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Read Chart Tab with patient history and select all that apply.

Based on the client's history and preferences, which contraceptive methods would be most appropriate for the nurse to recommend? (Select All that Apply).

Progestin-only pills (mini-pill)

Combined oral contraceptive pilis (COCs)

Copper intrauterine device (Paragard)

Nexplanon (subdermal implant)

Male condoms

Depo-Provera (DMPA) injection every 3 months

Fertility awareness methods

Answer and Explanation

Correct Answer : C,D,E,F

A. Progestin-only pills (mini-pill): Although safer than combined oral contraceptives for smokers, this option requires strict daily adherence at the same time each day. Because the client frequently forgets to take daily medications, this method is not ideal for her lifestyle.

B. Combined oral contraceptive pills (COCs): COCs are contraindicated in women under 35 who smoke due to an increased risk of thromboembolic events. Additionally, her difficulty with medication adherence makes this method unreliable and potentially unsafe.

C. Copper intrauterine device (Paragard): The copper IUD is hormone-free, highly effective, and long-acting for up to 10 years. It requires minimal maintenance once inserted, making it an excellent choice for a young woman seeking long-term contraception without daily responsibility.

D. Nexplanon (subdermal implant): This implant provides up to 3 years of highly effective contraception and requires no daily action. It is safe for smokers and ideal for clients preferring a low-maintenance option.

E. Male condoms: Condoms are accessible, protect against sexually transmitted infections, and can be used in combination with another method for dual protection. They are an appropriate recommendation for any sexually active individual.

F. Depo-Provera (DMPA) injection every 3 months: The Depo-Provera injection offers long-acting contraception with infrequent dosing. It is a suitable choice for someone who forgets daily pills and is safe for smokers, though it requires quarterly clinic visits.

G. Fertility awareness methods: These methods require consistent tracking of ovulation signs and daily attention. Given the client’s history of irregular menses and difficulty with daily adherence, this method would be unreliable and inappropriate.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. The false pelvis forms the bony canal through which the fetus passes during birth: The bony birth canal is formed by the true pelvis, not the false pelvis. The true pelvis encloses the pelvic inlet, midpelvis, and outlet—structures essential for fetal passage during labor.

B. The true pelvis supports the intestines and helps direct the fetus into the pelvic inlet: The true pelvis does not primarily support the intestines; instead, it provides the pathway through which the fetus must navigate during delivery. It forms the lower, curved portion of the pelvis involved in childbirth.

C. The false pelvis is located above the pelvic brim and is not directly involved in childbirth: The false pelvis lies superior to the pelvic brim and mainly supports abdominal organs such as the intestines. It plays a minimal role in labor mechanics since it does not contribute to the bony canal through which the fetus passes.

D. The true pelvis lies above the pelvic brim and provides structural support to abdominal organs: The true pelvis is actually located below the pelvic brim and encloses the pelvic cavity, which forms the birth canal. It is the false pelvis that supports the abdominal organs.

Correct Answer is ["Human chorionic gonadotropin (hCG)"]

Explanation

Pregnancy tests work by detecting the hormone human chorionic gonadotropin (hCG), which is produced by trophoblastic cells of the developing placenta shortly after implantation. hCG maintains the corpus luteum, allowing continued secretion of progesterone to support the early pregnancy. Its levels rise rapidly in the first trimester, making it a reliable indicator of pregnancy in both urine and blood samples.

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Read Chart Tab with patient history and select all that apply. Based on the client's history and preferences, which contraceptive methods would be most appropriate for the nurse to recommend? (Select All that Apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement accurately describes the difference between the true pelvis and the false pelvis in relation to labor and delivery?

Correct Answer is C

Explanation

A client presents to the clinic reporting a missed period and a positive home pregnancy test. The nurse explains the mechanism of pregnancy tests detect the presence of _________ in urine or blood.

Correct Answer is ["Human chorionic gonadotropin (hCG)"]

Explanation

Read Chart Tab with patient history and select all that apply. Based on the client's history and preferences, which contraceptive methods would be most appropriate for the nurse to recommend? (Select All that Apply).

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Read Chart Tab with patient history and select all that apply.

Based on the client's history and preferences, which contraceptive methods would be most appropriate for the nurse to recommend? (Select All that Apply).