ATI RN
Methods of Emergency Contraception Work by Quizlet Questions
Question 1 of 5
A client states that she is to have a test to measure bone mass to help diagnose osteoporosis. The nurse would most likely plan to prepare the client for:
Correct Answer: A
Rationale: Currently, no method exists for directly measuring bone mass. Instead, a bone mass density (BMD) measurement is used. BMD is a two-dimensional measurement of the average content of mineral in a section of bone. The client most likely will be having a DEXA scan, which is a screening test that calculates the mineral content of the bone at the spine and hip. Ultrasound, MRI, and a pelvic X-ray would be of little help in determining bone mass.
Question 2 of 5
A woman is diagnosed with premenstrual dysphoric disorder. To address the woman's behavioral symptoms, which class of agents would the nurse anticipate needing to be addressed in the woman's teaching plan?
Correct Answer: C
Rationale: The correct answer is C) Selective serotonin reuptake inhibitors (SSRIs) because they are the class of agents typically used to address behavioral symptoms associated with premenstrual dysphoric disorder (PMDD). SSRIs work by increasing the levels of serotonin in the brain, which can help regulate mood and alleviate symptoms of depression, anxiety, and irritability commonly seen in PMDD. Option A) Diuretics are not indicated for treating behavioral symptoms of PMDD. Diuretics are used to reduce fluid retention and treat conditions like hypertension and edema. Option B) Nonsteroidal anti-inflammatory drugs (NSAIDs) are used to relieve pain and inflammation, not behavioral symptoms associated with PMDD. Option D) Vitamin supplements may be beneficial for overall health but are not the primary treatment for the behavioral symptoms of PMDD. In an educational context, it is important for nurses to understand the pharmacological management of PMDD to provide holistic care to women experiencing this condition. By knowing the appropriate class of agents to address behavioral symptoms, nurses can effectively educate patients on their treatment plan and support them in managing their symptoms.
Question 3 of 5
Which finding would most likely indicate a complication in a client using a copper intrauterine device (IUD)?
Correct Answer: B
Rationale: In the context of emergency contraception, understanding the potential complications associated with different methods is crucial for healthcare providers. In this scenario, the correct answer is B) Fever and chills, which would most likely indicate a complication in a client using a copper intrauterine device (IUD). Fever and chills can be indicative of an infection, such as pelvic inflammatory disease (PID), which is a serious complication associated with IUD use. This infection can be severe and requires immediate medical attention to prevent further complications. Now, let's analyze why the other options are incorrect: A) Mild menstrual cramps: Mild menstrual cramps are a common side effect of copper IUD use and are not necessarily indicative of a complication. C) No change in menstrual flow: This option does not raise concerns about a potential complication as it describes a normal scenario for some individuals using a copper IUD. D) Occasional spotting: Spotting can occur as a normal side effect of IUD use and does not necessarily indicate a complication unless it is persistent or accompanied by other symptoms. Educational Context: Healthcare providers need to be able to differentiate between common side effects and potential complications of contraceptive methods to provide appropriate care to their patients. Understanding the signs and symptoms of complications associated with IUDs, such as infections, is essential for timely intervention and ensuring patient safety and well-being.
Question 4 of 5
A woman has chosen the calendar method of conception control. Which is the most important action the nurse should perform during the assessment process in preparation to discuss the implementation of this method?
Correct Answer: A
Rationale: The calendar method relies on accurately recorded menstrual cycle lengths to determine the fertile period; therefore, obtaining a history of the woman's menstrual cycles is essential. Weight gain or loss, integumentary changes, and previous experiences, while potentially relevant, are not as critical for implementing this method.
Question 5 of 5
A client currently uses a diaphragm and spermicide for contraception. She asks the nurse to explain the major differences between the cervical cap and the diaphragm. What is the most appropriate response by the nurse?
Correct Answer: D
Rationale: In this scenario, the most appropriate response by the nurse is option D: "The cervical cap can be safely used for repeated acts of intercourse without adding more spermicide later." This is the correct answer because unlike the diaphragm, the cervical cap can be left in place for up to 48 hours and can be used for multiple acts of intercourse without the need to add more spermicide each time. Option A is incorrect because both the cervical cap and diaphragm are used with spermicide, so the cervical cap is not necessarily less messy. Option B is incorrect because the diaphragm should not be left in place for more than 24 hours after intercourse to reduce the risk of toxic shock syndrome. Option C is incorrect because both the diaphragm and cervical cap can be used for repeated intercourse; however, the cervical cap offers the advantage of longer wear time without needing to add more spermicide. From an educational perspective, this question highlights the importance of understanding the differences between various barrier methods of contraception. Nurses need to have knowledge not only of how these devices are used but also their specific characteristics and advantages to provide accurate and helpful information to clients in need of contraception.