A nurse is counseling a client who is breastfeeding and wants to use medroxyprogesterone injections for contraception.

Which of the following statements should the nurse make?

"You can start the injections immediately after delivery.".

"You should wait until your baby is 6 months old before starting the injections.".

"You may notice a decrease in your milk supply while using the injections.".

"You should wait until your baby is 6 weeks old before starting the injections.".

Answer and Explanation

The Correct Answer is D

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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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.

A. History of toxic shock syndrome (TSS) B. History of uterine fibroids C. History of irregular menstrual periods D. History of breast cancer

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.

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A nurse is counseling a client who is breastfeeding and wants to use medroxyprogesterone injections for contraception. Which of the following statements should the nurse make?

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Naxlex Comprehensive Predictor Exams

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 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

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

A nurse is counseling a client who is breastfeeding and wants to use medroxyprogesterone injections for contraception.

Which of the following statements should the nurse make?