A patient who is 36 years old, weighs 200 pounds, is monogamous, ...

[cdr_15]

A patient who is 36 years old, weighs 200 pounds, is monogamous, and does not smoke desires birth control. The nurse understands that which contraceptive method is inappropriate for this patient?
 
  1. Intrauterine device
  2. Vaginal sponge
  3. Combined oral contraceptives
  4. Transdermal hormonal contraception

Question 2

The nurse prepares the second diphtheria,tetanus toxoid,and acellular pertussis (DTaP) and second inactivated polio vaccine (IPV) immunization injections for an infant who is 4 months old
 
  Provided a separate injection site is used for all injections,the nurse also may give which of the following
  immunizations during the same wellchild-care appointment?
  1. Var (varicella)
  2. TIV (influenza)
  3. MMR (measles,mumps,rubella)
  4. Haemophilus influenza type B (HIB)

[lkanara2]

Answer to Question 1

4
Rationale 1: This patient may use an intrauterine device.
Rationale 2: This patient may use the vaginal sponge.
Rationale 3: This patient may use combined oral contraceptives.
Rationale 4: Transdermal hormonal contraception is contraindicated because of the patient's obesity.

Answer to Question 2

Answer:4
Rationale:Haemophilus influenza type B (HIB) vaccine is given at 2,4,6,and
1215 months of age (four doses).None of the other vaccines can be given to a 4-month-old infant.Influenza (TIV) vaccine may be given yearly to infants between 6 months and 3 years of age.Measles,mumps,and rubella (MMR) vaccine is given at 1215 months and 46 years of age (two doses). Varicella (Var) is given at 1218 months or any time up to 12 years for one dose;for 13 years and older two doses are given,four to eight weeks apart.