A client with four children is asking about options for permanent birth control. Which option would provide the most reliable means of long-term pregnancy prevention for this client?
1. Transdermal delivery method (Ortho-Evra)
2. Mirena IUD
3. Sterilization
4. Vaginal delivery method (NuvaRing)
Correct Answer: 3
Rationale 1: The transdermal delivery method requires the client to change the patch every 7 days and is not considered a permanent form of birth control.
Rationale 2: The Mirena IUD provides up to 5 years of birth control and would need to be replaced.
Rationale 3: When the desire to have children in the future no longer exists, sterilization of either the male or female is the most common and effective option for birth control.
Rationale 4: The vaginal delivery method requires removing the ring every 3 weeks and reinserting a new ring a week later. It is effective but not permanent.
Global Rationale: When the desire to have children in the future no longer exists, sterilization of either the male or female is the most common and effective option for birth control. The transdermal delivery method requires the client to change the patch every 7 days and is not considered a permanent form of birth control. The vaginal delivery method requires removing the ring every 3 weeks and reinserting a new ring a week later. It is effective but not permanent. The Mirena IUD provides up to 5 years of birth control and would need to be replaced.
You might also like to view...
A patient receives a new prescription for fluvoxamine (Luvox). What will the nurse instruct the patient about taking the medication?
A) Take medication after eating breakfast. B) Take medication with at least 8 ounces of liquid. C) The dosage may need to be increased if the patient is not feeling better in 2 weeks. D) The medication should be taken once a day before bedtime.
A coal-fired energy plant is built next to a residential area. Since the plant opened the population health nurse notes an increase in respiratory diseases in individuals who live close to the plant. What should the nurse use to explain this phenomenon?
1. Urban sprawl. 2. Poor land use mix. 3. The built environment. 4. The community ecological footprint.
Which of the following distinguishes care management and case management?
A) Care management involves assessment and planning. Case management emphasizes implementation and coordination of services. B) Care management is a means to control costs. Case management is confined to provision of health services. C) Care management is long term. Case management focuses on a specific episode of care. D) Care management is regulated by the National Association of Professional Geriatric Care Managers. Case management is not.
A woman in preterm labor at 30 weeks of gestation receives two 12 mg doses of betamethasone intramuscularly. The purpose of this pharmacologic treatment is to
a. Stimulate fetal surfactant production. b. Reduce maternal and fetal tachycardia associated with ritodrine administration. c. Suppress uterine contractions. d. Maintain adequate maternal respiratory effort and ventilation during magnesium sulfate therapy.