The patient asks the nurse when her Nexplanon can be inserted. How does the nurse respond?

Correct Answer: A

Rationale: The nurse would respond with option A, "after the delivery of your placenta." Nexplanon is a hormonal contraceptive implant that is typically inserted in the upper arm subdermally. It is recommended to wait until after the delivery of the placenta to reduce the risk of causing any harm to the fetus during pregnancy or labor. Inserting Nexplanon during labor or delivery is not recommended due to the potential risks involved.

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.

Correct Answer: C

Rationale: Copper intrauterine devices (IUDs) have the best efficacy for prevention of pregnancy among emergency contraception options. Copper IUDs are over 99% effective when used as emergency contraception, making them more reliable than other methods like Plan B, Yuzpe, or progesterone-only EC. This high efficacy is due to the mechanism of action of copper IUDs, which prevent fertilization and implantation of the fertilized egg. Additionally, once inserted, a copper IUD can continue to provide ongoing contraception for up to 10 years, making it a long-term contraceptive option as well.

Correct Answer: B

Rationale: The important information provided regarding male sterilization (vasectomy) is that the individual will need to return to the office to check for sperm in their ejaculate after the procedure. This is essential to ensure that the vasectomy was successful in achieving sterility. It typically takes a few months and a certain number of ejaculations for all remaining sperm to be cleared from the reproductive tract, so a follow-up test is necessary to confirm sterility.

Correct Answer: C

Rationale: The correct response that shows an understanding of the education provided by the nurse is "C. 'I should call if I soak a pad in 2 hours.'” This response indicates that the person has understood a key post-procedure instruction, which is to monitor for excessive bleeding. Soaking a pad in 2 hours can indicate heavy bleeding, and the person needs to contact their healthcare provider immediately in such a situation. This understanding is crucial for the safety and well-being of the individual after the procedure. Options A, B, and D do not directly address the specific post-procedure instruction related to monitoring bleeding, which is an essential aspect of the education provided by the nurse in this context.