A nurse is teaching a class on various contraceptive devices.
Which statement is false?

A diaphragm must be left in place for 6 hours after intercourse.

Fertility usually returns within 9 months after stopping Depo-Provera.

The Ortho Evra patch is replaced every month.

A male and female condom cannot be used together.

Answer and Explanation

The Correct Answer is C

Choice A rationale

A diaphragm must be left in place for at least 6 hours after intercourse to prevent sperm from reaching the uterus. This ensures effective contraception.

Choice B rationale

Depo-Provera is a long-acting contraceptive injection, and fertility can return within a few months after stopping, but it may take up to 9-10 months for some women to regain their regular menstrual cycles and fertility.

Choice C rationale

The Ortho Evra patch is a hormonal contraceptive that is applied weekly, not monthly. It needs to be replaced once a week for three weeks, followed by a patch-free week.

Choice D rationale

Male and female condoms should not be used together because they can create friction and cause either or both condoms to break or slip, reducing their effectiveness as contraceptives and increasing the risk of sexually transmitted infections.

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Correct Answer is ["C","D","E"]

Explanation

Choice A rationale

A fundus midline and firm at the umbilicus is a normal postpartum finding and does not require reporting. It indicates that the uterus is contracting as expected to prevent postpartum hemorrhage.

Choice B rationale

Moderate lochia rubra without clots is expected in the immediate postpartum period and does not need to be reported. It is part of normal postpartum bleeding as the uterus sheds its lining.

Choice C rationale

A constant trickle of blood at the vagina postpartum could indicate a laceration or retained placental fragments and should be reported to the provider for further evaluation and management.

Choice D rationale

Hemoglobin levels can provide important information about the mother's blood loss during delivery. A low hemoglobin level could indicate significant blood loss and necessitates reporting.

Choice E rationale

An abnormal heart rate in a postpartum mother could be indicative of complications such as hemorrhage or infection and should be reported to the provider for further assessment.

A. Hypertonia, tachycardia, and metabolic alkalosis. B. Hypertension, apnea, and ruddy skin color. C. Abdominal distention, temperature instability, and bloody stools. D. Scaphoid abdomen, no residual with feedings, and increased urinary output.

Correct Answer is C

Explanation

Choice A rationale

Hypertonia, tachycardia, and metabolic alkalosis are not associated with necrotizing enterocolitis (NEC). NEC is characterized by gastrointestinal symptoms and signs of systemic illness.

Choice B rationale

Hypertension, apnea, and ruddy skin color are not specific indicators of necrotizing enterocolitis (NEC). NEC primarily presents with gastrointestinal symptoms and systemic instability.

Choice C rationale

Abdominal distention, temperature instability, and bloody stools are classic signs of necrotizing enterocolitis (NEC). These symptoms indicate severe inflammation and potential bowel necrosis.

Choice D rationale

Scaphoid abdomen, no residual with feedings, and increased urinary output are not characteristic of necrotizing enterocolitis (NEC). NEC typically presents with abdominal distention and feeding intolerance. .

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A nurse is teaching a class on various contraceptive devices.Which statement is false?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a mother who delivered vaginally 2 hours ago.Select the 4 findings the nurse should report to the provider.

Correct Answer is ["C","D","E"]

Explanation

Necrotizing enterocolitis (NEC) is an inflammatory disease of the gastrointestinal system.Which findings would cause the nurse to suspect NEC?

Correct Answer is C

Explanation

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A nurse is teaching a class on various contraceptive devices.
Which statement is false?