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.".

Answer and Explanation

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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Correct Answer is C

Explanation

The correct answer is choice C. OCs can decrease menstrual blood loss and cramps.This is because OCs prevent ovulation and thin the lining of the uterus, which reduces the amount of bleeding and cramping during menstruation.

Choice A is wrong because OCs do not provide protection against STIs.The only contraceptive methods that can prevent STIs are barrier methods, such as condoms.

Choice B is wrong because OCs can have variable effects on libido and sexual satisfaction.

Some women may experience an increase, while others may experience a decrease or no change at all.This depends on individual factors, such as hormone levels, mood, and relationship quality.

Choice D is wrong because OCs can also have variable effects on mood and depression.

Some women may experience an improvement, while others may experience a worsening or no change at all.This also depends on individual factors, such as hormone sensitivity, stress, and history of mental health problems.

A. History of cervical cancer B. History of uterine prolapse C. History of ovarian cysts D. History of menopause

Correct Answer is B

Explanation

The correct answer is choice B.History of uterine prolapse is a contraindication for the use of a diaphragm as a contraceptive method.Uterine prolapse is a condition where the uterus descends into the vagina, which can interfere with the proper placement and seal of the diaphragm.

Choice A is wrong because history of cervical cancer is not a contraindication for diaphragm use.

Cervical cancer is a malignant tumor of the cervix, which can be treated with surgery, radiation, or chemotherapy.

Diaphragm use does not affect the risk or treatment of cervical cancer.

Choice C is wrong because history of ovarian cysts is not a contraindication for diaphragm use.

Ovarian cysts are fluid-filled sacs that develop in or on the ovaries, which can cause pain, bloating, or irregular periods.

Diaphragm use does not affect the formation or rupture of ovarian cysts.

Choice D is wrong because history of menopause is not a contraindication for diaphragm use.

Menopause is the natural cessation of menstrual cycles and fertility, which occurs around age 50 in most women.

Diaphragm use does not affect the hormonal changes or symptoms of menopause.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse in a family planning clinic is teaching a group of clients about oral contraceptives (OCs). Which of. the following information should be included in this teaching?

Correct Answer is C

Explanation

Which of the following is a contraindication for the use of a diaphragm as a contraceptive method?

Correct Answer is B

Explanation

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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?