A nurse is working with women and issues of reproductive health ...

[cool]

A nurse is working with women and issues of reproductive health practices to help meet the National Health Goals related to reproductive life planning. Which goals are included in this document? (Select all that apply.)
 
  A.
  Increase the number of private pharmacies that supply emergency contraception.
  B.
  Increase the proportion of subsequent births to 18 months from 12 months.
  C.
  Increase the proportion of young males who receive reproductive health care.
  D.
  Reduce the number of publicly funded family planning clinics that offer abortion.
  E.
  Reduce the proportion of women with unplanned pregnancy despite contraception.

Question 2

The family planning clinic nurse reviews the signs and symptoms of toxic shock syndrome (TSS) with a patient who is being fitted for a diaphragm.
 
  The nurse explains that the patient should promptly seek medical attention if she develops which of the following manifestations? (Select all that apply.)
 
  A.
  Develops a generalized red rash
  B.
  Develops a fever over 101.1 F (38.4 C)
  C.
  Experiences difficulty breathing
  D.
  Feels lightheaded, is dizzy, or has chills
  E.
  Has swelling of the face or neck

[janeli]

Answer to Question 1

ANS: C, E
Several of the National Health Goals are related to reproductive life planning. Two of them include increasing the proportion of young males who receive reproductive health services and reducing the proportion of women experiencing unplanned pregnancies despite using contraception. Another goal is to increase the number of publicly funded family planning clinics (not private pharmacies) that offer the full range of FDA-approved methods of contraception, including emergency contraception, on site. Another goal is to decrease the proportion of pregnancies conceived within 18 months of a previous birth.

Answer to Question 2

ANS: A, B, D
The diaphragm should not be used during menses due to the risk of toxic shock syndrome (TSS), a rare, sometimes fatal disease caused by toxins produced by certain strains of the bacterium Staphylococcus aureus. Common signs of TSS include fever of sudden onset greater than 38.4 C (101.1 F), rash, and hypotension with a systolic blood pressure less than 90 mm Hg, leading to dizziness or lightheadedness. Shortness of breath and facial swelling do require medical attention but are not related to TSS.