When should the nurse instruct a female patient using the basal ...

[kshipps]

When should the nurse instruct a female patient using the basal body temperature method of contraception to refrain from having sexual intercourse?
 
  A) Four days after noticing a temperature rise
  B) Fourteen days after the last day of the menstrual period
  C) Three days after recording a slight drop in temperature followed by an increase
  D) Three to 4 days after recording a slight increase followed by a dip in the temperature

Question 2

The nurse instructs a patient on the use of a vaginal estrogen/progestin rings (NuvaRing) for contraception. Which patient statement indicates that additional instruction is needed?
 
  A) I am to take the ring out overnight..
  B) I will leave the ring in place for 3 weeks..
  C) I leave the ring in place during intercourse..
  D) I am to use other birth control if I take the ring out for 4 hours..

[mceravolo]

Answer to Question 1

C
Feedback:
As soon as a woman notices a slight dip in temperature followed by an increase that lasts for at least 72 hours, this indicates that ovulation has occurred. The patient should not be instructed to refrain from sexual intercourse 4 days after a temperature rise, 14 days after the last menstrual period, or 3 to 4 days after a slight increase followed by a dip in the temperature.

Answer to Question 2

A
Feedback:
If the ring is removed for 4 hours for any purpose, it should be replaced with a new ring and a form of barrier protection is to be used for the next 7 days. The ring is not removed overnight. The ring is left in place for 3 weeks and then removed for menstruation during the ring-free week. The ring does not need to be removed for intercourse.