A nurse is caring for a client who is considering several methods of contraception.
Which of the following methods of contraception should the nurse identify as being most reliable?
A male condom.
An oral contraceptive.
A diaphragm with spermicide.
An intrauterine device (IUD).
The Correct Answer is D
Choice A rationale
While male condoms are a popular method of contraception due to their accessibility and ease of use, they are not the most reliable method. They have a higher failure rate compared to other methods, particularly if not used correctly or consistently.
Choice B rationale
Oral contraceptives are more reliable than male condoms, but they require consistent daily use and can be affected by other factors such as certain medications or vomiting/diarrhea.
Choice C rationale
A diaphragm with spermicide is a barrier method of contraception that is less reliable than hormonal methods or intrauterine devices. It also requires correct placement and use with every act of intercourse.
Choice D rationale
An intrauterine device (IUD) is one of the most reliable methods of contraception. Once inserted by a healthcare provider, it provides long-term, reversible contraception without requiring daily adherence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Heart rate of 170. A heart rate of 170 is not a symptom of transient tachypnea of the newborn.
Choice B rationale
Grunting or sighing with respirations. This is a symptom of transient tachypnea of the newborn.
Choice C rationale
Nasal flaring. This is a symptom of transient tachypnea of the newborn.
Choice D rationale
Respirations of 72. This is a symptom of transient tachypnea of the newborn.
Correct Answer is C
Explanation
Choice A rationale
Drying the infant off and covering the head is important to prevent heat loss, but it is not the first action to be taken. The newborn’s body temperature can drop rapidly because of the evaporation of amniotic fluid, so drying the infant is a priority, but not the first one.
Choice B rationale
Stimulating the infant to cry is important as it helps to clear the lungs of amniotic fluid and promotes the expansion of the lungs for effective oxygenation. However, this is not the first action to be taken. The first action is to clear the respiratory tract.
Choice C rationale
Clearing the respiratory tract is the first action to be taken to ensure the newborn can breathe properly. This is done by suctioning the mouth first and then the nose to prevent aspiration of mucus or amniotic fluid, which can lead to respiratory distress.
Choice D rationale
Cutting the umbilical cord is done after the newborn’s respiratory status is stable. It is not the first action to be taken. The umbilical cord is usually clamped and cut by the healthcare provider after it has stopped pulsating, or after the newborn has started to breathe on their own.
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