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?

"I understand that my bone density may decrease with long-term use.".

"I know I should receive the injection within five days after delivery if I am breastfeeding.".

"I can expect decreased bleeding during menstruation with this method.".

"I am glad that I only have to get four injections per year.".

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. The patient should receive the injection within seven days after delivery if breastfeeding, not five. Injectable progestins are a type of hormonal contraception that prevent ovulation and thicken cervical mucus. They are given by a health professional every 12 weeks.

Choice A is wrong because injectable progestins may cause bone mineral loss with long-term use, so the patient should be aware of this risk.

Choice C is wrong because injectable progestins may cause decreased bleeding or amenorrhea in some women, which is not harmful but may be unexpected.

Choice D is wrong because injectable progestins are given every three months, not four times per year.

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Correct Answer is B

Explanation

The correct answer is choice B.History of uterine prolapse is a contraindication for the use of a diaphragm as a contraceptive method.Uterine prolapse is a condition where the uterus descends into the vagina, which can interfere with the proper placement and seal of the diaphragm.

Choice A is wrong because history of cervical cancer is not a contraindication for diaphragm use.

Cervical cancer is a malignant tumor of the cervix, which can be treated with surgery, radiation, or chemotherapy.

Diaphragm use does not affect the risk or treatment of cervical cancer.

Choice C is wrong because history of ovarian cysts is not a contraindication for diaphragm use.

Ovarian cysts are fluid-filled sacs that develop in or on the ovaries, which can cause pain, bloating, or irregular periods.

Diaphragm use does not affect the formation or rupture of ovarian cysts.

Choice D is wrong because history of menopause is not a contraindication for diaphragm use.

Menopause is the natural cessation of menstrual cycles and fertility, which occurs around age 50 in most women.

Diaphragm use does not affect the hormonal changes or symptoms of menopause.

A. Assess for signs of pelvic inflammatory disease B. Instruct the client to check the string length C. Advise the client to use a backup contraceptive method D. Schedule an appointment for IUD removal

Correct Answer is A

Explanation

The correct answer is choice A. The nurse should assess for signs of pelvic inflammatory disease (PID), which is an infection of the female reproductive organs that can be caused by sexually transmitted bacteria.PID can cause abdominal pain during sexual intercourse, as well as other symptoms such as fever, unusual vaginal discharge, and bleeding between periods.PID can lead to serious complications such as infertility and ectopic pregnancy if left untreated.

Choice B is wrong because checking the string length of the IUD is not a priority action.The string length may change due to normal variations in the position of the uterus and cervix, and does not indicate a problem with the IUD.However, if the string is missing or longer than usual, it may suggest that the IUD has moved or expelled, and the client should see a provider.

Choice C is wrong because advising the client to use a backup contraceptive method is not a priority action.The IUD is a highly effective form of birth control that does not require additional methods unless the client wants to prevent STIs.However, if the client has an STI that causes PID, using a condom may help prevent further infection and transmission.

Choice D is wrong because scheduling an appointment for IUD removal is not a priority action.The IUD does not cause PID, but it may increase the risk of infection shortly after insertion, especially if the client has an STI.The risk of PID from IUD use is very low (less than 1%) and usually disappears after 3 weeks of placement.Removing the IUD may not cure PID and may expose the client to unwanted pregnancy.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a contraindication for the use of a diaphragm as a contraceptive method?

Correct Answer is B

Explanation

A nurse is caring for a client who has an IUD and reports abdominal pain during sexual intercourse. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is caring for a client who has an intrauterine device (IUD) in place and reports missing her menstrual period this month. Which of the following actions should the nurse take first?

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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?