Author Question: A female client tells the nurse about wanting to wait to start a family even though the spouse has ... (Read 111 times)

future617RT · **on:** Jun 25, 2018

A female client tells the nurse about wanting to wait to start a family even though the spouse has been hinting about it for some time. What is the best response by the nurse?

A) Maybe you should babysit a friend's child for a while to see if you really want children.
B) You and your spouse need to discuss the decision to start a family.
C) If you don't want to start a family then you don't have to.
D) What would you do if you became pregnant now?

Question 2

A nurse who is working at an obstetrics clinic is caring for a client who desires more information regarding fertility awareness-based contraceptive methods. Which statement made by the nurse provides the client with correct information?

A) Maximum fertility for the woman occurs approximately 2 days before ovulation and decreases rapidly the day after.
B) The calendar rhythm method is based on the assumption that ovulation tends to occur about 7 days before the start of the next menstrual period.
C) To use the calendar rhythm method, the woman must record her menstrual cycles for 6 months to identify the shortest and longest cycles.
D) The calendar method is the most reliable of the fertility awareness methods.

ricroger · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B

Making the decision to have children is the first step a couple makes in the process of conception. Sometimes one individual wishes to have a child but the other does not. In these situations, an open discussion is essential to reach a mutually acceptable decision. Telling the client that she does not need to start a family if she doesn't want to does not address the issue of the spouse hinting about starting a family. Asking what the client would do if she became pregnant now does not address the client's desire to wait to start a family. Suggesting the client babysit a friend's child would be a strategy to help a person decide if he or she wants to have a family but does not address the client and spouse's current issue.

Answer to Question 2

Answer: C

Fertility awareness-based methods, also known as natural family planning, are based on an understanding of the changes that occur throughout a woman's ovulatory cycle. Maximum fertility for the woman occurs approximately 6 days before ovulation and decreases rapidly the day after. The calendar rhythm method, also called the standard days method, is based on the assumption that ovulation tends to occur about 14 days before the start of the next menstrual period. To use this method, the woman must record her menstrual cycles for 6 months to identify the shortest and longest cycles. The calendar method is the least reliable of the fertility awareness methods.