ATI RN
OB Quizlet on Contraception Abortion and Womens Health Questions
Question 1 of 5
A 28-year-old patient has decided to use the patch contraception. The nurse is educating her on the best site to use. Where is the best place to put the patch? Select all that apply.
Correct Answer: B
Rationale: In the case of using the patch contraception, it is crucial for the nurse to educate the patient on the correct application site to ensure its effectiveness. The best place to put the patch is on the skin of the abdomen, buttocks, upper outer arm, or upper torso, excluding the breasts. Choosing the neck or leg as the application site is not recommended for several reasons. The neck area has a higher risk of the patch detaching due to frequent movements of the head and the natural oils present on the skin, which can reduce adhesion. Applying the patch to the leg is discouraged as it may not adhere well due to constant bending and stretching of the skin in that area. Educationally, it is important to emphasize to the patient the significance of following the correct application site guidelines provided by healthcare professionals to ensure optimal drug delivery and contraceptive efficacy. This information empowers the patient to take control of their health and make informed decisions regarding their contraception method. It also highlights the role of nurses in educating patients on proper medication administration to promote safety and effectiveness.
Question 2 of 5
When the nurse is assisting a person desiring contraception, a history and physical is done. What is an important question the nurse should ask?
Correct Answer: B
Rationale: When assisting a person desiring contraception, asking whether they have ever been pregnant is an important question because it helps the healthcare provider assess the individual's past reproductive history, including any pregnancies and potential complications. This information is important in determining the most suitable contraceptive options for the person, taking into account their previous experiences with pregnancy and childbirth. It can also help in evaluating the effectiveness of their past contraceptive methods and guide the selection of appropriate contraceptive counseling and options.
Question 3 of 5
The nurse assesses a patient for medical eligibility for contraceptive use. What is the meaning of an MEC score of 2?
Correct Answer: B
Rationale: An MEC score of 2 indicates that there is an unacceptable health risk if the contraceptive method is used. This means that the potential health risks associated with using this particular contraceptive method outweigh the benefits. Therefore, the nurse should advise against using this method for contraception due to the elevated health risks involved. It is essential for healthcare providers to meticulously assess the medical eligibility of a patient before recommending any contraceptive method to ensure the safety and well-being of the individual.
Question 4 of 5
A patient would like to use the calendar method for contraception. She has charted her menstrual cycles for several months. Her longest menstrual cycle was 39 days long, and her shortest period was 29 days long. The nurse educates the patient to avoid condomless intercourse during what range of days of the cycle?
Correct Answer: B
Rationale: The correct answer is B) day 10 through day 15. This range corresponds to the estimated time of ovulation, which is typically around day 14 in a 28-day cycle. The calendar method relies on identifying the fertile window during the menstrual cycle to avoid conception. By abstaining from condomless intercourse during days 10-15, the patient minimizes the risk of pregnancy as sperm can survive in the female reproductive tract for several days, increasing the chance of fertilizing an egg released during ovulation. Option A) day 9 through day 19 covers a broader range that may include the fertile window, increasing the risk of conception. Option C) day 12 through day 16 excludes the beginning of the fertile window, potentially missing the opportunity to avoid conception. Option D) day 11 through day 28 is incorrect as it includes the entire menstrual cycle, which does not align with the purpose of the calendar method. Educationally, understanding the menstrual cycle and fertile window is crucial for effective contraceptive decision-making. By teaching patients about their menstrual cycles and the timing of ovulation, healthcare providers empower individuals to make informed choices regarding contraception and family planning. It is essential to emphasize the limitations of the calendar method, such as cycle irregularities and the variability of ovulation timing, to ensure patients consider additional contraceptive methods for optimal effectiveness.
Question 5 of 5
A patient asks the nurse about using the basal body temperature method as contraception. What statement made by the patient indicates that the patient needs further teaching?
Correct Answer: B
Rationale: Option B is the statement made by the patient that indicates the need for further teaching. In the basal body temperature method of contraception, a sustained temperature rise typically indicates ovulation has already occurred, making it unsafe to have condomless sex. It is the drop in temperature just before ovulation that is used to predict a fertile window. Therefore, a rise in temperature would not indicate that it is safe to have condomless sex. The patient should be educated that the temperature shift indicates the end of the fertile window and that it is safest to avoid unprotected sex during the fertile window.