A 34-year-old woman who is discussing contraceptive options with ...

[CBme]

A 34-year-old woman who is discussing contraceptive options with the nurse says, I want to have children, but not for a few years. Which response by the nurse is appropriate?
 
  a. If you do not become pregnant within the next few years, you never will.
  b. You may have more difficulty becoming pregnant after about age 35.
  c. You have many years of fertility left, so there is no rush to have children.
  d. You should plan to stop taking oral contraceptives several years before you want to become pregnant.

Question 2

The nurse in the outpatient clinic notes that the following patients have not received the human papillomavirus (HPV) vaccine. Which patients should the nurse plan to teach about benefits of the vaccine (select all that apply)?
 
  a. 24-year-old man who has a history of genital warts
  b. 18-year-old man who has had one male sexual partner
  c. 28-year-old woman who has never been sexually active
  d. 20-year-old woman who has a newly diagnosed Chlamydia infection
  e. 30-year-old woman whose sexual partner has a history of genital warts

[briezy]

Answer to Question 1

ANS: B
The probability of successfully becoming pregnant decreases after age 35, although some patients may have no difficulty in becoming pregnant. Oral contraceptives do not need to be withdrawn for several years for a woman to become pregnant. Although the patient may be fertile for many years, it would be inaccurate to indicate that there is no concern about fertility as she becomes older. Although the risk for infertility increases after age 35, not all patients have difficulty in conceiving.

Answer to Question 2

ANS: A, B, D
The HPV vaccines are recommended for male and female patients between ages 9 through 26. Ideally, the vaccines are administered before patients are sexually active, but they offer benefit even to those who already have HPV infection.

[CBme]

Thank you

[briezy]

Happy to help you