Author Question: A 25-year-old woman has an induced abortion with suction curettage at an ambulatory surgical center. ... (Read 112 times)

brutforce · **on:** Jun 25, 2018

A 25-year-old woman has an induced abortion with suction curettage at an ambulatory surgical center. Which instructions will the nurse include when discharging the patient?

a. Heavy vaginal bleeding is expected for about 2 weeks.
b. You should abstain from sexual intercourse for 2 weeks.
c. Contraceptives should be avoided until your reexamination.
d. Irregular menstrual periods are expected for the next few months.

Question 2

A 29-year-old patient who is trying to become pregnant asks the nurse how to determine when she is most likely to conceive. The nurse explains that

a. ovulation is unpredictable unless there are regular menstrual periods.
b. ovulation prediction kits provide accurate information about ovulation.
c. she will need to bring a specimen of cervical mucus to the clinic for testing.
d. she should take her body temperature daily and have intercourse when it drops.

uniquea123 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
Because infection is a possible complication of this procedure, the patient is advised to avoid intercourse until the reexamination in 2 weeks. Patients may be started on contraceptives on the day of the procedure. The patient should call the doctor if heavy vaginal bleeding occurs. No change in the regularity of the menstrual periods is expected.

Answer to Question 2

ANS: B
Ovulation prediction kits indicate when luteinizing hormone (LH) levels first rise. Ovulation occurs about 28 to 36 hours after the first rise of LH. This information can be used to determine the best time for intercourse. Body temperature rises at ovulation. Postcoital cervical smears are used in infertility testing, but they do not predict the best time for conceiving and are not obtained by the patient. Determination of the time of ovulation can be predicted by basal body temperature charts or ovulation prediction kits and is not dependent on regular menstrual periods.