OB Chapter 6

The nurse should carefully screen a client who insists on using only oral contraceptive pills (OCPs) for which contraindication? impaired absorption gastrointestinal disease use of alcohol deep vein thrombosis

deep vein thrombosis The nurse should screen the client for deep vein thrombosis (DVT), migraine headaches, neurological symptoms, coronary artery disease or cerebral vascular disease, severe diabetes, hypertension, liver disease, breast or endometrial cancer, and unexplained vaginal bleeding when oral contraceptive pills (OCPs) are used. Gastrointestinal diseases are contraindicated in the use of progestin-only pills. OCPs are not contraindicated in clients who drink alcohol. Impaired absorption is a contraindication for the use of progestin-only pills (mini-pills).

A client calls the clinic nurse crying, saying that she just can't live with herself since she had an abortion (elective termination of pregnancy) 2 months ago. What is the priority referral for the nurse to make? Find a support group for her to attend Visit with the client's church pastor Go have dinner with some friends The local mental health crisis center

The local mental health crisis center

Which statement best explains the action of the lactational amenorrhea method (LAM) of fertility control? LAM thickens the cervical mucus and blocks sperm. LAM prevents introduction of sperm into the vagina. LAM prevents fertilization between the egg and sperm. LAM causes suppression of the ovulation process.

LAM causes suppression of the ovulation process. LAM prevents pregnancy by suppressing the ovulation process. Withdrawal and barrier methods of contraception prevent the introduction of sperm into the vagina. The copper IUD, combined hormonal methods, and oral contraceptive pills (OCPs) prevent fertilization between the egg and the sperm. Levonorgestrel system thickens the cervical mucus and blocks sperm.

When discussing contraceptive options, the nurse would recommend which option as being the most reliable? coitus interruptus natural family planning intrauterine system lactational amenorrheal method (LAM)

intrauterine system

A nurse is helping a couple choose a contraception method that is right for them. Which is the least likely factor the nurse should consider? ability to use a method correctly the popularity of the method among the couple's friends whether the method will affect sexual enjoyment financial factors

the popularity of the method among the couple's friends

A woman is using depot medroxyprogesterone acetate (Depo-Provera) as a method of birth control. Which side effect would the nurse most likely include as common? pregnancy irregular menstruation constipation nausea

irregular menstruation Depo-Provera is a progestin-only hormonal birth control system. One injection can prevent pregnancy for 12 weeks and is 99.7% effective. Irregular bleeding is the most common side effect.

A nurse supervisor observes a nurse massage a client's injection site after giving a dose of depot medroxyprogesterone acetate (Depo-Provera). What is the priority response by the nurse supervisor? Write up an incident report for the medication error. Call the health care provider immediately. Remind the nurse that this injection should absorb slowly. Thank the nurse for excellent client care.

Remind the nurse that this injection should absorb slowly.

A client is beginning to take oral contraceptive pills (OCPs). Which side effects will the nurse caution might be expected? Select all that apply. breast tenderness headache nausea frequent urinary tract infections weight loss

breast tenderness headache nausea The main side effects that women may experience are nausea, weight gain, headache, breast tenderness, breakthrough bleeding, monilial vaginal infections, mild hypertension, and depression.

An adolescent client asks the nurse if there is any 100% effective method of birth control and protection against sexually transmitted infections. Instruction should be provided on which method? use of spermicides condoms intrauterine devices with copper continual abstinence

continual abstinence

A client desires protection from unwanted pregnancies. However, the client does not enjoy sex when her partner wears a male condom. Also, the client experiences breast tenderness, headache, and nausea after taking oral contraceptive pills (OCPs). Which method would be the most likely choice for the couple to help them enhance their sexual experience as well as prevent any side effects? ethinyl estradiol polyurethane condom transdermal contraceptive natural membrane condom

transdermal contraceptive Application of transdermal contraceptive patches to the skin would most likely be the option for this couple. These patches will not hamper the sexual experience nor cause side effects such as those caused by oral contraceptive pills (OCPs). Natural membrane and polyurethane condoms are forms of male condoms, which the client does not like. Ethinyl estradiol is an oral contraceptive pill, which would most likely cause the client to experience breast tenderness, headache, and nausea.

A nurse is completing an informed consent on a client preparing for a tubal ligation. Which statement by the client would require the nurse to notify the health care provider? "I may need to use a second form of contraception for a while." "I will continue to have my menstrual cycle every month." "I will not be able to have children after this procedure." "I will be able to have my third child in about a year from now."

"I will be able to have my third child in about a year from now." The nurse should recognize that the client does not understand the consequences of the procedure and therefore is required to call the health care provider. The health care provider needs to explain the procedure, consequences of the procedure, and answer any questions before the informed consent is signed.

The nurse is discussing permanent birth control with a female client and her husband. Which of the following is considered a permanent nonsurgical sterilization method? tubal ligation vasectomy tubal occlusion Essure

Essure Tubal ligation, tubal occlusion, and vasectomy are surgical procedures. Essure is a nonsurgical permanent birth control method.

A client with liver disease is seen in the clinic wanting to begin contraception. The nurse recognizes that which type of contraception is best for this client? Subdermal hormone implant Vaginal estrogen/progestin (contraceptive) ring Intramuscular injections Oral contraceptive pills (OCPs)

Vaginal estrogen/progestin (contraceptive) ring The nurse should recognize that the vaginal estrogen/progestin ring releases hormones into the mucous membranes of the vagina and avoids the "first pass" through the liver.

A client prescribed a combined oral contraceptive (COC) has presented for a routine visit. Which finding if reported by the client upon assessment should the nurse prioritize? small amount of breakthrough bleeding abdominal pain light menstrual flow cramping during menses

abdominal pain The warning signs to report for a client on combined oral contraceptives are severe abdominal or chest pain, dyspnea, headache, weakness, numbness, blurred or double vision, speech disturbances, or severe leg pain and edema. Light bleeding, light flow, and cramping are all normal.

The nurse is teaching a young couple who desire to start their family the various methods for determining fertility. After discovering the woman regularly travels internationally for work, deals with a lot of job anxiety, and frequently uses an electric blanket at home, the nurse will discourage the use of which method? symptothermal method calendar method cervical mucus method basal body temperature method

basal body temperature method BBT is a method where the body temperature should be checked and recorded first thing in the morning, immediately after waking and before getting out of bed. It is important for the patient to maintain a normal bedtime routine. Use of an electric blanket, stress, and anxiety can cause a false elevation in the BBT. The calendar method would depend upon her schedule. Cervical mucus and symptothermal methods would be viable options.

A woman is to receive methotrexate and misoprostol to terminate a first-trimester pregnancy. When preparing the teaching plan for this client, the nurse understands that misoprostol works by: causing uterine contractions to expel the uterine contents. dilating the cervix. acting as a toxin to the trophoblastic tissue. blocking the action of progesterone on the endometrium.

causing uterine contractions to expel the uterine contents. Misoprostol works by causing uterine contractions, which help to expel the uterine contents. It has no effect on cervical dilation. Methotrexate is toxic to the trophoblastic tissue. Mifepristone blocks the action of progesterone, which is responsible for preparing the endometrium for implantation and then maintenance of the pregnancy.

The nurse is working in a family planning clinic assisting people with with a variety of reproductive issues. Which nursing consideration(s) is appropriate when providing care? Select all that apply. Explore his or her own beliefs and values. Honor all wishes of the client. Teach the client what the nurse is comfortable with. Establish realistic outcomes. Be sensitive to religious, cultural, and moral beliefs.

Explore his or her own beliefs and values. Establish realistic outcomes. Be sensitive to religious, cultural, and moral beliefs.

A nurse is conducting a class for a group of young adults at the health clinic about contraceptive options. The nurse determines that the teaching was successful when the group identifies which type as protective against sexually transmitted infections? contraceptive patch condom intrauterine system diaphragm with spermicide

condom

A woman is diagnosed with premenstrual dysphoric disorder. To address the woman's behavioral symptoms, which class of agents would the nurse anticipate needing to be addressed in the woman's teaching plan? nonsteroidal anti-inflammatory drugs (NSAIDs) vitamin supplements selective serotonin reuptake inhibitors (SSRIs) diuretics

selective serotonin reuptake inhibitors (SSRIs) Although diuretics, NSAIDs, and vitamin supplements may be used as part of the treatment plan for premenstrual dysphoric disorder, SSRIs are commonly prescribed to address the behavioral and mood symptoms of this condition.

A nurse working at a family planning clinic is educating a client on the use of an intrauterine device (IUD) for pregnancy prevention. Which instruction will the nurse provide? "Your IUD will not prevent fertilization of the egg." "Your IUD is small devices made of flexible plastic that provides irreversible birth control." "You will place the IUD within the uterus to prevent implantation of a fertilized ovum." "Your IUD likely affects the way the sperm or egg moves."

"Your IUD likely affects the way the sperm or egg moves." IUDs seem to affect the way the sperm or egg moves. IUDs are small devices made of flexible plastic that provide reversible birth control. The intrauterine device is an object that is placed by a health care provider within the uterus to prevent implantation of a fertilized ovum. IUDs usually prevent fertilization of the egg, but the precise mechanism by which it works is unknown.

The nurse is caring for four female clients, all prescribed oral contraceptive pills. The nurse will question giving an oral contraceptive pill to which client? 25-year-old client who has had three miscarriages and leads a sedentary lifestyle 30-year-old client who drinks a glass of wine daily and whose aunt had breast cancer 40-year-old client who has a history of asthma and a total cholesterol level of 170 mg/dl (4.40 mmol/l) 37-year-old client who has migraines with aura several times a week and smokes

37-year-old client who has migraines with aura several times a week and smokes The nurse would question giving an oral contraceptive to the 37-year-old client who has migraines with aura and smokes. This client has three risk factors (age, migraines with aura, and smokes) for complications such as deep vein thrombus formation, myocardial infarction, and cerebrovascular accidents. The 25-year-old client should be counseled on becoming active. The 30-year-old client does not have any risk factors. The 40-year-old client should be monitored due to her age; however, her other factors are not contraindications. A total cholesterol level of 200 mg/dl (5.18 mmol/l) or less is considered normal.

A nurse is providing medication education to a teen client who is being prescribed oral contraceptive pills (OCPs). Which of the side effects are more important for the nurse to discuss with the client? Select all that apply. Nausea Depression Breakthrough bleeding Breast tenderness Weight gain

Depression Breakthrough bleeding Weight gain When working with adolescents, the nurse must recognize their growth and developmental stage and understanding of health processes. It would be most important for the nurse to discuss with the client weight gain, breakthrough bleeding, and depression. Increased weight gain in the adolescent may cause self-image issues. Without an understanding for the potential for breakthrough bleeding, the client may become worried. With an increased chance for depression while taking OCPs, this may exacerbate depression symptoms that are already present.

A couple is considering vasectomy as a contraception option. However, the husband is nervous about how such a procedure would affect his sexual functioning. Which information should the nurse mention to the man? The man will still have full erection capacity. The man will no longer produce testosterone. The man will no longer ejaculate seminal fluid. The man will continue to ejaculate sperm.

The man will still have full erection capacity. Some men resist the concept of vasectomy because they are not sufficiently aware of their anatomy to know exactly what the procedure will involve. They can be assured vasectomy does not interfere with the production of sperm; the testes continue to produce sperm as always, but the sperm simply do not pass beyond the plugged vas deferens and are absorbed at that point. The man will still have full erection capacity and continue to produce testosterone. Because he also continues to form seminal fluid, he will ejaculate seminal fluid; it will just not contain sperm.

A woman is diagnosed with primary dysmenorrhea and is prescribed ibuprofen as part of her treatment plan. When teaching the woman about using this medication, which instruction would be important for the nurse to emphasize? "Start taking the medication when you first get your period." "Add an aspirin to the regimen if you do not get relief right away." "It is normal for your bowel movements to be black." "Take the medication on an empty stomach."

"Start taking the medication when you first get your period." When taking a nonsteroidal anti-inflammatory drug (NSAID), such as ibuprofen, for dysmenorrhea, it is important for the woman to start therapy prophylactically and use sufficient doses to maximally suppress prostaglandin production. NSAIDs should be taken with food to prevent gastrointestinal upset. They should not be taken with aspirin because doing so can increase the risk of bleeding, which would be noted with black stools.

The nurse educates a 15-year-old female client on ways to prevent pregnancy. Which statement will the nurse include in the teaching? "If you do not want to become pregnant within the next 10 years, an intrauterine device would be best." "Oral contraceptive pills are effective at preventing pregnancy as long as you take one each week." "The use of a condom is a method often recommended to prevent pregnancy for people your age." "The withdrawal method is effective as long as you have a monogamous partner."

"The use of a condom is a method often recommended to prevent pregnancy for people your age." The nurse would state condoms as the best option for preventing pregnancy for this age group. Oral contraceptives are also effective but must be taken daily at approximately the same time. The withdrawal method is not effective, regardless of the number of sexual partners because sperm can be released before ejaculation occurs. An intrauterine device could be removed if the client desired pregnancy in the upcoming years.

A nurse is conducting education classes at the local high school on reproductive life planning. Which would be appropriate for the nurse to implement during the teaching? Select all that apply. nurse's personal opinion on abortion (elective termination of pregnancy) various religious viewpoints proper condom application sexually transmitted infection statistics encouragement of abstinence

proper condom application sexually transmitted infection statistics encouragement of abstinence

A couple has chosen fertility awareness as their method of contraception. The nurse explains that the unsafe period for them during the menstrual cycle would be at which time? three days before and three days after ovulation midway between the normal menstrual cycle six days before the onset of menstruation five days after the first day of the menstrual cycle

three days before and three days after ovulation Typically, the unsafe period during the menstrual cycle is approximately 3 days before and 3 days after ovulation. An ovum is released from the ovary 14 days before the next menstrual period.

A young woman says she needs a temporary contraceptive but has a latex allergy. She mentions that she has had a papillomavirus infection. Also, she says she is terrible about remembering to take pills. Which method should the nurse recommend? transdermal contraception cervical cap diaphragm sterilization

transdermal contraception The fact that this woman has a latex allergy rules out the cervical cap and diaphragm. Moreover, the diaphragm is contraindicated in her case due to her papillomavirus infection. The best choice for her is transdermal contraception, which involves wearing a patch for a week at a time and does not require taking pills daily.

A nurse is instructing a client on birth control methods. The client asks about the cervical mucus method. When should the nurse tell the client she is fertile in relation to her mucus? when it does not stretch when it is thin, watery, and copious Cervical mucus is not a reliable indicator. when it is thick

when it is thin, watery, and copious The cervical mucus method relies on the changes that occur naturally with ovulation. Before ovulation, cervical mucus is thick and does not stretch when pulled. With ovulation, the mucus becomes thin, copious, watery, transparent, and stretchy.

The nurse is educating a class of high school students on safe sexual practices. The nurse knows the group understood the content when a group member makes which statement? "A diaphragm can be used by males and females." "Spermicide should be applied immediately following intercourse." "Abstinence is the only way to prevent the spread of sexually transmitted infections." "A condom is the best way to prevent pregnancy."

"Abstinence is the only way to prevent the spread of sexually transmitted infections."

An 18-year-old female client who is sexually active asks the nurse for information on barrier contraceptives. Which statement is appropriate for the nurse to include in the response? "A cervical cap is a barrier contraceptive that you can purchase over the counter." "The use of a diaphragm is a good choice if you have frequent urinary tract infections." "A diaphragm must be inserted 1 hour prior to sexual intercourse." "Cervical caps are most effective when used along with a spermicidal agent."

"Cervical caps are most effective when used along with a spermicidal agent." The nurse would include information on using spermicidal agents along with barrier contraceptives. A cervical cap is a mechanical barrier contraceptive that interferes with conception by physically preventing sperm from fertilizing ova. Cervical caps cannot be purchased over the counter, because the client must be properly fitted for the device to work effectively. Frequent urinary tract infections is a contraindication to the use of diaphragms because diaphragm use can place pressure placed on the urinary tract. Diaphragms can be placed up to 18 hours before intercourse; however, 6 hours is the most commonly recommended time. Spermicide should not be placed more than 2 hours before intercourse.

A nurse is preparing a client for intrauterine device (IUD) insertion. Which education will the nurse provide to the client? "Checking the strings is recommended following insertion." "An IUD will prevent sexually transmitted infections (STIs)." "Expect to have continuous uterine cramps after insertion." "The insertion procedure for an IUD is painless."

"Checking the strings is recommended following insertion." The nurse should instruct the client to check the strings/threads regularly to make sure that the IUD is in place. Current recommendations are to check the strings monthly after insertion, but some clients may be instructed to check less frequently after the first 3 months following insertion because expulsion of the IUD is less common after that time. An IUD does not protect against STIs, and the insertion procedure may involve mild to moderate cramping pain; however, the client should not expect to have continuous cramping pain following insertion.

After assessing a woman who has come to the clinic, the nurse suspects that the woman is experiencing abnormal uterine bleeding. Which statement by the client would support the nurse's suspicions? "My periods have been unusually long and heavy lately." "I get sharp pain in my lower abdomen usually starting soon after my period comes." "I've been having bleeding off and on that's irregular and sometimes heavy." "I get really irritable and moody about a week before my period."

"I've been having bleeding off and on that's irregular and sometimes heavy." Abnormal uterine bleeding is defined as irregular, abnormal bleeding that occurs with no identifiable anatomic pathology. It is frequently associated with anovulatory cycles, which are common for the first year after menarche and later in life as a woman approaches menopause. Pain occurring with menses refers to dysmenorrhea. Although mood swings may be associated with abnormal uterine bleeding, irritability and mood swings are more commonly associated with premenstrual syndrome. Unusually long and heavy periods reflect menorrhagia.

A client is seen in the clinic requesting an emergency postcoital contraception pill levonorgestrel (Plan B). The client states that she had unprotected sex 3 ½ days ago. What is the most appropriate response by the nurse? "Unfortunately you are past the time frame to take that prescription." "You will need to also be treated with antibiotics for an STI." "You should contact the local abortion clinic to set up an appointment." "The pill will cause you to begin menstruating within a day."

"Unfortunately you are past the time frame to take that prescription." Levonorgestrel can be taken anytime within 72 hours (3 days) of unprotected sexual activity. There is a newer form of the pill, ulipristal acetate, that can be taken as late as 120 hours after unprotected intercourse, but this medication does require a prescription

The nurse is caring for a client requesting oral contraceptives who has multiple sexual partners. The nurse recommends condoms to the client, but the client states, "I cannot use condoms because I am allergic to latex." Which response by the nurse is appropriate? "We can have you allergy tested to see if certain condoms may work for you." "Do you understand the potential ramifications of having multiple sexual partners?" "You can still use condoms because they make latex-free condoms." "I will let the health care provider know you desire oral contraceptive pills."

"You can still use condoms because they make latex-free condoms." Because this client has multiple partners, there is concern over the risk for sexually transmitted infections (STIs) as well as pregnancy. Condoms are the only method of contraception that protects against STIs, which is an important concern if the client is not in a monogamous relationship. The nurse would inform the client of latex-free condoms and where to purchase them first. Regardless of whether the client chooses to use latex-free condoms, the client can discuss other options for contraception with the health care provider at that time. There is no need to have the client's allergy tested for latex sensitivity. The nurse should educate the client on risks associated with multiple sexual partners; however, using therapeutic language will be most effective.

A client who delivered her baby 3 months ago is seen in the clinic and tells the nurse that she and her husband have yet to resume a sexual relationship. The nurse notes that no contraception is currently being used. What is the most appropriate nursing diagnosis for this client? Decisional conflict related to unintended pregnancy Altered sexual pattern related to fear of pregnancy Powerlessness related to failure of chosen contraceptive Spiritual distress related to partner's preference for contraception

Altered sexual pattern related to fear of pregnancy

A client expresses interest in having an intrauterine device (IUD) placed for contraception. Which finding noted in the health history would indicate to the nurse that this would not be an appropriate contraceptive option? Sexually active since 16 Dysmenorrhea G1P0 Bicornuate uterus

Bicornuate uterus The client has an abnormally shaped uterus, which could be a contraindication for the use of an IUD due to increased risk for uterine wall perforation. All other findings would not contraindicate the device.

A community health nurse is preparing a presentation for a health fair on the topics of planning for a pregnancy. Which major goal has the nurse determined should be accomplished with this presentation? Decrease the number of unwanted pregnancies. Provide one-on-one counseling. Ensure women are using the correct contraceptive method. Ensure couples understand genetic risks.

Decrease the number of unwanted pregnancies. Preconception counseling with general health care is a health promotion activity to help prevent unwanted pregnancies. The nurse will be responsible for presenting the basic information to everyone. In this environment it would not be appropriate for the nurse to provide one-on-one counseling due to privacy concerns. The nurse could present various risks but it would be beyond the scope of this event to ensure every participant understands each point.

The school nurse is counseling a sexually active 16-year-old adolescent about the various forms of contraception. She is afraid of getting pregnant or contracting a sexually transmitted infection because her boyfriend refuses to use a condom. In answering the client's questions as to which option will be best suit her needs, which form should the nurse recommend? Coitus interruptus Oral contraceptive Female condom Tubal ligation

Female condom The female condom would be the best choice for this client, as it provides protection against both STIs and conception. A tubal ligation would not be recommended for a 16-year-old girl, as it is a permanent measure and she may decide to have children in the future. Neither an oral contraceptive nor coitus interruptus would provide protection against STIs.

A nurse is preparing a presentation for a health fair on the topic of vasectomy. Which information should the nurse point out in the presentation? Regular sperm counts are not essential Relatively easy procedure with few complications Birth control measures are not required Procedure is effective immediately

Relatively easy procedure with few complications The nurse should inform the individuals that vasectomy is a relatively easy procedure with few complications. Regular sperm counts following a vasectomy are important, as it will take approximately a month for the remaining sperm to exit the body. The client should use birth control measures until his sperm count remains at zero for 6 weeks.

The nurse discusses various contraceptive methods with a client and her partner. Which method would the nurse explain as being available only by prescription? spermicide basal body temperature diaphragm condom

diaphragm The diaphragm is available only by prescription and must be professionally fitted by a health care provider. Condoms and spermicides are available over the counter. Basal body temperature requires the use of a special thermometer that is available over the counter.

A woman in the 15th week of gestation is planning on terminating the pregnancy. The procedure done for second-trimester terminations is which of the following? menstrual extraction dilatation and curettage hysterotomy dilatation and extraction

dilatation and extraction Most second-trimester terminations (12 to 16 weeks' gestation) are done by dilatation and vacuum extraction. A dilatation and curettage are done when a pregnancy is less than 13 weeks. If the gestational age for a pregnancy is more than 16 weeks, a hysterotomy is done. A menstrual extraction is the simplest of all and is performed on the basis of 5 to 7 weeks after the last menstrual period.

A young woman comes to the free clinic asking for oral contraceptive pills. Which factor best indicates that another type of contraception would be better for this client? history of noncompliance with medications frequency of sexual encounters age of her partner cost of the pills

history of noncompliance with medications

The nurse is providing contraception counseling to a perimenopausal woman who has had negative reactions to oral contraceptives (OCs) in the past and would like a long-term, nonhormone-based method that has a high rate of success. Neither she nor her husband wants to undergo surgery, however. Which method should the nurse recommend? transdermal patch subdermal progestin implant tubal ligation intrauterine device

intrauterine device Women who are perimenopausal are, overall, good candidates for intrauterine devices (IUDs). In this case, the IUD is the best choice because this method is almost 100% effective, is long-term, and does not involve any hormones. Both the transdermal patch and the subdermal progestin implant involve hormones, which rules each out in this case. Also, tubal ligation is a surgical procedure, which also rules it out for this client.

A middle-aged woman with a history of hypertension and high cholesterol levels asks the nurse about ways to reduce her risk for heart disease as she approaches menopause. Which area would the nurse emphasize as most important? lifestyle modification medications screening stress management

lifestyle modification Although medications and stress management can be helpful in reducing the woman's risk, lifestyle modifications are crucial to modify the woman's risk factors of hypertension and high cholesterol levels in preventing heart disease. Screening for heart disease would be important to identifying it early but would not help in reducing the woman's risk.

The nurse is meeting with a 36-year-old client who wishes to begin using contraceptives. The client reports being in a long-term, monogamous relationship, runs 2 miles per day, and smokes a pack of cigarettes each day. Which method will the nurse be least likely to suggest to the client? coitus interruptus spermicides oral contraceptive pills (OCPs) condoms

oral contraceptive pills (OCPs) Oral contraceptive pills (OCPs) are contraindicated for women who smoke; these women would be at a higher risk for blood clots. Condoms, coitus interruptus, and spermicides can be used at no risk.

A woman has opted to use the basal body temperature method for contraception. The nurse instructs the client that a rise in basal body temperature indicates which event? pregnancy ovulation safe period for intercourse onset of menses

ovulation Basal body temperatures typically rise within a day or two after ovulation and remain elevated for approximately 2 weeks, at which point bleeding usually begins. Basal body temperature is not a means for determining pregnancy. Having intercourse while the temperature is elevated would increase the risk of pregnancy.

A client is questioning the nurse about the various options for contraception. When explaining the implantable form, the nurse should point out it contains which form of contraception? concentrated spermicide progestin estrogen and progestin concentrated estrogen

progestin Implantable contraceptives deliver synthetic progestin that act by inhibiting ovulation and thickening cervical mucus so sperm cannot penetrate. Various options that combine estrogen and progestin include the transdermal patch and a vaginal estrogen/progestin (contraceptive) ring. Concentrated spermicide is inserted directly into the vagina. There are no concentrated estrogen products available for contraceptive measures.