A woman has chosen the calendar method of conception control. During the assessment process, it is most important that the nurse:
1. obtain a history of menstrual cycle lengths for the last 6 to 12 months.
2. determine her weight gain and loss pattern for the previous year.
3. examine skin pigmentation and hair texture for hormonal changes.
4. explore her previous experiences with conception control.
1
1. Correct. Practice of the calendar method is based on the number of days in each cycle counting from the first day of menses. The fertile period is determined after accurately re-cording the lengths of menstrual cycles for 6 months.
2. Incorrect. Weight gain and loss may be partially related to hormonal fluctuations, but has no bearing on using the calendar method.
3. Incorrect. Integumentary changes may be related to hormonal changes, but are not indi-cators for using the calendar method.
4. Incorrect. Exploring previous experiences with conception control may demonstrate pa-tient understanding and compliancy, but is not the most important aspect to assess for discus-sion of the calendar method.
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