- B. Who is your wife?
- C. What can I do to help you and your partner?
- D. Are you part of the trans couple in room 214?
Correct Answer: C
Rationale: A neutral and inclusive response ensures the family member feels respected and supported.
A patient is trying to learn the cervical mucus detec- lung development tion natural family planning method. The patient
- A. Risk for dysfunctional gastrointestinal motility understands that which type of cervical mucus is related to birth before 38 weeks gestation the most fertile?
- B. Activity intolerance related to early gestational age
- C. Scant
- D. Purulent
Correct Answer: C
Rationale: In the cervical mucus detection natural family planning method, the type of cervical mucus that is related to the most fertile period is commonly described as "egg white cervical mucus". This type of mucus is clear, stretchy, and slippery, resembling raw egg whites. In contrast, "scant" cervical mucus refers to mucus that is minimal or in small quantity and is not associated with the peak fertility period. Purulent cervical mucus, on the other hand, is indicative of an infection and is not a normal finding related to fertility.
is a vitamin supplement prescribed for clients who have hyperemesis gravidarum.
- A. INCORRECT: Ferrous sulfate is a medication used in the treatment of iron deficiency anemia.
- B. CORRECT: Calcium gluconate is the antidote for magnesium sulfate. the baby is inside. What is the nurse9s best response?
- C. "Your baby's umbilical cord is surrounded by connective tissue called Wharton jelly, which prevents compression of the blood vessels and ensures continued nourishment of your baby."
Correct Answer: B
Rationale: Calcium gluconate is indeed the antidote for magnesium sulfate toxicity. In cases where a pregnant client is receiving magnesium sulfate for conditions like preeclampsia, it is important to have calcium gluconate readily available in case of magnesium toxicity. This is a crucial intervention to prevent any adverse effects on both the mother and the baby. So, the nurse should ensure that calcium gluconate is available and be prepared to administer it if needed.