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A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?

"My monthly menstrual period will be shorter."

"Premenstrual tension will no longer be present."

"Hormone replacements will be needed following this procedure."

"Ovulation will remain the same."

Answer and Explanation

The Correct Answer is D

Rationale:

A. Tubal ligation does not typically affect the length of menstrual periods.

B. While tubal ligation may prevent pregnancy, it does not directly impact premenstrual tension.

C. Hormone replacement therapy is not typically indicated following tubal ligation unless there are other underlying medical reasons for hormone imbalance.

D. "Ovulation will remain the same" is correct. Tubal ligation prevents pregnancy by blocking the fallopian tubes, but it does not affect ovulation. Therefore, the client will continue to ovulate normally after the procedure.

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Correct Answer is C

Explanation

Rationale:

A. "You should use an oil-based vaginal lubricant when inserting your diaphragm." Incorrect.

Oil-based lubricants can weaken latex diaphragms, increasing the risk of breakage. Water-based lubricants are recommended instead.

B. "You should keep the diaphragm in place for at least 4 hours after intercourse." Incorrect.

Diaphragms should be left in place for at least 6 hours after intercourse but not longer than 24 hours.

C. "You should have your provider refit you for a new diaphragm."

Correct answer. After childbirth, the size and shape of the cervix may change, affecting the fit of the diaphragm. Therefore, it's important to have the diaphragm refitted by a healthcare provider.

D. "You should store your diaphragm in sterile water after each use." Incorrect. Diaphragms should be cleaned and dried thoroughly after each use and stored in a cool, dry place, not in sterile water.

A. BP 120/70 mm Hg B. Cool clammy skin C. Moderate lochia serosa D. Heart rate 89/min

Correct Answer is B

Explanation

Rationale:

A. A blood pressure of 120/70 mm Hg is within the normal range for a postpartum client and does not require immediate reporting to the provider.

B. Cool clammy skin may indicate hypoperfusion or inadequate blood flow, which could be a sign of hemorrhage or other circulatory issues. This finding should be reported promptly for further evaluation and intervention.

C. Moderate lochia serosa is a normal finding in the early postpartum period and does not typically require immediate reporting.

D. A heart rate of 89/min is within the normal range for a postpartum client and does not require immediate reporting to the provider.

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A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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