A clinic nurse is planning care for an adolescent client who is pregnant. Which of the following actions related to family planning should the nurse include in the client's plan of care?

Advise the client they will not need birth control for approximately three months after delivery.

Inform the client that it is best to use the same form of birth control throughout their fertile years.

Once contraception decisions are made, encourage the client to discuss them with their partner.

Begin discussing family planning with the client during the third trimester of their current pregnancy.

Answer and Explanation

The Correct Answer is C

A. Advising the client they will not need birth control for approximately three months after delivery is inaccurate because fertility can return as early as a few weeks postpartum, especially if not breastfeeding exclusively. Relying on this assumption may lead to unintended pregnancy.

B. Informing the client that it is best to use the same form of birth control throughout their fertile years limits flexibility. Birth control needs and preferences often change over time due to health, lifestyle, and reproductive goals, so adaptability is important.

C. Encouraging the client to discuss contraception decisions with their partner supports shared decision-making and relationship communication. This approach can enhance adherence to the family planning method and promote mutual understanding of reproductive goals.

D. Beginning family planning discussions only in the third trimester delays important education. Early conversations during pregnancy provide time for the client to consider options and make informed decisions about postpartum contraception before delivery.

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Correct Answer is A

Explanation

A. Zoster: The zoster vaccine is recommended for older adults, typically starting at age 50 or 60 depending on the specific vaccine formulation (e.g., Shingrix), to prevent shingles and its complications. Older adults are at greater risk for shingles due to declining immunity with age.

B. Rotavirus: The rotavirus vaccine is given in infancy to prevent severe diarrhea caused by the virus. It is not indicated for older adults as they are not at high risk of contracting or being seriously affected by rotavirus.

C. Human papillomavirus: HPV vaccination is primarily recommended for adolescents and young adults, usually up to age 26. It may be considered up to age 45 based on risk, but it is not routinely recommended for older adults.

D. Inactivated poliovirus: The inactivated poliovirus vaccine is typically administered in childhood. Adults rarely need it unless they are traveling to areas where polio is endemic or are at occupational risk, making it unnecessary for routine older adult vaccination.

A. Support group B. Benzodiazepines C. Detoxification D. Respite care

Correct Answer is A

Explanation

A. Support group: Support groups, such as Alcoholics Anonymous or Narcotics Anonymous, provide ongoing peer support, encouragement, and accountability, which are critical for maintaining long-term abstinence. They help individuals build coping skills and a sense of community essential for sustained recovery.

B. Benzodiazepines: Benzodiazepines may be used short-term during detoxification to manage withdrawal symptoms but are not appropriate for long-term abstinence due to their potential for dependence and abuse.

C. Detoxification: Detoxification is an important initial step to safely manage withdrawal symptoms but does not by itself ensure long-term abstinence. Ongoing support and treatment are needed after detox.

D. Respite care: Respite care provides temporary relief for caregivers and is not a strategy designed to maintain long-term abstinence in clients with substance use disorder. It does not address addiction or relapse prevention directly.

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A clinic nurse is planning care for an adolescent client who is pregnant. Which of the following actions related to family planning should the nurse include in the client's plan of care?

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