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.
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.
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