The nurse assesses a patient for medical eligibility for contraceptive use. What is the meaning of an MEC score of 2?

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: 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.

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.