A nurse working in a family planning clinic is preparing to ...

[captainjonesify]

A nurse working in a family planning clinic is preparing to administer a first dose of intramuscular DMPA (Depo-Provera) to a young adult patient. The woman tells the nurse she has just finished her period. What will the nurse do?
 
  a. Administer the injection today and counsel backup contraception for 7 days.
  b. Administer the injection today and tell her that protection is immediate.
  c. Obtain a pregnancy test to rule out pregnancy before administering the drug.
  d. Schedule an appointment for her to receive the injection in 3 weeks.

Question 2

A nurse is discussing various ways to obtain a medical abortion with a patient. Which statement by the patient best demonstrates understanding of mifepristone (RU 486) (Mifeprex)? This drug is most effective if I use it:
 
  a. before the first missed menstrual period.
  b. the day after unprotected intercourse.
  c. within 7 weeks of conception.
  d. immediately after ovulation.

[Alyson.hiatt@yahoo.com]

Answer to Question 1

ANS: D
To ensure that patients are not pregnant when they receive DMPA, the first injection should be given during the first 5 days of a normal menstrual period.

Answer to Question 2

ANS: C
Mifepristone is most effective if it is used within 7 weeks of conception. The timing specified in the other responses is incorrect.

[captainjonesify]

TY

[Alyson.hiatt@yahoo.com]

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