A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
"My monthly menstrual period will be shorter."
"Premenstrual tension will no longer be present."
"Hormone replacements will be needed following this procedure."
"Ovulation will remain the same."
The Correct Answer is D
Rationale:
A. Tubal ligation does not typically affect the length of menstrual periods.
B. While tubal ligation may prevent pregnancy, it does not directly impact premenstrual tension.
C. Hormone replacement therapy is not typically indicated following tubal ligation unless there are other underlying medical reasons for hormone imbalance.
D. "Ovulation will remain the same" is correct. Tubal ligation prevents pregnancy by blocking the fallopian tubes, but it does not affect ovulation. Therefore, the client will continue to ovulate normally after the procedure.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. Using a 21-gauge needle may be too large for a newborn, increasing the risk of discomfort and tissue damage.
B. Inserting the needle at a 45° angle may not be appropriate for intramuscular injections in newborns. The preferred angle is typically 90°.
C. Administering the injection into the vastus lateralis muscle is the recommended site for hepatitis B vaccination in newborns. This site is located on the anterior lateral aspect of the thigh and provides good muscle mass for injection.
D. Vigorously massaging the site following the injection is not recommended as it may increase discomfort and tissue trauma. Instead, gentle pressure can be applied to the site to help reduce discomfort.
Correct Answer is B
Explanation
Rationale:
A. Administering broad-spectrum antibiotics is not indicated as the first-line intervention for a myelomeningocele that is leaking cerebrospinal fluid. Antibiotics may be initiated later if signs of infection develop.
B. Cleansing the site with povidone-iodine is essential to reduce the risk of infection and prevent contamination of the exposed neural tissue.
C. Monitoring the rectal temperature every 4 hours is important for assessing the newborn's overall health but is not specific to managing a myelomeningocele.
D. Surgical closure of the myelomeningocele may be necessary, but immediate care focuses on protecting the exposed neural tissue and preventing infection before surgical intervention.
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