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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A.COCs can reduce the risk of endometrial, ovarian and colon cancer.This is because COCs suppress ovulation and reduce inflammation in the genital tract, which may lower the exposure to carcinogens and mutagens.
Choice B is wrong because COCs do not increase bone density or prevent osteoporosis.In fact, some studies have suggested that COCs may have a negative effect on bone mineral density.
Choice C is wrong because COCs do not enhance fertility or improve menstrual regularity.
COCs prevent pregnancy by inhibiting ovulation, which means that they temporarily suppress fertility.COCs may also cause irregular bleeding or amenorrhea in some women.
Choice D is wrong because COCs do not lower blood pressure or cholesterol levels.On the contrary, COCs may increase the risk of hypertension and dyslipidemia in some women, especially those who smoke, are obese, or have a family history of cardiovascular disease.
Correct Answer is D
Explanation
The nurse should include all of the following information in the teaching:
- The typical failure rate for IUDs is 1% to 3% per year.
- This means that out of 100 women who use an IUD for a year, one to three may get pregnant.
- The risk of pelvic inflammatory disease (PID) is highest in the first 6 weeks after insertion.
- PID is an infection of the reproductive organs that can cause infertility, chronic pain, or ectopic pregnancy.
- The risk of PID is higher if the woman or her partner has multiple sexual partners or a sexually transmitted infection (STI).
- The IUD can be inserted at any time during the menstrual cycle.
- However, some doctors may prefer to insert it during or right after the period, when the cervix is more open and the chance of pregnancy is lower.
Choice A is wrong because it only states one piece of information that the nurse should include in the teaching.
Choice B is wrong because it only states one piece of information that the nurse should include in the teaching.
Choice C is wrong because it only statesone piece of information that the nurse should include in the teaching
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