The nurse is monitoring a postpartum client. What finding requires immediate action?

Correct Answer: B

Rationale: The correct answer is B because Lochia rubra with large clots may indicate excessive bleeding or a possible postpartum hemorrhage, which requires immediate intervention to prevent complications. A: Fundus firm and midline is a normal finding postpartum. C: Mild perineal discomfort is expected after childbirth. D: Slight swelling of the feet is common due to fluid shifts and does not require immediate action.

Correct Answer: A

Rationale: The correct answer is A: "Do your cramps prevent you from daily activities?" This question is crucial as it assesses the impact of menstrual cramps on the girl's quality of life, helping determine the suitability of different contraceptive options. Options B, C, and D are irrelevant to contraceptive choice and do not provide pertinent information regarding the girl's health or contraceptive needs.

Correct Answer: B

Rationale: The correct answer is B because irregular bleeding patterns, including light spotting, are a common side effect of the contraceptive implant due to hormonal changes. This is important for the woman to be aware of to manage her expectations. Choice A is incorrect as the implant typically leads to lighter periods or no periods at all. Choice C is incorrect as weight gain is not a common side effect of the implant. Choice D is also incorrect as hair loss is not typically associated with the contraceptive implant.

Correct Answer: C

Rationale: The correct answer is C because perimenopausal individuals often have irregular menstrual periods, making FAM less reliable for tracking ovulation. Irregular periods can make it challenging to accurately predict fertile days. Choice A is incorrect because FAM is not solely for contraception but also for fertility awareness. Choice B is incorrect as FAM can still be used for tracking fertility even if contraception is not needed. Choice D is incorrect because while pregnancy risk decreases during perimenopause, it is not zero, and FAM can still be helpful for those who wish to avoid pregnancy.

Correct Answer: B

Rationale: The correct answer is B: placement in the uterus. The copper IUC and LNG-IUC differ in where they are positioned in the uterus. The copper IUC is a T-shaped device placed in the uterus to prevent pregnancy through copper ions, while the LNG-IUC releases hormones and is also placed in the uterus but is a different shape, typically a smaller T or a rounded shape. The placement of the device is crucial for its effectiveness and type of hormone release. Other choices (A) efficacy, (C) presence of a normal period, and (D) shape, do not directly differentiate between the two types of IUCs.