ATI RN
OB Quizlet on Contraception Abortion and Womens Health Questions
Question 1 of 5
A 45-year-old woman presents to the clinic for advice about contraception. What is the most appropriate contraception method for a woman who is nearing menopause?
Correct Answer: C
Rationale: An IUD with progestin is a highly effective and safe method for women nearing menopause, as it provides long-term contraception without the need for hormones that may interfere with menopause. Choice A is not ideal because the hormonal load of oral contraceptives with estrogen may cause side effects for women approaching menopause. Choice B may be effective but is not usually the first choice for women nearing menopause due to potential side effects. Choice D is less effective when compared to IUDs.
Question 2 of 5
Before giving a client oral combination contraceptives, which side effects should the nurse tell the patient to be aware of? Select all that apply.
Correct Answer: B
Rationale: In the context of oral combination contraceptives, thick vaginal discharge can be a common side effect that a nurse should inform the patient about. This is due to changes in vaginal pH and cervical mucus consistency caused by hormonal fluctuations. It is essential for the patient to recognize this side effect to differentiate it from any potential infections and to promote open communication with healthcare providers. Irregular bleeding is a possible side effect of oral contraceptives; however, it is not specifically mentioned in this question. Nausea and breast tenderness are also common side effects of hormonal contraceptives, but they are not the primary side effects related to vaginal discharge. Educating patients about the most pertinent side effects helps them monitor their health effectively and seek appropriate medical advice if needed. In an educational context, understanding the side effects of medications is crucial for nurses to provide comprehensive patient care. By explaining the rationale behind each potential side effect, nurses can empower patients to make informed decisions about their health and well-being. It also fosters a trusting relationship between healthcare providers and patients, leading to better adherence to treatment plans and improved health outcomes.
Question 3 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 4 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 5 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.