A patient who was raped is in the emergency department. She asks ...

[beccaep]

A patient who was raped is in the emergency department. She asks the nurse what her alternatives are for emergency contraception. The nurse tells her she can: Note: Credit will be given only if all correct and no incorrect choices are selected.
 
  Select all that apply. 1. Take levonorgestrel and ethinyl estradiol.
  2. Have Essure implanted.
  3. Have a laparoscopic tubal ligation.
  4. Take levonorgestrel alone, but in a high dose.
  5. Take high doses of male hormones.

Question 2

The nurse is providing discharge teaching to a woman who delivered her first child 2 days ago. The nurse understands that additional information is needed if the patient makes which statement?
 
  1. I should expect a lighter flow next week.
  2. The flow will increase if I am too active.
  3. My bleeding will remain red for about a month.
  4. I will be able to use a pantiliner in a day or two.

[jrpg123456]

Answer to Question 1

1,4
Rationale 1: null
Rationale 2: Essure is a method of permanent sterilization.
Rationale 3: A laparoscopic tubal ligation is a method of sterilization, not emergency contraception.
Rationale 4: null
Rationale 5: Taking a high dose of male hormones is not a method of emergency contraception.

Answer to Question 2

3
Rationale 1: Lochia should gradually diminish in amount and change to a lighter brownish or pinkish color. A week after delivery, the flow is noticeably lighter compared with the lochia on the second postpartum day.
Rationale 2: Too much activity often leads to an increase in the amount of lochia.
Rationale 3: By the second postpartum day, the lochia should no longer be bright red.
Rationale 4: By day three, the amount of lochia shed is very small and requires only a pantiliner for protection.

[beccaep]

TYSM

[bitingbit]

Excellent