A nurse in a prenatal clinic is teaching a client who has a new prescription for dinoprostone gel. Which of the following statements should the nurse include in the teaching?

Choice A Reason:

"You should take the medication within 72 hours following unprotected sexual intercourse." This statement is accurate. Levonorgestrel is an emergency contraceptive that is effective when taken within 72 hours (3 days) after unprotected sexual intercourse. It is crucial to use it as soon as possible for optimal effectiveness in preventing pregnancy.

Choice B Reason:

"You should avoid taking this medication if you are on an oral contraceptive." This statement is not accurate. Levonorgestrel can be used as emergency contraception, even if the individual is already on an oral contraceptive. However, it's essential to follow the healthcare provider's guidance.

Choice C Reason:

"If you don't start your period within 5 days of taking this medication, you will need a pregnancy test." This statement is not entirely accurate. While a delayed period may occur after taking levonorgestrel, it does not necessarily indicate pregnancy. If there are concerns about pregnancy, a pregnancy test should be taken a few weeks after using emergency contraception.

Choice D Reason:

"One dose of this medication will prevent you from becoming pregnant for 14 days after taking it." This statement is not accurate. Levonorgestrel is primarily effective in the prevention of pregnancy when taken shortly after unprotected intercourse. It does not provide ongoing protection, and additional contraceptive methods should be considered for future encounters.

A. Decreased vaginal discharge is not typically associated with the onset of labor. In fact, an increase in vaginal discharge may be observed as the cervix begins to soften and efface.

B. Weight gain of 0.5 to 1.5 kg is not a specific sign that precedes labor. Weight gain during late pregnancy is more related to fluid retention, and it does not necessarily indicate imminent labor.

C. Urinary retention is not a common sign that precedes labor. However, increased pressure on the bladder from the descending fetus may lead to more frequent urination rather than retention.

D. A surge of energy is known as the "nesting instinct" and is a common sign that precedes labor. Some women experience a burst of energy and motivation to prepare for the upcoming birth.