A nurse is providing preoperative teaching to a client who is undergoing a transcervical sterilization procedure.
Which of the following information should the nurse include?
“The procedure involves inserting flexible agents into your fallopian tubes.”.
“The procedure will be done under general anesthesia in an operating room.”.
“The procedure will make you sterile immediately after it is done.”.
“The procedure will affect your hormone levels and menstrual cycle.”.
The Correct Answer is A
The correct answer is choice A. The procedure involves inserting flexible agents into your fallopian tubes. These agents cause tissue to grow around them and block the tubes, preventing pregnancy.
Choice B is wrong because the procedure does not require general anesthesia or an operating room. It can be done in an outpatient facility with local anesthesia.
Choice C is wrong because the procedure does not make you sterile immediately after it is done.
It takes about 3 months for the tissue to grow and occlude the tubes. You need to use another form of contraception during this time and have a test to confirm the tubal blockage.
Choice D is wrong because the procedure does not affect your hormone levels or menstrual cycle. It only blocks the fallopian tubes, not the ovaries or uterus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A."You may experience weight gain as a side effect of the injection."
Choice B is wrong because you do not need to use a barrier method of contraception for the first week after the injection.Medroxyprogesterone injection provides contraception for three months and works mainly by stopping the release of an egg from the ovary (ovulation).
Choice C is wrong because you should not massage the injection site to promote absorption of the medication.
Massaging the injection site may cause irritation or pain.You should also avoid rubbing or scratching the injection site for a few days after receiving the injection.
Choice D is wrong because you may not resume fertility as soon as you stop the injections.
There may be a delay in your return to normal fertility after you finish using medroxyprogesterone injection.It might take 10 months or more before you begin ovulating again.
Correct Answer is C
Explanation
The correct answer is choice C. The patient needs further teaching if they think that the implant can be inserted immediately after childbirth.According to Mayo Clinic, the implant should not be inserted until at least 21 days after giving birth, or until the milk supply is well established if breastfeeding.
Inserting the implant too soon may increase the risk of blood clots or decrease milk production.
Choice A is correct because condoms are still needed to protect against STIs, even if using the implant as a birth control method.Choice B is correct because irregular and unpredictable menstruation is a common side effect of the implant.Choice D is correct because the implant can prevent pregnancy for up to three years.
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