A nurse is reinforcing teaching with a client about various contraceptive methods. Which of the following statements should the nurse include in the teaching?
"You will need to receive a medroxyprogesterone acetate injection once per month."
"Combined estrogen-progestin contraceptive pills cause longer periods."
"Oral contraceptives decrease the risk for endometrial cancer."
"You will need to have your diaphragm replaced every 4 years."
The Correct Answer is C
(a) "You will need to receive a medroxyprogesterone acetate injection once per month."
Medroxyprogesterone acetate injections (Depo-Provera) are administered every three months (every 12 weeks), not monthly. This statement is incorrect and could lead to confusion about the correct usage of this contraceptive method.
(b) "Combined estrogen-progestin contraceptive pills cause longer periods."
Combined estrogen-progestin contraceptive pills typically result in shorter, lighter, and more regular periods, rather than longer ones. This statement is incorrect and misrepresents the effects of combined oral contraceptives on menstrual cycles.
(c) "Oral contraceptives decrease the risk for endometrial cancer."
This statement is correct. Oral contraceptives, particularly those containing both estrogen and progestin, are known to decrease the risk of endometrial cancer. This is an important benefit of using oral contraceptives and is a factual statement that should be included in the teaching.
(d) "You will need to have your diaphragm replaced every 4 years."
A diaphragm typically needs to be replaced every 2 years, not every 4 years. Additionally, a diaphragm should be refitted if there are significant changes in weight, childbirth, or abdominal/pelvic surgery. This statement is incorrect regarding the replacement timeline.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
(a) Peanut butter:
Peanut butter is a good source of protein and healthy fats, but it is not particularly high in calcium. While it has some nutritional benefits, it would not significantly contribute to increasing calcium levels.
(b) Avocados:
Avocados are rich in healthy fats, vitamins, and minerals, but they are not a significant source of calcium. They provide numerous other health benefits, but they do not help much with increasing calcium levels.
(c) Yogurt:
Yogurt is an excellent source of calcium. It is highly recommended for individuals needing to increase their calcium intake because it is rich in calcium and also provides protein and probiotics, which are beneficial during pregnancy.
(d) Long-grain rice:
Long-grain rice is a good source of carbohydrates and some vitamins, but it is not a significant source of calcium. Including it in the diet would not effectively help in addressing a low calcium level.
Correct Answer is D
Explanation
(A) "I will nurse my baby for 5 to 10 minutes on each breast.":
While nursing for 5 to 10 minutes on each breast might work for some babies, it's generally recommended to allow the baby to nurse as long as they are actively sucking and swallowing. The length of time can vary depending on the baby's needs and the mother's milk supply.
(B) "I will make sure that just the nipple is in my baby's mouth.":
This is incorrect because proper latch-on involves the baby having not just the nipple but also a large portion of the areola in their mouth. This ensures effective milk transfer and helps prevent nipple soreness and damage.
(C) "I will apply vitamin E oil to my nipples after each feeding.":
Applying vitamin E oil or any other substance to the nipples is not typically recommended without the advice of a healthcare provider. Some substances can cause irritation or allergic reactions. Instead, if there is nipple soreness, lanolin or expressed breast milk can be used, but it's best to follow guidelines given by a healthcare provider.
(D) "I will lay my baby on a pillow at the level of my breast.":
Using a pillow to support the baby at the level of the breast can help ensure proper positioning and latch during breastfeeding. This position can make breastfeeding more comfortable for both the mother and the baby, promoting effective feeding and reducing the risk of nipple pain.
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