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 B
Explanation
Rationale:
A. Massaging the client's fundus is not indicated for hypotension following epidural anesthesia.
Fundal massage is typically performed to prevent or manage uterine atony and postpartum hemorrhage.
B. Turning the client to a side-lying position is a recommended intervention for hypotension following epidural anesthesia. This position helps improve venous return to the heart and can help alleviate hypotension by reducing aortocaval compression.
C. Applying oxygen via nasal cannula may be indicated if the client is experiencing respiratory distress, but it is not the primary intervention for hypotension.
D. Assisting the client to empty their bladder may be appropriate to relieve urinary retention but is not the priority intervention for hypotension.
Correct Answer is C
Explanation
Rationale:
A. "You should use an oil-based vaginal lubricant when inserting your diaphragm." Incorrect.
Oil-based lubricants can weaken latex diaphragms, increasing the risk of breakage. Water-based lubricants are recommended instead.
B. "You should keep the diaphragm in place for at least 4 hours after intercourse." Incorrect.
Diaphragms should be left in place for at least 6 hours after intercourse but not longer than 24 hours.
C. "You should have your provider refit you for a new diaphragm."
Correct answer. After childbirth, the size and shape of the cervix may change, affecting the fit of the diaphragm. Therefore, it's important to have the diaphragm refitted by a healthcare provider.
D. "You should store your diaphragm in sterile water after each use." Incorrect. Diaphragms should be cleaned and dried thoroughly after each use and stored in a cool, dry place, not in sterile water.
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