P.B. asks you to explain the main advantages and disadvantages of the most effective
methods.
What will be an ideal response?
• Abstinence is 100% effective but requires both partners to be committed to not having any
intercourse.
• The quarterly injectable (Depo-Provera) contains progesterone only. This method requires that a
health care provider administer the contraceptive injections every 13 weeks. Side effects include
irregular bleeding and weight gain (average 5 pounds in the first year). Side effects can last long
after the last injection is given. Fertility might be delayed up to 18 months after the last injection.
• The copper IUD (ParaGard) is inserted into the uterine cavity and can be used for 10 years. Women
might notice heavier periods with more cramping.
• The levonorgestrel intrauterine system (Mirena) is inserted into the uterine cavity and works by
thickening the cervical mucus to prevent sperm from entering the upper reproductive tract. Side
effects include initial irregular bleeding. A benefit of this method is that after 4 months, menstrual
bleeding and cramping are dramatically reduced. This device must be replaced every 5 years.
• Sterilization (vasectomy and tubal ligation) is an operative procedure that permanently prevents
fertilization. Neither procedure affects sexual function. Risks are those related to surgery: bleeding,
infection, and reaction to anesthesia. Vasectomy is done with local anesthetic, can be performed
in the office, and is significantly cheaper than a tubal ligation. Tubal ligation is performed with
the patient under regional or general anesthesia in an outpatient or inpatient surgical suite.
Transcervical sterilization is the newest option for women; this involves inserting a device through
the cervix and into the uterine end of the fallopian tube. The device effectively plugs the tube. It
can be placed in the office without the risks associated with surgery and anesthesia.
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The mother of a 5-month-old child is concerned because the child cannot sit by himself. The nurse explains that sitting alone is not expected until the baby reaches what age?
a. 6 months b. 7 months c. 8 months d. 9 months
When nursing actions cause the nurse to violate the personal space of the patient, the nurse can reduce the discomfort of the patient by:
a. approaching the interaction in a professional manner. b. distracting the patient with jokes and humor. c. asking another nurse to be present at the bedside. d. assuring the patient that all people dislike invasion of personal space.
You are the clinic nurse assessing a new patient that has come in to see a physician
The assessment data that you collect reveals that the patient is a 23-year-old female weighing 175 pounds with a height of 5 feet 3 inches. Her body mass index is 31. What would she be considered? A) Average weight B) Obese C) Overweight D) Underweight
Disclosure of client information beyond the interdisciplinary team without consent of the client is a breach of:
A) Beneficence B) Confidentiality C) Duty D) Veracity