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.".
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
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
Correct Answer is A
Explanation
The correct answer is choice A.The nurse should tell the client that if she misses one pill, she should take the missed pill as soon as possible and continue with the next pill at the usual time.This will ensure that she maintains a continuous hormonal exposure and does not extend the hormone-free interval beyond 7 days.She does not need to use extra contraception.
Choice B is wrong because taking two pills at once and skipping the next pill will disrupt the hormonal balance and may cause side effects such as nausea or breakthrough bleeding.Choice C is wrong because discarding the missed pill and taking the next pill at the usual time will shorten the duration of hormonal exposure and increase the risk of ovulation.Choice D is wrong because stopping taking the pills for the rest of the cycle and using a backup method of contraception will expose the client to an unnecessary hormone-free interval and may compromise her contraceptive efficacy.
COCs are combined oral contraceptives that contain synthetic estrogen and progestin hormones that prevent ovulation and thicken cervical mucus to inhibit sperm penetration.The normal range of COCs dosage is 20 to 35 micrograms of estrogen and 0.1 to 3 milligrams of progestin per pill.
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