A patient has expressed interest in receiving an implant for contraception. Which statements by the patient show that she understands the teaching given to her about her procedure and medication? Select one that does not apply.

Correct Answer: D

Rationale: The implant provides long-term contraception for 3 years, so the patient should understand it is a long-term method. Choice A is correct, and the patient must be aware of this. Choice B is correct, as the procedure involves a minor surgical process, and the patient will need someone to drive them home. Choice C is correct because irregular bleeding is a common side effect of the implant. Choice D is incorrect, as the implant does not provide STI protection.

Correct Answer: B

Rationale: The diaphragm should be used with spermicide for maximum effectiveness. Choice A is incorrect because while the diaphragm is effective, spermicide enhances its performance and ensures greater protection. Choice C is unnecessary, as the diaphragm alone with spermicide is sufficient. Choice D is incorrect because while regular replacement is recommended, it does not require a backup method.

Correct Answer: B

Rationale: If a dose is missed, it should be taken as soon as remembered and the next dose taken at the usual time. Choice A is incorrect because taking two doses at once may cause side effects. Choice C is incorrect because missing a dose does not require skipping the next dose. Choice D is incorrect because missing a dose does not typically require stopping the pills, but rather following instructions to compensate for the missed dose.

Correct Answer: B

Rationale: The patient should be instructed to check the strings of the IUD regularly to ensure it remains in place. Choice A is not accurate because while cramping is common, rest is not necessarily required for several days. Choice C is not required; there is no need to avoid sexual activity unless there is an infection or other complication. Choice D is incorrect as Mirena typically reduces bleeding or makes periods lighter.

Correct Answer: B

Rationale: The copper IUD is a highly effective, long-term contraception method that does not interfere with breastfeeding. Choice A is incorrect because oral contraceptives may reduce milk supply, and many types are not recommended during breastfeeding. Choice C is incorrect because contraceptive injections may not be ideal during breastfeeding. Choice D is incorrect because emergency contraception is used only after unprotected sex and is not a long-term solution.