1. A client has obtained Plan B (levonorgestrel 0.75 mg, 2 tablets) as emergency
contraception. After unprotected intercourse, the client calls the
... [Show More] 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." Correct Answer 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 unprotected
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. 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. Correct Answer 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. 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? [Show Less]