A client has decided to use the transdermal delivery method of ...

[EAugust]

A client has decided to use the transdermal delivery method of contraception. What would contraindicate the use of this method?
 
  1. The client has a history of blood clots.
  2. The client exercises three times a week.
  3. The client takes aspirin 81 mg every day.
  4. The client has a history of scarlet fever.

Question 2

The nurse is discharging a client who gave birth to her first child two days ago. When discussing birth control, which question is the most important for the nurse to ask this client?
 
  1. Are you breastfeeding or bottle-feeding your baby?
  2. What form of birth control does your husband want you to use?
  3. How much weight did you gain during your pregnancy?
  4. How soon do you plan to return to work?

[allisonblackmore]

Answer to Question 1

Correct Answer: 1
Rationale 1: The transdermal delivery method uses estrogen and progestin for contraception. These drugs increase the chances of blood clots, so a person with a history of blood clots should not use this medication.
Rationale 2: Exercise is not contraindicated in the use of this contraceptive method.
Rationale 3: Aspirin is not contraindicated with the use of this contraceptive method.
Rationale 4: A history of scarlet fever does not contraindicate the use of a hormonal method of contraception.
Global Rationale: The transdermal delivery method uses estrogen and progestin for contraception. These drugs increase the chances of blood clots, so a person with a history of blood clots should not use this medication. Exercise and the use of aspirin are not contraindicated in the use of this contraceptive method. A history of scarlet fever does not contraindicate the use of a hormonal method of contraception.

Answer to Question 2

Correct Answer: 1
Rationale 1: Some types of hormonal birth control are contraindicated or should be delayed until breastfeeding is established.
Rationale 2: The choice of birth control is the client's; the husband's choice is not a priority. A more appropriate question might be whether the client has discussed birth control with anyone.
Rationale 3: Some forms of birth control can contribute to weight gain, but the amount of weight gained during the pregnancy does not affect birth control choice.
Rationale 4: The client's work plans will not affect the choice of birth control method.
Global Rationale: Some types of hormonal birth control are contraindicated or should be delayed until breastfeeding is established. The choice of birth control is the client's; the husband's choice is not a priority. A more appropriate question might be whether the client has discussed birth control with anyone. Some forms of birth control can contribute to weight gain, but the amount of weight gained during the pregnancy does not affect birth control choice. The client's work plans will not affect the choice of birth control method.

[EAugust]

Thanks

[allisonblackmore]

Welcome