1. 1. A client has obtained Plan B (levonorgestrel 0.75 mg, 2 tablets) as
emer- gency
contraception. After unprotected intercourse, the client calls the clinic to
ask questions
about taking the contraceptives. The nurse realizes the client needs further
explanation
when she makes which of the following responses?
1. "I can wait 3 to 4 days after intercourse to start taking these to
prevent pregnancy."
2. "My boyfriend can buy Plan B from the pharmacy if he is over 18 years
old."
3. "The birth control works by preventing ovulation or fertilization of the
egg."
,4. "I may feel nauseated and have breast tenderness or a headache after
using the
contraceptive.": 1. Plan B is a series of contraceptive pills similar in
composition to birth control
pills that have been used for the past 30 years. Plan B is the brand name
for levonorgestrel 0.75 mg. Pills are most effective if taken immediately
after unprotect- ed
intercourse and then again 12 hours later. Males can purchase this
contraceptive as long
as they are over 18 years of age. Common side effects include nausea,
breast tenderness, vertigo, and stomach pain.
CN: Physiological adaptation; CL: Evaluate
2. 2. An antenatal G 2, T 1, P 0, Ab 0, L 1 client is discussing her postpartum
plans
for birth control with her health care provider. In analyzing the
,available choices, which
of the following factors has the greatest impact on her birth control options?
1. Satisfaction with prior methods.
2. Preference of sexual partner.
3. Breast- or bottle-feeding plan.
4. Desire for another child in 2 years.: 3. Birth control plans are
influenced primarily by whether the mother is breast- or
bottle-feeding her infant. The maternal milk supply must be well
established prior to the
initiation of most hormonal birth control methods. Low-dose oral
contraceptives would
be the exception. Use of estrogen-/progesterone-based pills and
progesterone-only pills
, are commonly initiated from 4 to 6 weeks postpartum because the milk
supply is well established by this time. Prior experiences with birth
control methods have an impact on
the method chosen as do the preferences of the client's partner;
however, they are not the
most influential factors. Desire to have another child in two years would
make some methods, such as an IUD, less attractive but would still be
secondary to the choice to
breast-feed.
CN: Pharmacological and parenteral therapies; CL: Analyze
3. 3. After the nurse instructs a 20-year-old nulligravid client on how to
perform a
breast self-examination, which of the following client statements
indicates that the
teaching has been successful?
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