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.”.

Answer and Explanation

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.

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Correct Answer is A

Explanation

The correct answer is choice A.A history of toxic shock syndrome (TSS) is a contraindication for the use of a diaphragm.

TSS is a rare but serious condition caused by a bacterial infection that can occur when using a diaphragm for too long or not cleaning it properly.

Choice B is wrong because a history of uterine fibroids is not a contraindication for the use of a diaphragm.

Uterine fibroids are benign tumors that grow in the uterus and usually do not affect the cervix or the fit of the diaphragm.

Choice C is wrong because a history of irregular menstrual periods is not a contraindication for the use of a diaphragm.

Irregular periods may be caused by various factors such as stress, hormonal imbalance, or medical conditions, but they do not affect the effectiveness or safety of the diaphragm.

Choice D is wrong because a history of breast cancer is not a contraindication for the use of a diaphragm.

Breast cancer is not related to the use of barrier methods of contraception such as the diaphragm.

However, some hormonal methods of contraception may increase the risk of breast cancer or be contraindicated for women who have or had breast cancer.

A. Decreased bone density B. Spotting and irregular bleeding C. Mood changes D. Headaches

Correct Answer is B

Explanation

The correct answer is choice B.Spotting and irregular bleeding are potential adverse effects of the copper IUD.The copper IUD works by creating a toxic environment for sperm and eggs in the uterus and cervix, but it does not affect the hormones that regulate the menstrual cycle.Therefore, it can cause changes in bleeding patterns, such as heavier, longer or more painful periods.

Choice A is wrong because decreased bone density is not a side effect of the copper IUD.It is a possible side effect of hormonal IUDs that contain progestin, which can lower estrogen levels and affect bone health.

Choice C is wrong because mood changes are not a side effect of the copper IUD.They are more likely to occur with hormonal methods of birth control that affect the levels of estrogen and progesterone in the body.

Choice D is wrong because headaches are not a side effect of the copper IUD.They are also more common with hormonal methods of birth control, especially those that contain estrogen.

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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.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education about the diaphragm to a patient. Which of the following is a contraindication for the use of a diaphragm?

Correct Answer is A

Explanation

A nurse is caring for a patient who is using an intrauterine device (IUD) for contraception. Which of the following symptoms is a potential adverse effect of the copper IUD?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who has an intrauterine device (IUD) in place and asks how it prevents pregnancy. Which of the following responses should the nurse make?

A nurse is reviewing laboratory results for a female client who takes oral contraceptives (OCs). Which of the following findings should indicate to the nurse that OCs are having an adverse effect on this client?

A nurse is caring for a client who is taking COCs and reports nausea. The nurse should advise the client to

A nurse is providing education to a patient about implantable progestin. Which of the following statements made by the patient indicates a need for further teaching?

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.).

A nurse is preparing to insert an IUD for a client who is nulliparous and has a negative pregnancy test. Which of the following actions should the nurse take before the insertion?

A nurse is reviewing the medical history of a client who is considering using COCs as a method of contraception. The nurse should identify that which of the following conditions is a contraindication for using COCs?

A nurse is caring for a patient who uses a contraceptive vaginal ring. Which of the following symptoms should the nurse instruct the patient to report immediately?

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.).