NUR 306: Contraceptions

After teaching a woman who has chosen the vaginal ring as her method of contraception, the nurse determines that the client needs additional teaching when she makes which statement?

"I will insert a new ring at the same time and day of every week."

A nurse is educating a client on the basal body temperature method as a form of contraception. Which statement by the client indicates and understanding of when she can expect to see a rise in her temperature?

"Immediately following ovulation my temperature will increase."

A nurse is teaching a couple who has chosen condoms as their means of contraception. The nurse determines that the teaching was successful when the couple makes which statements? Select all that apply.

"We will use a new condom each time we have sexual intercourse." "The penis needs to be erect before putting on the condom." "We'll keep the condom in its wrapper until we're ready to use it."

The nurse at a fertility clinic determines the risk factors for clients using oral contraceptives. Which of the following clients would be at highest risk for heart attack or stroke related to use of these contraceptives?

A 38-year-old woman who smokes

A nurse is caring for a client who is considering several methods of contraception. Which of the following methods of contraception should the nurse identify as being most reliable?

An intrauterine device (IUD)

A client presents at the clinic and is interested in obtaining emergency contraception (EC). The nurse explains that EC must be used within 72 hours of unprotected sex to be effective. This is because:

ECs simply prevent embryo creation and uterine implantation from occurring in the first place.

A postpartum patient asks the nurse when the subdermal hormone implant for contraception can be inserted. What should the nurse respond to this patient?

In 6 weeks

A client has opted to use an intrauterine device (IUD) for contraception. About which effect of the device on monthly periods should the nurse inform the client?

Periods become lighter.

A young newly married woman comes to the clinic and asks about ways to prevent pregnancy. When the nurse begins to talk about oral contraceptives, the client says that her religion does not allow oral contraceptives. What can the nurse recommend for this client?

Rhythm method

A nurse is providing medication teaching related to monophasic combination oral contraceptive (COC) that a client is being given to prevent unwanted pregnancy. Which is the most important intervention for the nurse to include?

Use a second form of contraception for the initial seven days on the COC.

After discussing various methods of contraception with a client and her partner, the nurse determines that the teaching was successful when they identify which contraceptive method as providing protection against sexually transmitted infections (STIs)?

condoms

A young woman comes to the free clinic asking for birth control pills. Which factor best indicates that another type of contraception would be better for this client?

history of noncompliance with medications

A nurse is providing a client with information on hormonal contraception. Which could the nurse use as an example of hormonal contraception?

medroxyprogesterone

What are methods for delivering hormonal contraception? Select all that apply.

orally transdermally vaginally implantation injection

A nurse is preparing a presentation for a client who is considering contraception. When discussing oral contraceptives, the nurse would identify which advantages? Select all that apply.

shortening of the menstrual period reduction in severe cramping reduction in risk for osteoporosis