ATI RN
OB Quizlet on Contraception Abortion and Womens Health Questions
Question 1 of 5
A postpartum client is getting ready to receive a Depo-Provera injection. Which statement by the client indicates that further teaching by the nurse is necessary?
Correct Answer: A
Rationale: The Depo-Provera injection is not given the same way as rubella injections. Depo-Provera is administered as an intramuscular injection, typically in the arm or buttocks, and requires follow-up every 3 months. Choice B is a reasonable statement as monitoring weight and maintaining exercise is important with Depo-Provera use. Choice C is correct because a follow-up appointment should occur every 3 months. Choice D is also true; it can take some time to return to fertility after using Depo-Provera.
Question 2 of 5
A patient has just been prescribed birth control pills and asks about possible side effects. Which of the following should be discussed with the patient?
Correct Answer: B
Rationale: Headaches and nausea are common side effects of oral contraceptives. Choice A is incorrect because birth control pills typically decrease the menstrual flow. Choice C is not commonly reported with oral contraceptives, and many women report no change in libido. Choice D is incorrect because while oral contraceptives may slightly increase the risk of certain cancers, breast cancer risk is not significantly elevated compared to the general population.
Question 3 of 5
A patient who uses a diaphragm as contraception asks if they need to use a backup method. What should the nurse respond?
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.
Question 4 of 5
A patient is prescribed birth control pills. What should the nurse include in the patient education regarding missed doses?
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.
Question 5 of 5
A patient has just had a Mirena IUD inserted. What is the most important information for the nurse to include in the post-procedure instructions?
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.