A nurse is caring for a client who requests information about female sterilization (bilateral tubal ligation).
Which of the following statements by the nurse is appropriate? (Select all that apply.).
“This method provides protection against sexually transmitted infections.”.
“This method can be performed within 24 hr following childbirth.”.
“This method can increase your risk for an ectopic pregnancy.”.
“This method requires abdominal surgery with general anesthesia.”.
“This method is immediately effective.”.
Correct Answer : B,E
The correct answer is choice B and E. Bilateral tubal ligation (BTL) is a permanent form of contraception that involves cutting, tying or blocking the fallopian tubes to prevent pregnancy. It can be performed within 24 hours following childbirth and it is immediately effective.
Choice A is wrong because BTL does not provide protection against sexually transmitted infections (STIs).
People who have BTL should still use condoms to prevent STIs.
Choice C is wrong because BTL does not increase the risk for an ectopic pregnancy.
An ectopic pregnancy is when a fertilized egg implants outside the uterus, usually in the fallopian tube.
BTL prevents fertilization by blocking the passage of eggs and sperm.
Choice D is wrong because BTL does not require abdominal surgery with general anesthesia.
BTL can be done using different methods, such as laparoscopy, minilaparotomy, or hysteroscopy.
These methods use small incisions or no incisions at all and can be done with local or regional anesthesia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C.Foul-smelling vaginal discharge is a sign of a possible infection, which can be a complication of using a copper IUD.
The nurse should instruct the client to report this symptom and seek medical attention.
Choice A is wrong because increased menstrual pain and bleeding are common side effects of copper IUDs, especially in the first 3-6 months after insertion.
They are not necessarily signs of a complication.
Choice B is wrong because irregular spotting or bleeding are also common side effects of copper IUDs.
They are not necessarily signs of a complication.
Choice D is wrong because a change in string length is not a sign of a complication.
The string length may vary depending on the position of the cervix and uterus.The client should check the string length regularly and report any missing or protruding strings, which could indicate displacement of the IUD.
Correct Answer is D
Explanation
The correct answer is choice D.“You should wait until your baby is 6 weeks old before starting the injections.” This is because medroxyprogesterone may pass into breast milk and cause side effects in a child who is breastfed.The product labeling states that it should be started no sooner than 6 weeks postpartum, based on data submitted for product approval.
The World Health Organization also recommends that injectable depot medroxyprogesterone acetate should not be used before 6 weeks postpartum.
Choice A is wrong because starting the injections immediately after delivery could interfere with the exclusivity or duration of lactation, and could affect the newborn infant adversely because of slower metabolism of the drug than older infants.
Choice B is wrong because waiting until the baby is 6 months old is unnecessary and could expose the mother to a higher risk of unintended pregnancy.
Choice C is wrong because medroxyprogesterone has not been known to cause any decrease in milk supply while using the injections
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