The nurse is teaching a client about postpartum care. Which statement indicates a need for further teaching?

Correct Answer: B

Rationale: The correct answer is B because heavy bleeding for 4 weeks postpartum is abnormal and could indicate a complication. The client should seek medical attention if experiencing heavy bleeding beyond the normal range. Choices A, C, and D are all correct statements for postpartum care. A - avoiding heavy lifting helps prevent strain on healing tissues, C - fever could indicate infection, and D - continuing prenatal vitamins supports postpartum recovery.

Correct Answer: B

Rationale: The correct answer is B: Are you allergic to any metals? This is crucial because some IUDs contain metals like copper, which can trigger allergic reactions in individuals with metal allergies. It is important to assess for metal allergies to prevent potential adverse reactions. Incorrect Choices: A: Family history of heart disease is not directly relevant to IUD placement. C: Previous IUD insertions are important for clinical history but do not impact the initial assessment for a new insertion. D: History of hypertension is important for overall health assessment but does not directly affect IUD placement.

Correct Answer: B

Rationale: The correct answer is B: depression and anxiety. Unintended pregnancies can lead to mental health issues like depression and anxiety due to the emotional, financial, and social stress associated with unplanned parenthood. This aligns with the goal of Healthy People 2030 to improve pregnancy planning. Choice A is incorrect because while lost jobs can be a consequence of unintended pregnancy, it is not directly related to the mental health aspect targeted by this HP goal. Choice C is incorrect as increased BMI and weight gain are not typically cited as negative outcomes directly related to unintended pregnancy prevention. Choice D is incorrect as while unintended pregnancies can lead to increased healthcare costs, it does not specifically address the mental health aspect targeted by the HP goal.

Correct Answer: B

Rationale: The correct answer is B: There could be a decrease in bone mineral density over time. Progesterone-only pills have been associated with a potential decrease in bone density, especially with long-term use. This is because progesterone can have a negative impact on calcium absorption, leading to bone weakening. A: Side effects could be increased for persons who are underweight - This is not a specific disadvantage of progesterone-only pills and can apply to any contraceptive method. C: They may cause irregular bleeding and spotting - This is a common side effect of progesterone-only pills but not a significant disadvantage compared to bone density issues. D: Return to fertility after discontinuing the pill may take several months - This is a temporary effect and not a long-term disadvantage like decreased bone density.

Correct Answer: A

Rationale: The correct answer is A. The statement "The medication could cause me to experience heart palpitations" indicates understanding because terbutaline, a beta-agonist used to stop preterm labor, can indeed cause heart palpitations as a common side effect due to its impact on the cardiovascular system. This shows the client has grasped a potential side effect of the medication. The other choices are incorrect: B: "This medication could cause me to experience blurred vision" - Blurred vision is not a common side effect of terbutaline. C: "This medication could cause me to experience ringing in my ears" - Ringing in the ears is not a common side effect of terbutaline. D: "This medication could cause me to experience frequent " - Incomplete statement, not indicating understanding of a specific side effect.