The most appropriate statement for introducing the topic of family planning in the postpartum setting is:
a. "What are your plans for future pregnancies?"
b. "Do you plan on being sexually active in the future?"
c. "Let's talk about birth control, because breastfeeding is not 100% effective for preventing pregnancy."
d. "Here are some pamphlets on available methods of birth control. I'll come back later and discuss them with you."
ANS: A
Discussing future pregnancy plans opens the conversation to ways of preventing pregnancy from occurring before the woman is ready. "Do you plan on being sexually active in the future?" will only provide a yes or no answer and not allow for conversation. The family needs to be ready to talk about birth control; the effect of breastfeeding on birth control is applicable only to the woman. Pamphlets are not always the best form of teaching; the woman is usually too tired and overwhelmed to read.
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