The nurse providing care in a women's health care setting must be knowledgeable about STIs. Which STIs can be successfully treated?

Correct Answer: D

Rationale: In a women's health care setting, it is crucial for nurses to have a good understanding of sexually transmitted infections (STIs) to provide effective care and education to their patients. Among the options provided, Chlamydia is the STI that can be successfully treated with antibiotics. Chlamydia is a bacterial infection that, when detected early, can be effectively treated with antibiotics, leading to a full recovery and prevention of complications such as pelvic inflammatory disease and infertility. This knowledge is essential for nurses to ensure proper diagnosis, treatment, and follow-up care for their patients. The other options provided are not curable but can be managed or have treatments to control symptoms and reduce transmission. HSV (Herpes Simplex Virus) and AIDS (Acquired Immunodeficiency Syndrome) are viral infections that currently do not have a cure, but antiviral medications can help manage symptoms and reduce the frequency of outbreaks. Venereal warts, caused by the Human Papillomavirus (HPV), can be treated to remove the warts, but the virus itself is not curable. Understanding the differences in the treatability of various STIs is crucial for nurses to provide accurate information to patients, support them in making informed decisions about their sexual health, and promote preventive measures such as safe sex practices and regular screenings. This knowledge empowers nurses to play a vital role in promoting women's health and preventing the spread of STIs in the community.

Correct Answer: A

Rationale: The correct answer is A) Emergency contraception requires that the first dose be taken within 72 hours of unprotected intercourse. This statement is correct because emergency contraception is most effective when taken as soon as possible after unprotected intercourse. The sooner it is taken, the more likely it is to prevent pregnancy. Waiting beyond 72 hours reduces the effectiveness of emergency contraception significantly. Option B is incorrect because emergency contraception is not effective after ovulation has occurred. It primarily works by preventing or delaying ovulation, so taking it after ovulation has already happened would not be effective in preventing pregnancy. Option C is also incorrect. Emergency contraception, when taken correctly within the specified time frame, has an effectiveness rate of around 75-89%, not 50%. This option provides inaccurate information about the effectiveness of emergency contraception. Option D is incorrect as well. While some side effects like nausea or abdominal pain can occur with emergency contraception, menorrhagia (excessive menstrual bleeding) is not a common or typical side effect associated with its use. Understanding the correct timing and effectiveness of emergency contraception is crucial in maternity care to provide accurate information and support to individuals seeking this option. Educating healthcare providers and individuals about the proper use of emergency contraception can help reduce unintended pregnancies and improve overall reproductive health outcomes.

Correct Answer: B

Rationale: The correct answer is option B: "This popular method of birth control works best if the mother is exclusively breastfeeding." This information is crucial to provide to a client interested in using the LAM method for contraception because the effectiveness of LAM is directly linked to exclusive breastfeeding. Option A is incorrect because LAM can be effective beyond 9 months if the breastfeeding criteria are met. Option C is misleading as the typical failure rate of LAM is around 2%, not 5%. Option D is incorrect because while feeding intervals do play a role in LAM's effectiveness, the recommended time frame is actually 4 hours during the day, not 6. In an educational context, it's important to emphasize the specific criteria for the successful use of LAM, such as exclusive breastfeeding, feeding on demand, and avoiding the use of pacifiers or supplemental feeding. Understanding these factors can help clients make informed decisions about their contraceptive options while also supporting their breastfeeding goals.

Correct Answer: B

Rationale: The correct answer is B) Absence of chemicals and hormones. Fertility Awareness Methods (FAMs) are appealing to some women because they do not involve the use of artificial chemicals or hormones, which can be a concern for those seeking natural and non-invasive contraceptive options. This benefit aligns with the preferences of individuals who prioritize natural and hormone-free approaches to family planning. Option A) Adherence to strict recordkeeping is not a primary benefit of FAMs that makes it appealing to women. While tracking and recordkeeping are essential components of FAMs to accurately predict fertile periods, it is not the central reason why women may choose this method. Option C) Decreased involvement and intimacy of partner is inaccurate as FAMs typically involve active participation and communication between partners. This option does not reflect the collaborative nature of using FAMs effectively. Option D) Increased spontaneity of coitus is not a benefit of FAMs, as these methods rely on understanding and tracking fertility signs to determine fertile and infertile periods, which involves planning and awareness rather than spontaneity. Educationally, understanding the benefits and limitations of different contraceptive methods is crucial for healthcare providers and individuals making informed choices about their reproductive health. By knowing the specific advantages of FAMs, providers can offer comprehensive information to women seeking suitable contraceptive options aligned with their preferences and values.

Correct Answer: D

Rationale: In this scenario, option D is the correct answer because it highlights a crucial aspect of patient education and safety. Nurses must be aware that the effectiveness of combination oral contraceptives (COCs) can be altered when taken with certain over-the-counter medications and herbal supplements. This information is vital for ensuring that patients receive the full benefits of their contraceptive treatment. Option A is incorrect because Toxic Shock Syndrome (TSS) is not directly associated with the prescription of COCs but rather with the use of tampons. Option B is incorrect as it provides information on hormonal withdrawal bleeding, which is not specifically related to the noncontraceptive medical effects of COCs. Option C is incorrect because COCs are known to decrease the risk of endometrial and ovarian cancers, not increase it. Educationally, understanding the noncontraceptive medical effects of COCs is essential for nurses working in maternity care to provide comprehensive care to women. By being knowledgeable about how certain medications and supplements can impact the effectiveness of COCs, nurses can better educate and support their patients in making informed decisions about their reproductive health.