Author Question: A client has decided to use the oral contraceptive norethindrone (Ortha Micronor). How can the nurse ... (Read 13 times)

olgavictoria · **on:** Jul 23, 2018

A client has decided to use the oral contraceptive norethindrone (Ortha Micronor). How can the nurse most accurately explain the way progestin-only contraceptives help to prevent pregnancy?

1. Progestin-only pills thicken the cervical mucus and discourage the sperm from entering the uterus.
2. The pill you have decided to take prevents the egg that is in the ovary from becoming mature.
3. These pills prevent ovulation just like the combination pills do.
4. Pills that contain progestin alone prevent pregnancy by preventing the release of follicle-stimulating hormones (FSH).

Question 2

A client tells the nurse she wants to use birth control but does not want to have to wait for months before getting pregnant. Which form of birth control would allow a quick return to fertility after it is discontinued?

1. Depot injection method
2. Combination oral contraceptives
3. Transdermal delivery method
4. Mirena (intrauterine device)

Rilsmarie951 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Progestin-only pills prevent pregnancy by thickening the cervical mucus, which discourages the penetration of the uterus by sperm.
Rationale 2: Progestin-only pills do not prevent the maturation of the ovarian follicle.
Rationale 3: Progestin-only pills do not prevent ovulation.
Rationale 4: Progestin-only pills do not prevent the release of FSH.
Global Rationale: Progestin-only pills prevent pregnancy by thickening the cervical mucus, which discourages the penetration of the uterus by sperm. They do not prevent maturation of the ovarian follicle, ovulation, or release of FSH.

Answer to Question 2

Correct Answer: 4
Rationale 1: Clients who use the depot injection method need to wait at least 3 months, and sometimes up to 12 months, for fertility to be restored.
Rationale 2: Oral contraceptives provide birth control by inhibiting ovulation. It might take a few months for regular ovulation to be reestablished after the pills are discontinued.
Rationale 3: The transdermal delivery method inhibits ovulation, and it might take a few months for regular ovulation to return.
Rationale 4: The IUD Mirena may be removed at any time, and fertility returns quickly.
Global Rationale: The IUD Mirena may be removed at any time, and fertility returns quickly. Clients who use the depot injection method need to wait at least 3 months, and sometimes up to 12 months, for fertility to be restored. Oral and transdermal contraceptives provide birth control by inhibiting ovulation. It might take a few months for regular ovulation to be reestablished after these methods are discontinued.