When developing a teaching plan for a couple who are considering contraception options, the nurse would include which statement?

Correct Answer: D

Rationale: For a contraceptive to be most effective, the client must be able to use it correctly and consistently. Even if a method is considered 100% effective, it is not the best choice if the couple does not use it correctly or consistently. Cost is a consideration, but the least expensive method is not necessarily the best choice. The need for a prescription is not relevant to the couple's choice.

Correct Answer: B

Rationale: The correct answer is B) Fever and chills. This indicates a complication in a client using a copper intrauterine device (IUD) because it could be a sign of pelvic inflammatory disease (PID), a potential serious infection associated with IUD use. PID can lead to fever, chills, abdominal pain, and other systemic symptoms. Option A) Mild menstrual cramps are a common side effect of copper IUD use and do not necessarily indicate a complication. Option C) No change in menstrual flow is also a normal finding with a copper IUD and does not suggest a complication. Option D) Occasional spotting can occur as a side effect of the copper IUD and is not typically a sign of a serious complication. Educationally, it is important for healthcare providers to recognize potential complications associated with contraceptive methods like the copper IUD to provide appropriate care and ensure patient safety. Understanding these signs and symptoms is crucial for effective patient assessment and management.

Correct Answer: C

Rationale: Breakthrough bleeding can occur when the hormonal levels in oral contraceptives are not adequate for the individual. The nurse should recommend that the client consult the health care provider for possible adjustment of the contraceptive dosage rather than switching methods or discontinuing use without guidance.

Correct Answer: B

Rationale: Natural family planning, including the fertility awareness method, requires consistent tracking of signs such as basal body temperature and cervical mucus to identify fertile and infertile periods. It is not highly effective without effort, does not eliminate the need for other forms of contraception during fertile periods, and provides no protection against STIs.

Correct Answer: B

Rationale: In this scenario, the nurse's best response is option B) "Your current medications will reduce the effectiveness of the pill." This answer is correct because barbiturates and phenytoin sodium, which the woman is taking for her seizure disorder, are known to induce liver enzymes that can accelerate the metabolism of oral contraceptives. This can lead to decreased effectiveness of the pill in preventing pregnancy. Option A is incorrect because it does not address the specific interaction between the woman's medications and oral contraceptives. Option C is also incorrect as it provides inaccurate information about the effect of oral contraceptives on seizure medications. Option D is incorrect as it overlooks the potential drug interaction issue and provides a generic statement without considering the woman's individual medical history and current medications. Educationally, this question highlights the importance of considering drug interactions when prescribing medications, especially when it comes to oral contraceptives. It underscores the need for healthcare providers to have a thorough understanding of pharmacology to provide safe and effective care to patients, particularly in the context of women's health and contraception.