The nurse provides education regarding female sterilization. What important information is provided?
- A. “You will need to wait 3 months before you are sterile.â€
- B. “You can have this procedure in the hospital after you give birth.â€
- C. “Fertilization will affect your milk supply for breast-feeding.â€
- D. “Tubal ligation is reversible.â€
Correct Answer: D
Rationale: The important information provided regarding female sterilization is that tubal ligation, which is a form of female sterilization, is generally considered irreversible. This means that it is a permanent method of contraception and should not be relied upon as a temporary solution. It is important for individuals considering this procedure to understand that it is meant to be permanent and should be approached as such. If there is any consideration for future fertility, alternative contraceptive options should be discussed with a healthcare provider.
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A patient calls and says she used her diaphragm on Saturday night at 8:00 p.m., again on Sunday morning at 2:00 a.m., and again at 8:00 a.m. She is wondering when she can safely remove it while still having effective contraception. What is the nurse’s best response?
- A. 10:00 a.m. Sunday
- B. 2:00 p.m. Sunday
- C. 10:00 p.m. Sunday
- D. 8:00 a.m. Monday
Correct Answer: D
Rationale: In general, a diaphragm should be left in place for at least 6 hours after intercourse but no more than 24 hours. Based on the patient's usage times on Saturday night at 8:00 p.m., Sunday morning at 2:00 a.m., and Sunday morning at 8:00 a.m., she can safely remove the diaphragm on Monday morning at 8:00 a.m. This ensures she has used it for the necessary timeframe for effective contraception.
A 23-year-old female patient is considering intrauterine device (IUD) contraception. What is the most important information to assess before placement?
- A. Is there any family history of heart disease?
- B. Are you allergic to any metals?
- C. Have you had any previous IUDs inserted?
- D. Do you have a history of hypertension?
Correct Answer: B
Rationale: The IUD may contain metal components, and it's crucial to check for any metal allergies before placement. Choice A, family history of heart disease, is not directly related to IUD use. Choice C is incorrect because previous IUD insertion is not as crucial as identifying an allergy to the materials in the IUD. Choice D is incorrect because hypertension is not a contraindication for IUD use, though it should be monitored.
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.
A 28-year-old patient has decided to use the patch contraception. The nurse is educating her on the best site to use. Where is the best place to put the patch? Select one that does not that apply.
- A. Buttocks
- B. Leg
- C. Breast
- D. Arm
Correct Answer: C
Rationale: The best sites for applying the contraceptive patch are the buttocks, arm, and leg. These areas have sufficient fat and are away from areas that might rub off the patch. Choice B (Neck) is incorrect as the neck is not recommended for patch application due to the potential for irritation and the high blood flow area. Choice C (Breast) is not recommended because the breast tissue may affect the adhesion of the patch.
One goal of Healthy People 2030 is to improve pregnancy planning and prevent unintended pregnancy. What is a negative outcome related to unintended pregnancy that is related to this HP goal?
- A. lost jobs related to inabilities to continue to work
- B. depression and anxiety
- C. increased BMI and unintentional weight gain
- D. increased health-care costs in the United States
Correct Answer: B
Rationale: Depression and anxiety are negative outcomes related to unintended pregnancy that align with the goal of improving pregnancy planning and preventing unintended pregnancies in Healthy People 2030. Unintended pregnancies can lead to increased stress and mental health issues for individuals who may not have been prepared or ready for a pregnancy. This can result in higher levels of depression and anxiety, impacting both the individual's well-being and potentially their relationships and overall quality of life. By focusing on improving pregnancy planning and preventing unintended pregnancy, Healthy People 2030 aims to reduce these negative outcomes and promote better mental health outcomes for individuals and families.
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