Contraception Questions

As she tries to decide on a birth-control method, a client requests information about medroxyprogesterone (Depo-Provera). Which of the following represents the nurse's best response? 1. Depo-Provera needs to be administered every 12 weeks. 2. Depo-Provera is effective for only 2 months at a time. 3. Depo-Provera can't be given to breast-feeding women. 4. Depo-Provera has a high failure rate; use a barrier form of protection also.

1. Depo-Provera needs to be administered every 12 weeks. Depo-Provera will provide effective birth control for 3 months, and it may be the birth-control method of choice for clients who are breast-feeding because studies haven't established any contraindications. There is no evidence that the drug has a high failure rate.

A client is using the rhythm (calendar-basal body temperature) method of family planning. In this method, the unsafe period for sexual intercourse is indicated by: 1. return to preovulatory basal body temperature. 2. basal body temperature increase of 0.1° F to 0.2° F (0.06° C to 0.11° C) on the 2nd or 3rd day of the cycle. 3. 3 full days of elevated basal body temperature and clear, thin cervical mucus. 4. breast tenderness and mittelschmerz.

3. 3 full days of elevated basal body temperature and clear, thin cervical mucus. Ovulation (the period when pregnancy can occur) is accompanied by a basal body temperature increase of 0.7° F to 0.8° F (.39° C to .44° C) and clear, thin cervical mucus. A return to the preovulatory body temperature indicates a safe period for sexual intercourse. A slight rise in basal temperature early in the cycle isn't significant. Breast tenderness and mittelschmerz aren't reliable indicators of ovulation.