A female client who is 36 years old, weighs 200 pounds, is ...

[cdr_15]

A female client who is 36 years old, weighs 200 pounds, is monogamous, and does not smoke desires birth control. The nurse understands that which contraceptive method is inappropriate for this client?
 
  1. Intrauterine device
  2. Vaginal sponge
  3. Combined oral contraceptives
  4. Transdermal hormonal contraception

Question 2

A patient who wants to use the vaginal sponge method of contraception shows that she understands the appropriate usage when she makes which statement?
 
  1. I need to use a lubricant prior to insertion.
  2. I need to add spermicidal cream prior to intercourse.
  3. I need to moisten it with water prior to use.
  4. I need to leave it in no longer than 6 hours.

[jonathanballen97]

Answer to Question 1

4
Explanation: 4. Transdermal hormonal contraception is contraindicated because of the client's obesity.

Answer to Question 2

3
Rationale 1: Lubricant and spermicidal cream are not needed with the vaginal sponge.
Rationale 2: Lubricant and spermicidal cream are not needed with the vaginal sponge.
Rationale 3: To activate the spermicide in the vaginal sponge, it must be moistened thoroughly with water.
Rationale 4: The sponge can remain in place for 24 hours.