A nurse is providing teaching to a client who is postpartum and interested in information about contraception. Which of the following instructions should the nurse include?
The lactation amenorrhea method is effective for planned contraception up to 12 months postpartum.
Place the transdermal contraceptive patch on your upper arm or back.
You can continue to use the same diaphragm you used before pregnancy.
Start oral contraceptives immediately after delivery to ensure effectiveness.
The Correct Answer is B
Choice A reason: The lactation amenorrhea method is effective only up to 6 months postpartum, and only if exclusive breastfeeding and amenorrhea are maintained. It is not reliable for 12 months, so this statement is inaccurate, making it incorrect for contraception teaching.
Choice B reason: Placing the transdermal contraceptive patch on the upper arm or back ensures proper adhesion and absorption. This aligns with manufacturer guidelines for effective contraception, making it a correct and appropriate instruction for postpartum clients seeking reliable methods.
Choice C reason: A diaphragm used before pregnancy may no longer fit due to pelvic changes post-delivery. It requires refitting 6 weeks postpartum, so continuing use without adjustment is ineffective and risky, making this incorrect.
Choice D reason: Starting oral contraceptives immediately after delivery is not recommended, especially for breastfeeding mothers, due to risks like reduced milk supply or thromboembolism. Initiation typically begins 3-6 weeks postpartum, making this incorrect and unsafe.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Using three-pronged grounded plugs ensures proper grounding, reducing the risk of electrical fires by safely dissipating excess current. This prevents shocks and short circuits, aligning with National Fire Protection Association (NFPA) standards. Grounded plugs are essential for safe appliance use, making this a critical recommendation for fire prevention education.
Choice B reason: Checking for a tingling sensation around a cord is not a reliable or safe method for fire prevention. Tingling may indicate electrical faults, but proactive measures like inspecting cords for fraying or overheating are more effective. This approach is reactive and risky, as it does not prevent fires, making it inappropriate.
Choice C reason: Covering extension cords with a rug traps heat and increases wear, raising the risk of electrical fires. Cords should be exposed to air and placed to avoid damage or tripping hazards. This practice violates safety guidelines, as it conceals potential issues, making it an incorrect recommendation for fire prevention.
Choice D reason: Removing a plug by pulling the cord can damage insulation or wiring, increasing fire risk due to exposed conductors or short circuits. Plugs should be grasped firmly at the base to remove safely. This action is unsafe and contradicts electrical safety standards, making it an incorrect teaching point.
Correct Answer is C
Explanation
Choice A reason: Informing the client that consent cannot be withdrawn is incorrect, as clients can revoke consent at any time before or during the procedure. This misrepresents patient rights, making it an unethical and illegal statement for the nurse’s role.
Choice B reason: Identifying risks or discomforts is the surgeon’s responsibility, not the nurse’s, during consent. The nurse verifies understanding and voluntariness, not provides risk details, so this action is outside the nurse’s scope, making it incorrect.
Choice C reason: Ensuring the client understands the procedure and voluntarily agrees is the nurse’s role when witnessing consent. This verifies informed, autonomous decision-making, aligning with legal and ethical standards, making it the correct responsibility for the nurse.
Choice D reason: Providing a detailed surgical technique explanation is the surgeon’s role, not the nurse’s. The nurse ensures comprehension and consent, not technical details, so this action exceeds the nurse’s scope during consent, making it incorrect.
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