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.

Correct Answer: A

Rationale: One advantage of the internal condom is that it can be used by individuals who have a latex allergy. Traditional external condoms are typically made from latex, which can cause allergic reactions in some people. Internal condoms, also known as female condoms, are usually made from nitrile or polyurethane, providing a latex-free alternative for those with sensitivities or allergies to latex. This makes the internal condom a viable option for a wider range of individuals, ensuring that they can still practice safe sex without risking allergic reactions.

Correct Answer: C

Rationale: Instructions for the use of nonoxynol-9 spermicide should include removing any excess spermicide from the vagina within 6 hours after intercourse. This step is important to reduce the risk of vaginal irritation, which can occur if the spermicide is left in the vagina for an extended period of time. It is crucial to follow this guidance to ensure the user's comfort and overall well-being.

Correct Answer: A

Rationale: Estrogen in combined oral contraceptive (COC) pills works primarily by inhibiting ovulation through the suppression of the luteinizing hormone (LH) surge. By maintaining consistent levels of estrogen in the body, COC pills prevent the release of eggs from the ovary. This prevents fertilization from occurring, which is one of the main mechanisms of action of COC pills to provide contraception. While estrogen also has other effects such as stabilizing the endometrium to reduce unscheduled bleeding, its main role in COC pills is to inhibit ovulation and prevent pregnancy through hormonal regulation.

Correct Answer: A

Rationale: The nurse should advise the adolescent patient to avoid placing the contraceptive patch on her breasts. The contraceptive patch is typically recommended to be placed on areas of the body with minimal hair and movement to ensure proper adherence and absorption of hormones. Placing the patch on the breasts may result in movement and friction, causing it to become dislodged or less effective. It is important to follow the specific instructions provided with the contraceptive patch on where to apply it for optimal effectiveness.