A client who has been taking oral contraceptives consistently reports experiencing breakthrough bleeding. What action should the nurse recommend?

Correct Answer: C

Rationale: Breakthrough bleeding can occur when the hormonal levels in oral contraceptives are not adequate for the individual. The nurse should recommend that the client consult the health care provider for possible adjustment of the contraceptive dosage rather than switching methods or discontinuing use without guidance.

Correct Answer: B

Rationale: In this scenario, the nurse's best response is option B) "Your current medications will reduce the effectiveness of the pill." This answer is correct because barbiturates and phenytoin sodium, which the woman is taking for her seizure disorder, are known to induce liver enzymes that can accelerate the metabolism of oral contraceptives. This can lead to decreased effectiveness of the pill in preventing pregnancy. Option A is incorrect because it does not address the specific interaction between the woman's medications and oral contraceptives. Option C is also incorrect as it provides inaccurate information about the effect of oral contraceptives on seizure medications. Option D is incorrect as it overlooks the potential drug interaction issue and provides a generic statement without considering the woman's individual medical history and current medications. Educationally, this question highlights the importance of considering drug interactions when prescribing medications, especially when it comes to oral contraceptives. It underscores the need for healthcare providers to have a thorough understanding of pharmacology to provide safe and effective care to patients, particularly in the context of women's health and contraception.

Correct Answer: A

Rationale: Emergency contraception is most effective when taken within 72 hours of unprotected intercourse, though it can be taken up to 120 hours afterward. It inhibits follicular development if taken before ovulation, reducing the risk of pregnancy by up to 75%. Nausea is the most common side effect, not menorrhagia.

Correct Answer: B

Rationale: The LAM works best when the mother is exclusively or almost exclusively breastfeeding. Disruptions in breastfeeding patterns can increase the risk of pregnancy. Effectiveness decreases after 6 months or when menstruation resumes, and feeding intervals should not exceed 4 hours during the day and 6 hours at night.

Correct Answer: C

Rationale: In this scenario, option C is the correct answer because it highlights a key point about natural family planning. The Roman Catholic Church indeed promotes natural family planning as the only acceptable contraceptive method due to its alignment with natural fertility cycles. This option emphasizes the religious and cultural significance of this method, which is crucial information for healthcare providers working with diverse populations. Option A is incorrect because natural family planning is not the same as coitus interruptus. Coitus interruptus is a method where withdrawal is practiced before ejaculation, which is not the same as tracking fertility cycles. Option B is incorrect because the calendar method in natural family planning is based on the woman's menstrual cycle, not the phases of the moon. This misinformation could lead to ineffective contraceptive practices if followed. Option D is incorrect because natural family planning does not rely on barrier methods during fertile phases; instead, it involves tracking ovulation and avoiding intercourse during fertile periods to prevent pregnancy. Understanding these distinctions is crucial for nurses providing accurate and comprehensive contraceptive education to their patients.