Which issues should the nurse consider when counseling a patient ...

[tiffannnnyyyyyy]

Which issues should the nurse consider when counseling a patient on contraceptive methods?
 
  1. Cultural perspectives on menstruation and pregnancy
  2. Efficacy of the method
  3. Future childbearing plans
  4. Whether the patient is a vegetarian
  5. Age at menarche

Question 2

Which patient is not a good candidate for Depo-Provera (DMPA)?
 
  1. One who wishes to get pregnant within three months
  2. One who wishes to breastfeed
  3. One with a vaginal prolapse
  4. One who weighs 200 pounds

[atrochim]

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: Cultural and religious beliefs, practices, and sanctions must be considered when discussing contraception with patients in order to avoid insulting a patient for whom a particular type of contraceptive method is prohibited by her background.
Rationale 2: Efficacy of contraceptive methods varies and must be considered when discussing contraception with patients. When pregnancy is medically contraindicated, high-efficacy methods (such as an IUD, hormonal methods, or sterilization) should be discussed with the patient. When the patient would like to avoid pregnancy at this time, but pregnancy is not medically contraindicated, lower-efficacy methods (such as diaphragm, cervical cap, or Today sponge) could be discussed.
Rationale 3: If a patient desires children in the future, sterilization methods would be inappropriate to discuss.
Rationale 4: Vegetarianism has no impact on contraceptive method use.
Rationale 5: Age at menarche has no impact on contraceptive method use.

Answer to Question 2

Correct Answer: 1
Rationale 1: Return of fertility after the use of Depo-Provera takes an average of nine months.
Rationale 2: Studies have proven there is no harm to a breastfed baby when a woman uses Depo-Provera.
Rationale 3: There is no correlation between a vaginal prolapse and use of Depo-Provera.
Rationale 4: There is no correlation between one's weight and use of Depo-Provera.

[tiffannnnyyyyyy]

TYSM

[amcvicar]

Gracias!