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.The client should wear scrotal support for at least 48 hours after the procedure to decrease pain and swelling, and protect the wound.

Some possible explanations for the other choices are:

Choice A is wrong because the client should avoid sexual activity for at least 1 week, not 4 weeks, after the procedure.The client will not be sterile right away and will need to use another form of birth control until the sperm count is zero.
Choice C is wrong because the client should apply ice packs to the scrotum for at least 2 days, not 72 hours, after the procedure.Ice helps prevent tissue damage and decrease swelling and pain.
Choice D is wrong because the client should not take aspirin for pain relief after the procedure, as it can increase the risk of bleeding.The client can take nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen instead.

A. “Yes, this activity level will be fine.” B. “No, you should avoid sexual intercourse until your follow-up visit.” C. “No, you should avoid activities that could cause straining or trauma until healing occurs.” D. “Yes, but you should wear tight-fitting underwear.”.

Correct Answer is C

Explanation

The correct answer is choice C) “No, you should avoid activities that could cause straining or trauma until healing occurs.” This is because a vasectomy is a surgical procedure that involves cutting and sealing the tubes that carry sperm from the testicles to the semen.It requires some time for recovery and healing, and strenuous activities like hunting could increase the risk of bleeding, infection, or reopening the incisions.

Choice A) “Yes, this activity level will be fine.” is wrong because it contradicts the medical advice to rest and avoid heavy lifting or exercise for at least a week after a vasectomy.

Choice B) “No, you should avoid sexual intercourse until your follow-up visit.” is wrong because it is too restrictive.Sexual intercourse can be resumed after a few days or when the pain and swelling subside, as long as contraception is used until the semen is confirmed to be sperm-free.

Choice D) “Yes, but you should wear tight-fitting underwear.” is wrong because it is not enough to prevent complications.Tight-fitting underwear can help support the scrotum and reduce discomfort, but it does not eliminate the need to avoid activities that could cause straining or trauma.

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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 client who had a vasectomy 2 days ago. Which of the following instructions should the nurse include in the discharge teaching?

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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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?