Before giving a client oral combination contraceptives, which side effects should the nurse tell the patient to be aware of? Select all that apply.

Correct Answer: B

Rationale: In the context of oral combination contraceptives, thick vaginal discharge can be a common side effect that a nurse should inform the patient about. This is due to changes in vaginal pH and cervical mucus consistency caused by hormonal fluctuations. It is essential for the patient to recognize this side effect to differentiate it from any potential infections and to promote open communication with healthcare providers. Irregular bleeding is a possible side effect of oral contraceptives; however, it is not specifically mentioned in this question. Nausea and breast tenderness are also common side effects of hormonal contraceptives, but they are not the primary side effects related to vaginal discharge. Educating patients about the most pertinent side effects helps them monitor their health effectively and seek appropriate medical advice if needed. In an educational context, understanding the side effects of medications is crucial for nurses to provide comprehensive patient care. By explaining the rationale behind each potential side effect, nurses can empower patients to make informed decisions about their health and well-being. It also fosters a trusting relationship between healthcare providers and patients, leading to better adherence to treatment plans and improved health outcomes.

Correct Answer: B

Rationale: An MEC score of 2 indicates that there is an unacceptable health risk if the contraceptive method is used. This means that the potential health risks associated with using this particular contraceptive method outweigh the benefits. Therefore, the nurse should advise against using this method for contraception due to the elevated health risks involved. It is essential for healthcare providers to meticulously assess the medical eligibility of a patient before recommending any contraceptive method to ensure the safety and well-being of the individual.

Correct Answer: B

Rationale: The correct answer is B) day 10 through day 15. This range corresponds to the estimated time of ovulation, which is typically around day 14 in a 28-day cycle. The calendar method relies on identifying the fertile window during the menstrual cycle to avoid conception. By abstaining from condomless intercourse during days 10-15, the patient minimizes the risk of pregnancy as sperm can survive in the female reproductive tract for several days, increasing the chance of fertilizing an egg released during ovulation. Option A) day 9 through day 19 covers a broader range that may include the fertile window, increasing the risk of conception. Option C) day 12 through day 16 excludes the beginning of the fertile window, potentially missing the opportunity to avoid conception. Option D) day 11 through day 28 is incorrect as it includes the entire menstrual cycle, which does not align with the purpose of the calendar method. Educationally, understanding the menstrual cycle and fertile window is crucial for effective contraceptive decision-making. By teaching patients about their menstrual cycles and the timing of ovulation, healthcare providers empower individuals to make informed choices regarding contraception and family planning. It is essential to emphasize the limitations of the calendar method, such as cycle irregularities and the variability of ovulation timing, to ensure patients consider additional contraceptive methods for optimal effectiveness.

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: D

Rationale: Contraceptive abstinence refers to avoiding penis-in-vagina intercourse to prevent pregnancy. It is a method of birth control where sexual partners choose not to engage in sexual intercourse during fertile periods to avoid the risk of pregnancy. This method relies on refraining from penetrative sex or any ejaculatory contact between the penis and vagina. It is a natural form of birth control and does not involve the use of contraceptives or devices.