A nurse is preparing a teaching plan for a patient who is considering tubal ligation.
What should the nurse emphasize during the teaching session?
The procedure will alleviate her menstrual pain.
The procedure will lessen her menstrual flow.
The procedure should be scheduled just prior to the menstrual cycle.
The patient must understand that the procedure is irreversible.
The Correct Answer is D
Choice A rationale
Tubal ligation does not alleviate menstrual pain. The procedure involves blocking or sealing the fallopian tubes to prevent pregnancy, but it does not have an effect on menstrual pain.
Choice B rationale
Tubal ligation does not lessen menstrual flow. The procedure prevents pregnancy by blocking the fallopian tubes, but it does not affect the menstrual cycle or the amount of menstrual flow.
Choice C rationale
The timing of the tubal ligation procedure is not typically scheduled just prior to the menstrual cycle. The procedure can be done at any time that is medically appropriate and convenient for the patient.
Choice D rationale
The patient must understand that the procedure is irreversible. Tubal ligation is a permanent form of birth control and is not easily reversed. Therefore, it’s important for patients to fully understand the implications of the procedure before making a decision.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
The recommended weight gain for a pregnant woman depends on her pre-pregnancy BMI. For a woman who is underweight (BMI < 18.5), the recommended weight gain is about 28-40 pounds. Therefore, this choice is not applicable for a woman with a BMI of 26.5.
Choice B rationale
While it’s true that weight gain should be gradual during pregnancy, a gain of about a pound per week is not a specific recommendation for a woman with a BMI of 26.54.
Choice C rationale
For a woman who is overweight before pregnancy (BMI 25.0-29.9), the recommended weight gain is about 15 to 25 pounds. Therefore, this choice is the most appropriate for a woman with a BMI of 26.5.
Choice D rationale
The recommendation of a weight gain of about 25 to 35 pounds is for women who had a normal weight (BMI 18.5-24.9) before pregnancy. Therefore, this choice is not applicable for a woman with a BMI of 26.5.
Correct Answer is A
Explanation
Choice A rationale
Urinary frequency is a common symptom during the first trimester of pregnancy due to hormonal changes. It often decreases during the second trimester as the uterus rises in the abdominal cavity, relieving pressure on the bladder. However, urinary frequency typically returns in the third trimester as the baby drops into the pelvis in preparation for birth.
Choice B rationale
While the duration of urinary frequency can vary among individuals, it is generally predictable based on the physiological changes that occur during pregnancy.
Choice C rationale
While poor bladder tone can contribute to urinary frequency, it is not the primary cause of this symptom during pregnancy.
Choice D rationale
Dismissing urinary frequency as a minor inconvenience that should be ignored is not an appropriate response. It is a common symptom of pregnancy and can be managed with appropriate strategies.
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