A nurse is providing discharge teaching about postpartum contraception for a client who is breastfeeding and wishes to begin using contraceptive immediately. Which of the following methods should the nurse discuss with the client?
Progestin oral contraceptive
Vaginal etonogestrel/ethinyl estradiol contraceptive ring
Transdermal estrogen/progesterone patch
Injectable synthetic progestin
The Correct Answer is A
A. Progestin oral contraceptive: Progestin-only oral contraceptives (often called the “mini-pill”) are safe to use immediately postpartum for breastfeeding clients because they do not affect milk production. They provide effective contraception without the risks associated with estrogen-containing methods.
B. Vaginal etonogestrel/ethinyl estradiol contraceptive ring: Combination estrogen-progestin contraceptives, such as the vaginal ring, are generally not recommended immediately postpartum for breastfeeding clients because estrogen can reduce milk supply and may increase the risk of thromboembolism.
C. Transdermal estrogen/progesterone patch: Similar to other estrogen-containing methods, the transdermal patch is not recommended immediately postpartum for breastfeeding clients due to potential interference with lactation and increased thromboembolism risk.
D. Injectable synthetic progestin: Injectable progestin (e.g., depot medroxyprogesterone acetate) is safe for breastfeeding, but it is not ideal for immediate postpartum use if the client wishes for rapid return to fertility later, since its effects can last for several months. It may also have delayed effects on bone density with long-term use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Adolescents should increase their daily sodium intake to more than 2,800 milligrams.": This is incorrect because adolescents should limit sodium intake to less than 2,300 milligrams per day to reduce the risk of hypertension and cardiovascular issues. Excess sodium intake is associated with negative health outcomes rather than benefits.
B. "Adolescents should aim to consume at least 1,300 milligrams of calcium each day.": This is correct because adolescents require adequate calcium to support rapid bone growth and peak bone mass development. Meeting calcium needs during adolescence helps prevent future osteoporosis and supports overall skeletal health.
C. "Adolescent males require more iron than females due to the increase in their muscle mass.": This is incorrect because adolescent females typically require more iron than males due to menstrual blood loss. Iron is essential for hemoglobin production, and females are at higher risk for iron deficiency during adolescence.
D. "Adolescent females should consume 200 micrograms of folic acid every day.": This is inaccurate because the recommended daily allowance (RDA) for folic acid in adolescents is 400 micrograms per day, not 200. Adequate folic acid is critical for DNA synthesis and overall growth during adolescence.
Correct Answer is A
Explanation
A. Health department data and statistics reports: Local or state health departments routinely collect and publish epidemiological data, including incidence and prevalence rates of communicable diseases like tuberculosis. These reports provide reliable, up-to-date statistics that are essential for planning and evaluating public health programs.
B. Expert opinion from local health care providers: Expert opinion can provide insights into trends or clinical observations, but it is anecdotal and not sufficient for calculating incidence rates. Public health planning requires data that is systematically collected and analyzed.
C. Browsing an internet search engine: While internet searches may yield general information, the results may not be accurate, up-to-date, or specific to the local population. Official health department sources are more reliable for incidence data.
D. Clinical guidelines from a professional organization: Clinical guidelines provide recommendations for diagnosis, treatment, and management, but they do not usually include local incidence statistics. They are not a primary source for epidemiological data.
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