ATI RN
Contraception Questions and Answers Questions
Question 1 of 5
A 23-year-old female patient is considering intrauterine device (IUD) contraception. What is the most important information to assess before placement?
Correct Answer: B
Rationale: The IUD may contain metal components, and it's crucial to check for any metal allergies before placement.
Choice A, family history of heart disease, is not directly related to IUD use.
Choice C is incorrect because previous IUD insertion is not as crucial as identifying an allergy to the materials in the IUD.
Choice D is incorrect because hypertension is not a contraindication for IUD use, though it should be monitored.
Question 2 of 5
The nurse is educating an adolescent patient about Depo-Provera. Which statement should be included in this teaching session?
Correct Answer: C
Rationale: Depo-Provera can cause irregular bleeding patterns, including spotting or no bleeding at all.
Choice A is incorrect because Depo-Provera needs to be administered every 3 months, not every 5 months.
Choice B is incorrect as weight gain is more commonly associated with Depo-Provera, not weight loss.
Choice D is incorrect as Depo-Provera can be used regardless of whether the woman has been pregnant before.
Question 3 of 5
A patient who has an LNG-IUC in place calls the office and states she just took a pregnancy test, and it is positive. She comes in for a visit, and the nurse does another pregnancy test, which is positive. What does the nurse know that the clinician will inform the patient regarding the IUC?
Correct Answer: D
Rationale: The correct statement the nurse knows that the clinician will inform the patient regarding the LNG-IUC is that there is no risk to the fetus if the IUC is left in place. The LNG-IUC (levonorgestrel-releasing intrauterine system) is a highly effective form of contraception that works by releasing progesterone locally in the uterus. The hormonal effect of the LNG-IUC is mostly limited to the uterus and very little of it circulates systemically.
Therefore, there is no known increased risk of congenital defects or harm to the fetus if the IUC is left in place during pregnancy. The IUC can be left in place if the patient chooses to continue the pregnancy, provided there are no signs of infection or other complications that would necessitate its removal.
Question 4 of 5
The nurse assesses a patient for medical eligibility for contraceptive use. What is the meaning of an MEC score of 1?
Correct Answer: A
Rationale: In the context of medical eligibility for contraceptive use, an MEC (Medical Eligibility Criteria) score of 1 indicates that there are no restrictions for using the particular contraceptive method. A score of 1 suggests that the advantages of using the contraceptive method outweigh any potential risks, making it a safe and recommended choice for the patient.
Therefore, a patient with an MEC score of 1 can use the contraceptive method without any concerns regarding health risks or restrictions.
Question 5 of 5
A patient calls the clinic Monday morning. She had condomless sex Friday night and is interested in emergency contraception. What should the nurse tell this patient?
Correct Answer: D
Rationale: The correct advice for the patient in this scenario is to inform her that she can still use emergency contraceptive pills, even if she has had other condomless sex since the Friday night event. Emergency contraceptive pills are most effective when taken as soon as possible after unprotected sex, but they can still be used within a certain window of time depending on the type of pill used. It is important to inform the patient that she can take emergency contraception in this situation to reduce the risk of an unintended pregnancy.