When the nurse is assisting a person desiring contraception, a history and physical is done. What is an important question the nurse should ask?

Correct Answer: B

Rationale: When assisting a person desiring contraception, asking whether they have ever been pregnant is an important question because it helps the healthcare provider assess the individual's past reproductive history, including any pregnancies and potential complications. This information is important in determining the most suitable contraceptive options for the person, taking into account their previous experiences with pregnancy and childbirth. It can also help in evaluating the effectiveness of their past contraceptive methods and guide the selection of appropriate contraceptive counseling and options.

Correct Answer: B

Rationale: The correct answer is B) day 10 through day 15. This range corresponds to the estimated time of ovulation, which is typically around day 14 in a 28-day cycle. The calendar method relies on identifying the fertile window during the menstrual cycle to avoid conception. By abstaining from condomless intercourse during days 10-15, the patient minimizes the risk of pregnancy as sperm can survive in the female reproductive tract for several days, increasing the chance of fertilizing an egg released during ovulation. Option A) day 9 through day 19 covers a broader range that may include the fertile window, increasing the risk of conception. Option C) day 12 through day 16 excludes the beginning of the fertile window, potentially missing the opportunity to avoid conception. Option D) day 11 through day 28 is incorrect as it includes the entire menstrual cycle, which does not align with the purpose of the calendar method. Educationally, understanding the menstrual cycle and fertile window is crucial for effective contraceptive decision-making. By teaching patients about their menstrual cycles and the timing of ovulation, healthcare providers empower individuals to make informed choices regarding contraception and family planning. It is essential to emphasize the limitations of the calendar method, such as cycle irregularities and the variability of ovulation timing, to ensure patients consider additional contraceptive methods for optimal effectiveness.

Correct Answer: B

Rationale: Option B is the statement made by the patient that indicates the need for further teaching. In the basal body temperature method of contraception, a sustained temperature rise typically indicates ovulation has already occurred, making it unsafe to have condomless sex. It is the drop in temperature just before ovulation that is used to predict a fertile window. Therefore, a rise in temperature would not indicate that it is safe to have condomless sex. The patient should be educated that the temperature shift indicates the end of the fertile window and that it is safest to avoid unprotected sex during the fertile window.

Correct Answer: D

Rationale: Contraceptive abstinence refers to avoiding penis-in-vagina intercourse to prevent pregnancy. It is a method of birth control where sexual partners choose not to engage in sexual intercourse during fertile periods to avoid the risk of pregnancy. This method relies on refraining from penetrative sex or any ejaculatory contact between the penis and vagina. It is a natural form of birth control and does not involve the use of contraceptives or devices.

Correct Answer: A

Rationale: One advantage of the internal condom is that it can be used by individuals who have a latex allergy. Traditional external condoms are typically made from latex, which can cause allergic reactions in some people. Internal condoms, also known as female condoms, are usually made from nitrile or polyurethane, providing a latex-free alternative for those with sensitivities or allergies to latex. This makes the internal condom a viable option for a wider range of individuals, ensuring that they can still practice safe sex without risking allergic reactions.