A nurse is providing education to a patient about implantable progestin.
Which of the following statements made by the patient indicates a need for further teaching?
"I know I should use condoms to protect against STIs.".
"I understand that I may experience irregular and unpredictable menstruation.".
"I know that the implant can be inserted immediately after childbirth.".
"I won't have to worry about pregnancy for three years with this method.".
The Correct Answer is C
The correct answer is choice C. The patient needs further teaching if they think that the implant can be inserted immediately after childbirth. According to Mayo Clinic, the implant should not be inserted until at least 21 days after giving birth, or until the milk supply is well established if breastfeeding.
Inserting the implant too soon may increase the risk of blood clots or decrease milk production.
Choice A is correct because condoms are still needed to protect against STIs, even if using the implant as a birth control method. Choice B is correct because irregular and unpredictable menstruation is a common side effect of the implant. Choice D is correct because the implant can prevent pregnancy for up to three years.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E"]
Explanation
The correct answer is choice B and E.Bilateral tubal ligation (BTL) is a permanent form of contraception that involves cutting, tying or blocking the fallopian tubes to prevent pregnancy.It can be performed within 24 hours following childbirthand it is immediately effective.
Choice A is wrong because BTL does not provide protection against sexually transmitted infections (STIs).
People who have BTL should still use condoms to prevent STIs.
Choice C is wrong because BTL does not increase the risk for an ectopic pregnancy.
An ectopic pregnancy is when a fertilized egg implants outside the uterus, usually in the fallopian tube.
BTL prevents fertilization by blocking the passage of eggs and sperm.
Choice D is wrong because BTL does not require abdominal surgery with general anesthesia.
BTL can be done using different methods, such as laparoscopy, minilaparotomy, or hysteroscopy.
These methods use small incisions or no incisions at all and can be done with local or regional anesthesia.
Correct Answer is C
Explanation
The correct answer is choice C.Foul-smelling vaginal discharge is a sign of a possible infection, which can be a complication of using a copper IUD.
The nurse should instruct the client to report this symptom and seek medical attention.
Choice A is wrong because increased menstrual pain and bleeding are common side effects of copper IUDs, especially in the first 3-6 months after insertion.
They are not necessarily signs of a complication.
Choice B is wrong because irregular spotting or bleeding are also common side effects of copper IUDs.
They are not necessarily signs of a complication.
Choice D is wrong because a change in string length is not a sign of a complication.
The string length may vary depending on the position of the cervix and uterus.The client should check the string length regularly and report any missing or protruding strings, which could indicate displacement of the IUD.
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