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A nurse is assisting a community health nurse teach a class about contraception to a group of young adults

Exhibits

Which post-test answers provided by class participants require follow-up by the nurse?

Click to highlight the post-test answers that require follow up by the nurse?

Latex condoms should be used with oil-based lubricants.

Condoms should be placed immediately before ejaculation. Diaphragms should be refitted after pregnancy.

Diaphragms should be removed 4 hr after intercourse.

Abdominal pain is a manifestation of complications of oral contraceptive use. Herbal supplements can affect the effectiveness of oral contraceptives. Presence of intrauterine device strings should be checked after each menstrual cycle.

Intrauterine devices should be replaced every 2 years.

Latex condoms should be used with oil-based lubricants.

Condoms should be placed immediately before ejaculation.

Diaphragms should be removed 4 hr after intercourse.

Abdominal pain is a manifestation of complications of oral contraceptive use.

Intrauterine devices should be replaced every 2 years.

Herbal supplements can affect the effectiveness of oral contraceptives.

Presence of intrauterine device strings should be checked after each menstrual cycle.

Diaphragms should be refitted after pregnancy.

Answer and Explanation

The Correct Answer is ["A","B","C","D","E"]

Post-Test Answers Requiring Follow-Up:

Latex condoms should be used with oil-based lubricants. Oil-based lubricants can degrade latex condoms, increasing the risk of breakage. Water-based or silicone-based lubricants should be used with latex condoms for safe use.

Condoms should be placed immediately before ejaculation. Condoms should be put on before any genital contact to prevent the risk of pregnancy and sexually transmitted infections (STIs). They should not be placed only before ejaculation.

Diaphragms should be removed 4 hours after intercourse. Diaphragms should be left in place for at least 6 hours but no longer than 24 hours after intercourse to prevent the risk of toxic shock syndrome and ensure effectiveness.

Abdominal pain is a manifestation of complications of oral contraceptive use. While abdominal pain can indicate complications, such as ectopic pregnancy or hepatic issues, it should not be considered a typical side effect.

Intrauterine devices should be replaced every 2 years. While some hormonal IUDs are effective for 3-5 years, copper IUDs can last up to 10-12 years. Patients should be informed about the specific replacement schedule based on the type of IUD used.

Answers that don’t need follow-up:

Diaphragms should be refitted after pregnancy. After a woman has a baby, the size and shape of her vagina and cervix can change, so diaphragms need to be refitted to ensure proper effectiveness.

Herbal supplements can affect the effectiveness of oral contraceptives. Some herbal supplements, such as St. John’s Wort, can interact with hormonal contraceptives, potentially reducing their effectiveness.

Presence of intrauterine device (IUD) strings should be checked after each menstrual cycle. Women should check the IUD strings regularly, typically after each menstrual cycle, to ensure the device is in place and to identify any potential complications.

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Correct Answer is B

Explanation

A. "This test determines if kernicterus will occur in the newborn." Kernicterus is caused by severe jaundice and bilirubin toxicity but is not directly predicted by the indirect Coombs test.

B. "This test detects Rh-positive antibodies in the mother's blood." The indirect Coombs test is used to detect Rh antibodies in the mother’s blood, which could indicate a risk of hemolytic disease of the newborn if the fetus is Rh-positive.

C. "This test detects Rh-negative antibodies in a newborn who is Rh-positive." This describes the direct Coombs test, which checks for antibodies attached to the newborn’s red blood cells.

D. "This test determines the presence of maternal antibodies in the newborn's blood." The indirect Coombs test is used to detect antibodies in the maternal blood, not in the newborn's blood.

A. Severe nausea and vomiting B. Pelvic pain C. Uterine enlargement greater than expected for gestational age D. Copious vaginal bleeding

Correct Answer is B

Explanation

A. Severe nausea and vomiting: Severe nausea and vomiting are more characteristic of hyperemesis gravidarum, not ectopic pregnancy.

B. Pelvic pain: Ectopic pregnancy typically presents with pelvic pain, which may be sharp and localized due to the implantation of the embryo outside the uterus, commonly in the fallopian tube.

C. Uterine enlargement greater than expected for gestational age: In an ectopic pregnancy, the uterus may not enlarge as expected because the embryo is implanted outside the uterus.

D. Copious vaginal bleeding: Vaginal bleeding can occur, but it is usually minimal rather than copious. Severe bleeding may occur if the ectopic pregnancy ruptures.

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a newly licensed nurse about the purpose of an indirect Coombs test. Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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