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A young couple is exploring their contraceptive options
and are curious about using an intrauterine contraceptive
device. As their nurse you explain there are two types,
one which uses hormones and the other one uses:
a. Copper
b. Potassium
c. Silicone
d. Magnesium - ANSWER>>>a. Copper
(Rationale: The ParaGard-TCu-380A is approved for 10
years and is nonhormonal. Its mechanism of action is
based on the release of copper ions, which are
spermicidal.)
A couple has chosen fertility awareness as their method of
contraception. The nurse explains that the unsafe period
for them during the menstrual cycle would be which of
the following?
a. Midway between the normal menstrual cycle
,b. Three days before and three days after ovulation
c. Five days after the first day of the menstrual cycle
d. Six days before the onset of menstruation -
ANSWER>>>b. Three days before and three days after
ovulation
(Rationale: Typically, the unsafe period during the
menstrual cycle is approximately three days before and
three days after ovulation. An ovum is released from the
ovary 14 days before the next menstrual period in a 28-
day cycle.)
A woman is to receive methotrexate and misoprostol to
terminate a first-trimester pregnancy. When preparing the
teaching plan for this client, the nurse understands that
misoprostol works by:
a. Acting as a toxin to the trophoblastic tissue
b. Causing uterine contractions to expel the uterine
contents
c. Blocking the action of progesterone on the
endometrium
d. Dilating the cervix - ANSWER>>>b. Causing uterine
contractions to expel the uterine contents
(Rationale: Misoprostol works by causing uterine
contractions, which help to expel the uterine contents. It
has no effect on cervical dilation. Methotrexate is toxic to
trophoblastic tissue. Mifepristone blocks the action of
, progesterone, which is responsible for preparing the
endometrium for implantation and then maintenance of
the pregnancy.)
The client presents with complaints of possible PMDD.
According to the American Psychiatric Association,
which of the symptoms are typical for this disorder?
(Select all that apply.)
a. Sleep difficulties
b. Diarrhea
c. Affective liability
d. Dysuria - ANSWER>>>a. Sleep difficulties
b. Diarrhea
c. Affective liability
(Rationale: According to the American Psychiatric
Association, a woman must have at least five of the
typical symptoms to be diagnosed with PMDD. These
must occur during the week before and a few days after
the onset of menstruation and must include one or more of
the first four symptoms: affective liability; anxiety and
tension; persistent or marked anger or irritability;
depressed mood, feelings of hopelessness; difficulty
concentrating; sleep difficulties; increased or decreased
appetite; increased or decreased sexual desire; chronic
fatigue; headache; constipation or diarrhea; or breast
tenderness and swelling.)