The nurse is planning instructions for a patient desiring to have a tubal ligation.
Which information should the nurse emphasize when teaching the patient?
The procedure will decrease her menstrual flow.
The procedure will reduce her menstrual pain.
The client should schedule it to be done just before the menstrual flow.
She must think the procedure is irreversible.
The Correct Answer is D
Choice A rationale
Tubal ligation does not decrease menstrual flow. It is a surgical procedure that blocks or seals the fallopian tubes, preventing eggs from reaching the uterus for implantation.
Choice B rationale
Tubal ligation does not reduce menstrual pain. It prevents pregnancy but does not have an effect on the menstrual cycle or associated symptoms.
Choice C rationale
The timing of the procedure in relation to the menstrual cycle is not a significant factor in tubal ligation. The procedure can be performed at any time as long as pregnancy is not present.
Choice D rationale
It is crucial to emphasize that tubal ligation is considered a permanent form of birth control. While reversal procedures exist, they are not always successful and should not be relied upon. Therefore, the decision to undergo tubal ligation should be made with the understanding that it is typically irreversible.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Gradual lordosis, or the inward curvature of the spine, is a common physiological change during pregnancy. As the baby grows and the woman’s center of gravity shifts, the spine adjusts to maintain balance.
Choice B rationale
Decreased mobility of pelvic joints is not a typical physiological change during pregnancy. In fact, the body releases the hormone relaxin during pregnancy, which allows the ligaments in the pelvic area to relax and the joints to become looser in preparation for the birth process.
Choice C rationale
Increased abdominal muscle tone is not a typical physiological change during pregnancy. In fact, as the baby grows, the abdominal muscles stretch and can even separate, a condition known as diastasis recti.
Choice D rationale
Posterior neck flexion is not a typical physiological change during pregnancy.
Correct Answer is A
Explanation
Choice A rationale
The statement “I will use only nonprescription medications while pregnant” indicates a need for further teaching. Not all nonprescription (over-the-counter) medications are safe to use during pregnancy. Some may have effects on the fetus and others may affect the course of the pregnancy.
Choice B rationale
It’s important for pregnant women to discuss any home remedies for nausea or other symptoms with their doctor, as some remedies may not be safe during pregnancy.
Choice C rationale
Monitoring weight gain during pregnancy is important as excessive or insufficient weight gain can lead to complications such as gestational diabetes, hypertension, or growth issues for the baby.
Choice D rationale
Reducing stress levels during pregnancy is beneficial for both the mother and the baby’s health. High levels of stress can lead to complications such as preterm labor and low birth weight.
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