A nurse is collecting data from a client at a 6-week postpartum checkup. The client tells the nurse, "I am breastfeeding and would like to use a birth control pill." Which of the following statements should the nurse make?

"Progestin-only birth control pills are preferred for contraception during lactation."

"Taking birth control pills while breastfeeding can increase your risk for breast cancer.

"You do not need birth control pills as long as you are lactating."

"Birth control pills are contraindicated for breastfeeding clients."

Answer and Explanation

The Correct Answer is A

A)   Correct - "Progestin-only birth control pills are preferred for contraception during lactation." Progestin-only pills are generally considered safer for breastfeeding mothers as they are less likely to affect milk supply.
B)   Incorrect- There is no strong evidence suggesting that taking birth control pills while breastfeeding increases the risk of breast cancer.
C)   Incorrect- While breastfeeding can have contraceptive effects, relying solely on breastfeeding for contraception is not a foolproof method. It's recommended to use additional birth control methods if desired.
D)   Incorrect- Birth control pills are not contraindicated for breastfeeding clients, especially if they are progestin-only pills. The preferred method, however, is progestin-only rather than combined hormonal pills.

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Correct Answer is B

Explanation

A) Incorrect- Scheduling a routine 1-month appointment is not appropriate given the elevated glucose value. A 1-hour glucose screening test value of 130 mg/dL indicates an elevated glucose level, which suggests the need for further testing to confirm or rule out gestational diabetes.
B) Correct - An elevated glucose value on the initial screening test requires confirmation through a more comprehensive test, such as the 3-hour oral glucose tolerance test.
C) Incorrect- Home glucose monitoring might be indicated for gestational diabetes but is not the next step after an elevated 1-hour glucose screening test.
D) Incorrect- Repeating the 1-hour glucose test in 1 week is not necessary; if the initial test is elevated, further testing is required.

A. Intrauterine device B. Diaphragm C. Oral contraceptives D. Contraceptive sponge

Correct Answer is A

Explanation

A) Correct- Intrauterine devices (IUDs) have one of the lowest failure rates among contraceptive methods. They are highly effective at preventing pregnancy.
B) Incorrect- Diaphragms have a higher failure rate compared to IUDs.
C) Incorrect- Oral contraceptives have a failure rate slightly higher than IUDs due to the potential for missed doses.
D) Incorrect- Contraceptive sponges have a higher failure rate compared to IUDs.

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A nurse is collecting data from a client at a 6-week postpartum checkup. The client tells the nurse, "I am breastfeeding and would like to use a birth control pill." Which of the following statements should the nurse make?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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