A nurse is teaching a client who is starting medroxyprogesterone injections for contraception.
Which of the following statements by the client indicates a need for further teaching?
"I will need to get an injection every 12 weeks.".
"I will have to take calcium supplements to prevent bone loss.".
"I can start the injections right after I give birth if I am not breastfeeding.".
"I will have less menstrual bleeding or no periods at all.".
The Correct Answer is C
The correct answer is choice C. “I can start the injections right after I give birth if I am not breastfeeding.” This statement indicates a need for further teaching because medroxyprogesterone injections should not be started until at least six weeks after giving birth if the woman is not breastfeeding. Starting the injections earlier may increase the risk of bleeding, blood clots and decreased milk production.
Choice A is correct because medroxyprogesterone injections are given every 12 to 13 weeks for contraception.
Choice B is correct because medroxyprogesterone injections may cause bone loss over time, and calcium supplements may help prevent this.
Choice D is correct because medroxyprogesterone injections often reduce or stop menstrual bleeding by suppressing ovulation and thinning the lining of the uterus.
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Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. It creates a local inflammatory response that impairs implantation.This means that the IUD makes the lining of the uterus less suitable for a fertilized egg to attach to it.
Choice A is wrong because it describes how hormonal IUDs work, not copper IUDs.Hormonal IUDs release hormones that thicken cervical mucus and prevent ovulation.
Choice C is wrong because it describes how tubal ligation works, not IUDs.Tubal ligation is a surgical procedure that blocks or cuts the fallopian tubes, which prevents sperm from reaching an egg.
Choice D is wrong because it implies that all of the above choices are correct, which they are not.
Only choice B is correct for copper IUDs.
Correct Answer is B
Explanation
The correct answer is choice B. The client should start taking oral contraceptives (OCs) on day one of their menstrual cycle, which is the first day of their period.This way, they will be protected from pregnancy right away and do not need to use a back-up contraceptive method.
Choice A is wrong because starting OCs on Sunday after the period begins may leave a gap of several days when the client is not protected from pregnancy.They would need to use a back-up method for the first seven days of taking OCs.
Choice C is wrong because starting OCs on day five of the menstrual cycle may also leave a gap of unprotected days.The client would need to use a back-up method for the first seven days of taking OCs.
Choice D is wrong because starting OCs on day fourteen of the menstrual cycle is too late and may not prevent ovulation.The client would need to use a back-up method for the first seven days of taking OCs.
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