The nurse is teaching a prenatal class about kick counts. When should the client contact the healthcare provider?

Correct Answer: A

Rationale: In the context of prenatal care, teaching expectant mothers about monitoring fetal movements, known as kick counts, is crucial for assessing fetal well-being. The correct answer, option A, states that the client should contact the healthcare provider if there are fewer than 10 movements in 2 hours. This guideline is based on the recommendation that expectant mothers should feel at least 10 distinct movements within a 2-hour period, which indicates normal fetal activity and a healthy baby. Option B, fewer than 5 movements in 1 hour, is incorrect because it sets a threshold that is too low and may lead to unnecessary anxiety and interventions. Fetal movement patterns can vary, and setting the bar too high may cause undue concern. Option C, no movements after a meal, is also incorrect as fetal movements can vary in relation to maternal activities and are not solely tied to meal times. Option D, no movements for 6 hours, is incorrect because waiting for this extended period without feeling fetal movements could potentially delay necessary medical intervention in cases of fetal distress. Educationally, it is important for nurses to teach expectant mothers the significance of kick counts, how to perform them correctly, and when to seek medical advice based on established guidelines. This empowers mothers to actively monitor their baby's well-being and promotes early detection of any potential issues, contributing to optimal maternal and fetal outcomes.

Correct Answer: C

Rationale: Emergency contraception is most effective if taken within 3 days after unprotected sex. The sooner it is taken, the more effective it is. Choice A and B are incorrect because they are too short a time window for emergency contraception to be effective. Choice D is also incorrect because most emergency contraceptive pills are not effective after 5 days.

Correct Answer: B

Rationale: The patient should be instructed to check the strings of the IUD regularly to ensure it remains in place. Choice A is not accurate because while cramping is common, rest is not necessarily required for several days. Choice C is not required; there is no need to avoid sexual activity unless there is an infection or other complication. Choice D is incorrect as Mirena typically reduces bleeding or makes periods lighter.

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: The education the nurse should provide to a person taking Ella for emergency contraception is to restart their COCs the next day and use a backup method, such as condoms, for 7 days. This is important to ensure continued protection against pregnancy, as Ella may potentially reduce the effectiveness of the COCs. Using a backup method during this time is essential to prevent unintended pregnancy.