A nurse is counseling women about the lactational amenorrhea ...

[j.rubin]

A nurse is counseling women about the lactational amenorrhea method of contraception. Which of the following women would the nurse advise to use another method of contraception if pregnancy is not desired? (Select all that apply.)
 
  A.
  Baby is 5 months old and started on cereals.
  B.
  Baby is 8 months old; menses have not resumed.
  C.
  Baby is 4 months old; breastfed exclusively.
  D.
  Dad feeds 5-month-old baby the mother's stored breast milk.
  E.
  Mother uses breast pump while at work.

Question 2

A nurse is explaining contraceptive options to a young woman. What benefits of an IUD does the nurse describe? (Select all that apply.)
 
  A.
  Appropriate with dysmenorrhea
  B.
  No interference with spontaneity
  C.
  No daily attention required
  D.
  No hormonal side effects associated with the Copper T 380A
  E.
  One-time expense

[mmj22343]

Answer to Question 1

ANS: A, B
Women who wish to avoid a subsequent pregnancy should be counseled to use another form of birth control in the following situations: menstruation resumes, the frequency or duration of breastfeeding is reduced, bottle feeding or solid foods are introduced, and the baby reaches 6 months of age. Therefore, the mothers of the 5-month-old baby who has started solid food and the baby who is 8 months old should be advised to use another form of birth control. The mother of the 4-month-old who is exclusively breastfed can expect an effectiveness rate of approximately 98. The nurse needs to assess the other two situations more carefully prior to determining if the mother needs another form of birth control.

Answer to Question 2

ANS: B, C, D, E
Benefits of the IUD include no continued expense, no daily attention required, no interference with sexual pleasure or spontaneity, possible decrease in risk of endometrial cancer and ectopic pregnancy, and no hormonal side effects associated with the copper-bearing IUD. The IUD is not appropriate for women who have severe dysmenorrhea or menorrhagia.