What information should be included in teaching an uncircumcised male to use a condom?

Correct Answer: B

Rationale: In teaching an uncircumcised male to use a condom, it is crucial to include the instruction to pull back the foreskin before applying the condom. This is the correct answer because failure to retract the foreskin can lead to discomfort, constriction, and possible tearing of the foreskin during intercourse. By pulling back the foreskin, the condom can be properly placed on the penis, ensuring a comfortable fit and effective protection. Option A, applying mineral oil to the shaft of the penis after applying the condom, is incorrect because it is unnecessary and may actually compromise the integrity of the condom, increasing the risk of breakage. Option C, creating a reservoir at the tip of the condom after putting it on, is incorrect because this step is important for circumcised males to allow space for ejaculate, but it is not necessary for uncircumcised males as the foreskin already provides this function. Option D, waiting five minutes after ejaculating before removing the condom, is incorrect as it does not pertain to the correct method of applying a condom for an uncircumcised male. In an educational context, it is important to emphasize the proper technique of using a condom for uncircumcised males to ensure both effective contraception and protection against sexually transmitted infections. Clear and accurate instruction can empower individuals to take control of their sexual health and well-being.

Correct Answer: B

Rationale: In the context of maternal newborn nursing, the best contraceptive method for a woman with multiple sex partners is the female condom (option B). This is because the female condom provides a barrier method of protection, which not only helps prevent unwanted pregnancies but also reduces the risk of sexually transmitted infections (STIs) that can have implications for both the woman's health and the health of any potential newborn. Option A, the intrauterine device (IUD), is effective in preventing pregnancy but does not offer protection against STIs. Option C, bilateral tubal ligation, is a permanent method of contraception and may not be suitable for a woman who may want to have children in the future. Option D, birth control pills, require strict adherence to a daily regimen which may be challenging for a woman with multiple partners. Educationally, it is essential for nurses specializing in maternal newborn care to understand the importance of providing comprehensive contraceptive counseling tailored to individual needs and circumstances. By recommending the female condom in this scenario, nurses can empower women to make informed choices that promote both their reproductive health and overall well-being.

Correct Answer: C

Rationale: In teaching a client undergoing a bilateral tubal ligation, it is crucial to provide accurate and comprehensive information to ensure informed decision-making and optimal postoperative outcomes. Option C, stating that libido should remain the same after the procedure, is the correct choice. This is important to address as misconceptions about changes in libido post-tubal ligation may cause anxiety or uncertainty in clients. Option A, stating that the surgical procedure is easily reversible, is incorrect. Tubal ligation is considered a permanent method of contraception, and reversal procedures are complex and not always successful. Option B, mentioning that menstruation usually ceases after the procedure, is also incorrect. Tubal ligation does not affect menstruation, as it only blocks the fallopian tubes to prevent pregnancy. Option D, stating that the incision will be made endocervically, is misleading and incorrect. The incision for a tubal ligation procedure is typically made in the abdomen, not at the cervix. Educationally, when teaching about tubal ligation, it is important to emphasize the permanence of the procedure, its effects on fertility, and the lack of impact on menstrual cycles or libido. Providing accurate information empowers clients to make informed choices regarding their reproductive health. It also helps in dispelling myths or misconceptions that may lead to unnecessary concerns or misunderstandings.

Correct Answer: C

Rationale: In teaching a woman who has just had an intrauterine device (IUD) inserted, it is essential for the nurse to emphasize the importance of reporting any complaints of painful intercourse to the physician (Option C). This is crucial because painful intercourse could indicate a potential issue with the IUD placement or other complications that need prompt medical attention to prevent further complications or risks to the woman's health. Option A is incorrect because palpating the lower abdomen each month to check the patency of the device is not recommended as it can displace the IUD or cause injury. Option B is also incorrect as there is no requirement for bed rest after IUD insertion unless specified by the healthcare provider based on individual circumstances. Option D is incorrect as inserting spermicidal jelly after every sexual encounter is not necessary with an IUD in place and can actually increase the risk of irritation or infection. In an educational context, it is important for nurses to provide accurate and evidence-based information to support women in understanding the proper care and follow-up after IUD insertion. By explaining the rationale behind the correct answer and debunking misconceptions related to the other options, nurses can empower women to take charge of their reproductive health and seek appropriate medical care when needed.

Correct Answer: C

Rationale: The correct answer is C) Breakthrough bleeding is a common side effect. When teaching a breastfeeding woman about Seasonale (ethinyl estradiol and levonorgestrel), it is crucial to highlight the common side effects associated with the medication. Breakthrough bleeding is a common occurrence with extended-cycle oral contraceptives like Seasonale, where women may experience unscheduled bleeding or spotting between their periods. Option A) The woman will menstruate every 8 to 9 weeks is incorrect because Seasonale is designed to reduce the frequency of menstruation to four times a year, not every 8 to 9 weeks. Option B) The pills are taken for 3 out of every 4 weeks is incorrect as Seasonale is typically taken daily for 84 consecutive days followed by a 7-day hormone-free interval. Option D) Breastfeeding is compatible with the medication is incorrect as estrogen-containing contraceptives like Seasonale are generally not recommended for breastfeeding women due to potential risks of decreased milk production and composition. In an educational context, it is important for nurses to provide accurate and detailed information to breastfeeding women about their contraceptive options, including the mechanism of action, common side effects, and potential impact on breastfeeding. This empowers women to make informed decisions about their reproductive health while considering their individual needs and circumstances.