A postpartum woman has been given DMPA suspension (Depo-Provera) ...

[karlynnae]

A postpartum woman has been given DMPA suspension (Depo-Provera) after delivery as contraception. Teaching should include which point(s)? (Select all that apply.)
 
  a. The injection is given every 6 months to prevent pregnancy.
  b. Add a calcium supplement or increase dietary calcium to prevent osteoporosis.
  c. There are no side effects associated with the use of this drug.
  d. Massage injection site to increase contraceptive effects.
  e. Exercise is important to minimize risk of osteoporosis.
  f. Contraceptive effects may last up to 1 year following last injection.

Question 2

When teaching a class regarding family planning, the nurse includes information regarding the least effective methods of contraception. Which method(s) would be included in the discussion? (Select all that apply.)
 
  a. Coitus interruptus
  b. Tubal ligation
  c. Postcoital douche
  d. Vasectomy
  e. Breastfeeding

[amcvicar]

Answer to Question 1

ANS: B, E, F
Additional calcium and regular exercise are important to prevent osteoporosis, although bone density recovers after discontinuation of the drug. Contraceptive effects may last up to 1 year. The injections are given every 3 months, and the side effects are similar to those of subcutaneous implants (e.g., menstrual spotting, headache, weight gain). The injection sites should not be massaged to avoid altering absorption rate.

Answer to Question 2

ANS: A, C, E
Coitus interruptus (withdrawal), postcoital douche, and breastfeeding are the least effective contraceptive measures. Coitus interruptus: fluid escaping from the penis before ejaculation contains sperm. In addition, sperm may be deposited on the skin near the vulva and still enter the vagina, resulting in pregnancy. Postcoital douche: sperm can reach the fallopian tube in a short time, and, once there, fertilization may occur and cannot be prevented by douching. Breastfeeding: prolactin inhibits ovulation, but prolactin levels decrease in 4 to 6 months and ovulation returns, even without return of menses. Tubal ligation and vasectomy are both surgical methods of birth control that are extremely effective.

[karlynnae]

Correct answers!

[amcvicar]

Great! Please up vote