HESI PRACTICE MATERNITY V1 Questions And Verified Answers With Rationales | Already Passed | Latest Update

HESI PRACTICE MATERNITY V1 Questions And Verified Answers With Rationales | Already Passed | Latest Update 1. A client has obtained Plan B (levonorgestrel 0.75 mg, 2 tablets) as emergency contraception. After unprotected intercourse, the client calls the clinic to ask questions about taking the contraceptives. The nurse realizes the client needs further explanation when she makes which of the following responses? 1. "I can wait 3 to 4 days after intercourse to start taking these to prevent pregnancy." 2. "My boyfriend can buy Plan B from the pharmacy if he is over 18 years old." 3. "The birth control works by preventing ovulation or fertilization of the egg." 4. "I may feel nauseated and have breast tenderness or a headache after using the contraceptive." - ANSWER 1. Plan B is a series of contraceptive pills similar in composition to birth control pills that have been used for the past 30 years. Plan B is the brand name for levonorgestrel 0.75 mg. Pills are most effective if taken immediately after unprotected intercourse and then again 12 hours later. Males can purchase this contraceptive as long as they are over 18 years of age. Common side effects include nausea, breast tenderness, vertigo, and stomach pain. CN: Physiological adaptation; CL: Evaluate 2. An antenatal G 2, T 1, P 0, Ab 0, L 1 client is discussing her postpartum plans for birth control with her health care provider. In analyzing the available choices, which of the following factors has the greatest impact on her birth control options? 1. Satisfaction with prior methods. 2. Preference of sexual partner. 3. Breast- or bottle-feeding plan. 4. Desire for another child in 2 years. - ANSWER 3. Birth control plans are influenced primarily by whether the mother is breast- or bottle-feeding her infant. The maternal milk supply must be well established prior to the initiation of most hormonal birth control methods. Low-dose oral contraceptives would be the exception. Use of estrogen-/progesterone-based pills and progesterone-only pills are commonly initiated from 4 to 6 weeks postpartum because the milk supply is well established by this time. Prior experiences with birth control methods have an impact on the method chosen as do the preferences of the client's partner; however, they are not the most influential factors. Desire to have another child in two years would make some methods, such as an IUD, less attractive but would still be secondary to the choice to breast-feed. CN: Pharmacological and parenteral therapies; CL: Analyze 3. After the nurse instructs a 20-year-old nulligravid client on how to perform a breast self-examination, which of the following client statements indicates that the teaching has been successful? 1. "I should perform breast self-examination on the day my menstrual flow begins." 2. "It's important that I perform breast self-examination on the same day each month." 3. "If I notice that one of my breasts is much smaller than the other, I shouldn't worry." 4. "If there is discharge from my nipples, I should call my health care provider." - ANSWER 4. The nurse determines that the client has understood the instructions when the client says that she will notify her primary health care provider if she notices discharge or bleeding because this may be symptomatic of underlying disease. Ideally, breast selfexamination should be performed about 1 week after the onset of menses because hormonal influences on breast tissue are at a low ebb at this time. The client should perform breast self-examination on the same day each month only if she has stopped menstruating (as with menopause). The client's breasts should mirror each other. If one breast is significantly larger than the other, or if there is "pitting" of breast tissue, a tumor may be present. CN: Reduction of risk potential; CL: Evaluat