To prevent pregnancy in a patient who has been sexually ...

[2125004343]

To prevent pregnancy in a patient who has been sexually assaulted, the nurse in the emergency department will plan to teach the patient about the use of
 
  a. mifepristone (RU-486).
  b. dilation and evacuation.
  c. methotrexate with misoprostol.
  d. levonorgestrel (Plan-B One-Step).

Question 2

Which information will the nurse include when teaching a patient who has developed a small vesicovaginal fistula 2 weeks into the postpartum period?
 
  a. Take stool softeners to prevent fecal contamination of the vagina.
  b. Limit oral fluid intake to minimize the quantity of urinary drainage.
  c. Change the perineal pad frequently to prevent perineal skin breakdown.
  d. Call the health care provider immediately if urine drains from the vagina.

[sokh]

Answer to Question 1

ANS: D
Plan B One-Step reduces the risk of pregnancy when taken within 72 hours of intercourse. The other methods are used for therapeutic abortion, but not for pregnancy prevention after unprotected intercourse.

Answer to Question 2

ANS: C
Because urine will leak from the bladder, the patient should plan to use perineal pads and change them frequently. A high fluid intake is recommended to decrease the risk for urinary tract infections. Drainage of urine from the vagina is expected with vesicovaginal fistulas. Fecal contamination is not a concern with vesicovaginal fistulas.

[2125004343]

Excellent

[shailee]

TYSM