The nurse is educating a male patient on how a vasectomy works. What is the best explanation for this procedure?

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OB Quizlet on Contraception Abortion and Womens Health Questions

Question 1 of 5

The nurse is educating a male patient on how a vasectomy works. What is the best explanation for this procedure?

Correct Answer: A

Rationale: A vasectomy involves blocking or cutting the vas deferens to prevent sperm from being ejaculated with semen, making it an effective method of contraception. Choice B is incorrect because the testicles are not removed during a vasectomy, only the vas deferens is altered. Choice C is incorrect because seminal fluid is still produced, but sperm are prevented from entering it. Choice D is incorrect because sperm are not killed, but rather prevented from mixing with semen.

Question 2 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 3 of 5

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.

Question 4 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 5 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.

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