ATI RN
OB Quizlet on Contraception Abortion and Womens Health Questions
Question 1 of 5
What must instructions for use of nonoxynol-9 spermicide include?
Correct Answer: C
Rationale: Instructions for the use of nonoxynol-9 spermicide should include removing any excess spermicide from the vagina within 6 hours after intercourse. This step is important to reduce the risk of vaginal irritation, which can occur if the spermicide is left in the vagina for an extended period of time. It is crucial to follow this guidance to ensure the user's comfort and overall well-being.
Question 2 of 5
An adolescent patient calls the office and asks to speak with the nurse. The patient cannot remember where she can place her contraceptive patch. What area of the body should the nurse tell her to avoid?
Correct Answer: A
Rationale: The nurse should advise the adolescent patient to avoid placing the contraceptive patch on her breasts. The contraceptive patch is typically recommended to be placed on areas of the body with minimal hair and movement to ensure proper adherence and absorption of hormones. Placing the patch on the breasts may result in movement and friction, causing it to become dislodged or less effective. It is important to follow the specific instructions provided with the contraceptive patch on where to apply it for optimal effectiveness.
Question 3 of 5
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.
Question 4 of 5
What is the LNG-IUC mechanism of action?
Correct Answer: D
Rationale: The LNG-IUC, or levonorgestrel-releasing intrauterine system, works primarily by thickening the cervical mucus, which inhibits the passage of sperm through the cervix. This mechanism reduces the likelihood of fertilization occurring. Additionally, LNG-IUC also causes atrophic changes in the endometrium, which makes it less conducive for implantation of a fertilized egg, further decreasing the chance of pregnancy.
Question 5 of 5
What education does the nurse provide to a person taking Ella for emergency contraception?
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.