A 19-year-old client comes to the clinic seeking information about the use of the morning-after pill (levonorgestrel) for emergency contraception.
Which of the following statements made by the client indicates a need for further teaching?
"I can use the morning-after pill as a regular form of birth control.”.
"I should take the morning-after pill as soon as possible after unprotected intercourse.”.
"The morning-after pill does not protect against sexually transmitted infections.”.
"The morning-after pill can be less effective if I take it more than 72 hours after unprotected sex.”. . . .
The Correct Answer is A
Choice A rationale
The morning-after pill, containing levonorgestrel, is intended for emergency contraception and should not be used as a regular method of birth control. Frequent use can disrupt the menstrual cycle and may be less effective over time compared to consistent contraception methods like oral contraceptives, IUDs, or barrier methods. These regular methods provide continuous protection against pregnancy.
Choice B rationale
The morning-after pill is most effective when taken as soon as possible after unprotected intercourse. Its efficacy decreases with time, and it is significantly less effective after 72 hours. The medication works primarily by delaying or preventing ovulation, and its effectiveness is highest when administered before ovulation occurs.
Choice C rationale
The morning-after pill does not provide any protection against sexually transmitted infections (STIs). It only reduces the risk of pregnancy. Individuals should use barrier methods like condoms during sexual activity to protect themselves and their partners from STIs. Emergency contraception addresses pregnancy risk, not STI transmission.
Choice D rationale
The efficacy of the morning-after pill declines significantly if taken more than 72 hours after unprotected sex. While it may still offer some protection up to 120 hours, its effectiveness is considerably reduced compared to when taken within the first 72 hours. Prompt use is crucial for maximizing its contraceptive effect. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
Choice A rationale
Perineal care of genital lesions is crucial for preventing secondary infections, promoting healing, and reducing the risk of transmission. Gentle washing with mild soap and water, followed by patting dry, helps maintain hygiene and comfort.
Choice B rationale
Herpes simplex virus type 2 can be transmitted through direct contact with lesions or asymptomatic shedding. Thorough hand washing with soap and water after any contact with the genital area or lesions helps prevent the spread of the virus to other parts of the body or to other individuals.
Choice C rationale
Acyclovir is an antiviral medication commonly prescribed to manage herpes outbreaks. It works by inhibiting the replication of the herpes simplex virus, reducing the severity and duration of symptoms, and can also be used for suppressive therapy to reduce the frequency of outbreaks.
Choice D rationale
Consistent and correct use of barrier protection, such as condoms, during sexual activity significantly reduces the risk of transmitting herpes simplex virus type 2 to sexual partners, even when no lesions are present due to the possibility of asymptomatic shedding.
Choice E rationale
Herpes simplex virus can survive on surfaces for a short period. Avoiding the sharing of personal items such as towels, washcloths, and undergarments helps prevent potential indirect transmission of the virus to other individuals.
Correct Answer is A
Explanation
Choice A rationale
Persistent feelings of sadness that are pervasive and interfere with daily functioning, coupled with severe fatigue that goes beyond typical postpartum tiredness and a marked loss of interest in activities, including bonding and caring for the newborn, are key indicators of postpartum depression. These symptoms are more intense and prolonged than the emotional lability often seen in the postpartum period.
Choice B rationale
Feeling anxious about the baby's well-being is a common experience for many postpartum individuals as they adjust to parenthood. As long as this anxiety does not impair their ability to care for the baby effectively, it is more likely a component of normal postpartum adjustment rather than indicative of postpartum depression.
Choice C rationale
Experiencing occasional mood swings and irritability is typical during the postpartum period due to hormonal shifts, sleep deprivation, and the significant life changes associated with a new baby. These fluctuations are usually transient and less severe than the persistent sadness and loss of interest seen in postpartum depression.
Choice D rationale
Feeling overwhelmed and having difficulty sleeping are common challenges for new parents due to the demands of newborn care. While these symptoms can contribute to or exacerbate postpartum depression, they are not solely indicative of it unless accompanied by persistent sadness, severe fatigue, and a loss of interest in activities.
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