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A nurse is assisting a community health nurse teach a class about contraception to a group of young adults

Exhibits

Which post-test answers provided by class participants require follow-up by the nurse?

Click to highlight the post-test answers that require follow up by the nurse?

Latex condoms should be used with oil-based lubricants.

Condoms should be placed immediately before ejaculation. Diaphragms should be refitted after pregnancy.

Diaphragms should be removed 4 hr after intercourse.

Abdominal pain is a manifestation of complications of oral contraceptive use. Herbal supplements can affect the effectiveness of oral contraceptives. Presence of intrauterine device strings should be checked after each menstrual cycle.

Intrauterine devices should be replaced every 2 years.

Latex condoms should be used with oil-based lubricants.

Condoms should be placed immediately before ejaculation.

Diaphragms should be removed 4 hr after intercourse.

Abdominal pain is a manifestation of complications of oral contraceptive use.

Intrauterine devices should be replaced every 2 years.

Herbal supplements can affect the effectiveness of oral contraceptives.

Presence of intrauterine device strings should be checked after each menstrual cycle.

Diaphragms should be refitted after pregnancy.

Answer and Explanation

The Correct Answer is ["A","B","C","D","E"]

Post-Test Answers Requiring Follow-Up:

Latex condoms should be used with oil-based lubricants. Oil-based lubricants can degrade latex condoms, increasing the risk of breakage. Water-based or silicone-based lubricants should be used with latex condoms for safe use.

Condoms should be placed immediately before ejaculation. Condoms should be put on before any genital contact to prevent the risk of pregnancy and sexually transmitted infections (STIs). They should not be placed only before ejaculation.

Diaphragms should be removed 4 hours after intercourse. Diaphragms should be left in place for at least 6 hours but no longer than 24 hours after intercourse to prevent the risk of toxic shock syndrome and ensure effectiveness.

Abdominal pain is a manifestation of complications of oral contraceptive use. While abdominal pain can indicate complications, such as ectopic pregnancy or hepatic issues, it should not be considered a typical side effect.

Intrauterine devices should be replaced every 2 years. While some hormonal IUDs are effective for 3-5 years, copper IUDs can last up to 10-12 years. Patients should be informed about the specific replacement schedule based on the type of IUD used.

Answers that don’t need follow-up:

Diaphragms should be refitted after pregnancy. After a woman has a baby, the size and shape of her vagina and cervix can change, so diaphragms need to be refitted to ensure proper effectiveness.

Herbal supplements can affect the effectiveness of oral contraceptives. Some herbal supplements, such as St. John’s Wort, can interact with hormonal contraceptives, potentially reducing their effectiveness.

Presence of intrauterine device (IUD) strings should be checked after each menstrual cycle. Women should check the IUD strings regularly, typically after each menstrual cycle, to ensure the device is in place and to identify any potential complications.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. February 27: This date does not match Naegele's rule calculation.

B. April 11: This is too late for the estimated due date using Naegele's rule.

C. February 11: Using Naegele’s rule, subtracting 3 months from May 4 gives February 4, and then adding 7 days results in February 11.

D. April 27: This date is too late for the estimated due date based on Naegele's rule.

A. This test will screen for neural tube defects. B. This test will screen for ABO incompatibility. C. This test will screen for fetal maturity. D. This test will screen for gestational diabetes.

Correct Answer is A

Explanation

A. This test will screen for neural tube defects. MSAFP is a screening tool used to detect neural tube defects (such as spina bifida and anencephaly) in the developing fetus. Elevated levels of AFP are associated with such defects.

B. This test will screen for ABO incompatibility. ABO incompatibility is detected through blood tests, not MSAFP. MSAFP screens for structural abnormalities, not blood group incompatibilities.

C. This test will screen for fetal maturity. MSAFP is not a test for fetal lung maturity. Tests for fetal lung maturity, such as the lecithin-sphingomyelin (L/S) ratio, are typically done later in pregnancy.

D. This test will screen for gestational diabetes. MSAFP is unrelated to gestational diabetes, which is diagnosed with a glucose tolerance test, not MSAFP.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination. Which of the following information should the nurse include?

Correct Answer is A

Explanation

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