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Author Question: A patient using oral contraceptives tells the nurse that her family is complete, and she now desires ... (Read 78 times)

jho37

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A patient using oral contraceptives tells the nurse that her family is complete, and she now desires permanent contraception. Which statement should the nurse include in teaching this patient about sterilization options?
 
  1. Essure becomes effective 3 months after insertion..
  2. Vasectomy is effective immediately after the procedure..
  3. Tubal ligation cannot be performed until the patient is age 35..
  4. Oral contraception should be taken until menopause..

Question 2

The nurse is working with a new mother who follows Muslim traditions. Which expectations and actions are appropriate for this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
 
  Select all that apply. 1. Be sure she gets a kosher diet.
  2. Expect that most visitors will be women.
  3. Uncover only the necessary skin when assessing.
  4. The father will take an active role in infant care.
  5. She will prefer a male physician.



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EAN94

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Answer to Question 1

1
Rationale 1: The insertion of Essure creates a tissue response that results in tubal occlusion in about 3 months.
Rationale 2: Vasectomy requires several ejaculations to clear the remaining sperm from the vas deferens before sterility occurs.
Rationale 3: Tubal ligation can be performed at any age.
Rationale 4: Oral contraceptives are effective, but the patient desires a permanent method.

Answer to Question 2

2,3,4
Rationale 1: A kosher diet is appropriate for Jewish women, not Muslims. Although many of the dietary laws are similar, kosher laws are not appropriate for a Muslim patient.
Rationale 2: In Muslim cultures, childrearing and infant care are handled largely by the mother and female relatives, and the father might be only minimally involved.
Rationale 3: Modesty is very important to Muslims. The patient should be draped with the bed covers during the postpartum assessment.
Rationale 4: In Muslim cultures, childrearing and infant care are handled largely by the mother and female relatives, and the father might be only minimally involved.
Rationale 5: Because of modesty and the restrictions against touching and being touched by males who are not the spouse, most Muslim women highly prefer female care providers.





 

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