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
Painless vaginal bleeding at 28 weeks of gestation can be a sign of placenta previa or placental abruption, both of which are serious conditions that require immediate attention.
Choice B rationale
While vaginal spotting after a missed period could indicate early pregnancy, it is not as immediately concerning as painless vaginal bleeding in the third trimester.
Choice C rationale
Nausea and vomiting at 14 weeks of gestation are common symptoms of early pregnancy and, while uncomfortable, are not usually a medical emergency.
Choice D rationale
A cough and fever at 38 weeks of gestation could indicate an infection, which should be evaluated. However, it is not as immediately concerning as painless vaginal bleeding in the third trimester.
Correct Answer is C
Explanation
Choice A rationale
Monitoring axillary temperature is important for all newborns to prevent hypothermia. However, it is not the priority intervention for a newborn who is small for gestational age (SGA). These newborns are at a higher risk for hypoglycemia due to decreased stores of glycogen and a lower rate of gluconeogenesis.
Choice B rationale
Monitoring weight is important for all infants, and ongoing monitoring is important for infants who are SGA. However, it is not the priority intervention for this client at this time.
Choice C rationale
This is the correct answer. Newborns who are SGA are at a higher risk for hypoglycemia. Therefore, monitoring of blood glucose levels is a priority intervention.
Choice D rationale
Providing age-appropriate stimulation is important for all newborns. However, it is not the priority intervention for a newborn who is SGA2.
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