Chapter 6

The nurse is providing education about barrier contraceptives. Which statement by the patient indicates a need for further education?

"I can leave my diaphragm in for up to 48 hours."

Natural Family Planning

- Lactation amenorrhea method (LAM) - Coitus interruptus (withdrawal) - Postcoital douching

A nurse is preparing a client for intrauterine device (IUD) insertion. What should the nurse inform the client when educating her on IUDs?

A regular check of threads must be done.

Fertility Awareness Methods

Calendar (rhythm) Basal body temperature Cervical mucus (spinnbarkeit) Ovulation detection kits

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?

Female condom

Which statement best explains the action of the lactational amenorrhea method (LAM) of fertility control?

LAM causes suppression of the ovulation process.

Hormonal Contraceptive: Side effects

Side effects: irregular bleeding, n/v, weight gain, breast tenderness, mild HTN Adverse reactions: chest pain, leg pain, SOB, HA, eye problems Contraindications: breastfeeding, over 35 and smoke, risk for CVD, reproductive cancer, liver conditions Education: proper use, symptoms to report, back-up methods

Contraceptives: Barrier Methods

Spermicides Condoms Diaphragm (Must stay in place for 6 hours after intercourse)

The nurse in a primary care clinic and a client have come to see the primary care provider because the client is getting married and wants to have a prenuptial gynecologic examination. After the exam, the nurse asks about the woman's plan to have a family. The woman responds, "Why do I have to plan for a family?" What would be the nurses's best response?

The couple can control the time between births when they plan their family.

The nurse is conducting a well-visit physical assessment on a 29-year-old female. The nurse determines the client is probably ovulating based on which condition of the cervical mucus?

Thin, slippery, and stretchy

What important information should the nurse give a client about the use of a diaphragm during menstruation?

Toxic shock syndrome is possible

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?

basal body temperature method

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.

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

diaphragm

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?

irregular menstruation

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

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 contraceptives. 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?

transdermal contraceptive

Barrier methods: Side effects

Side effects: irritation, allergic reaction Contraindications: cervicitis, sensitivity or allergy to latex, prolapse, history of TSS, recurrent UTIs Education: proper use and storage

IUDs

Small plastic device inserted into the uterus to prevent fertilization: Copper (ParaGard) Hormonal (Mirena, Kyleena) Side effects: irregular bleeding, cramping Contraindications: distorted uterus Education: avoid exposure to infections, check strings