Nokea
At her 6-week postpartum checkup, a woman states, 'I am wondering about birth control. I used oral contraceptives before, and I'm breastfeeding now. Can I use the pill again?' What is the nurse's best response?
- A. You should know that oral contraceptives increase your milk production.'
- B. Oral contraceptives can be taken once lactation is well established.'
- C. You don't need to use any form of birth control as long as you are breastfeeding.'
- D. Oral contraceptives are contraindicated for the lactating woman.'
Correct Answer: B
Rationale: Oral contraceptives decrease breast milk production and are contraindicated until lactation is well established. Women who breastfeed their infants usually will not ovulate for 10 weeks and do not need contraception until that time.
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The nurse is preparing a community education program on preventive health care for women. What common screening test will the nurse plan on explaining to the women attending the program?
- A. Breast examination by a health professional
- B. Breast self-examination
- C. Breast biopsy
- D. Mammography
Correct Answer: D
Rationale: Mammography is a screening test used to detect breast cancer. A breast examination is a focused assessment, not a test. A breast self-examination is important, but not a screening test. A breast biopsy is a diagnostic test versus a test performed for basic screening purposes.
The nurse is providing sexual education to a group of high school students. What will the nurse explain is the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases?
- A. Abstain from sex.
- B. Use the male condom.
- C. Use the female condom.
- D. Use the barrier method.
Correct Answer: A
Rationale: Abstinence is 100% effective in preventing pregnancy and sexually transmitted diseases.
On day 13 of a 28-day cycle, a woman's basal body temperature is 36.5?°C (97.7?°F). What will her temperature measurement most likely be if ovulation takes place on day 14?
- A. 35.9?°C (96.7?°F)
- B. 36.3?°C (97.3?°F)
- C. 36.7?°C (98.1?°F)
- D. 37.1?°C (98.9?°F)
Correct Answer: C
Rationale: At the time of ovulation, body temperature will increase slightly, about 0.2?°C (0.4?°F).
The nurse is educating a woman diagnosed with premenstrual dysphoric disorder (PMDD). What is the best type of diet for the nurse to recommend?
- A. High protein, low fat
- B. High carbohydrate, high fiber
- C. Low calorie, low fat
- D. Low carbohydrate, high protein
Correct Answer: B
Rationale: Treatment of PMDD includes a diet rich in complex carbohydrates and fiber (to lengthen effects of the carbohydrate meal).
A woman diagnosed with endometriosis reports 'painful intercourse.' What is the appropriate medical term for the nurse to document when describing this symptom?
- A. Dyspnea
- B. Dysmenorrhea
- C. Dyspareunia
- D. Dysrhythmia
Correct Answer: C
Rationale: Dyspareunia is the term for painful sexual intercourse. Dyspnea is shortness of breath. Dysmenorrhea is painful menstruation. Dysrhythmia is irregular heart rhythm.