The breastfeeding client asks the nurse about appropriate contraception. The nurse would state:
1. "Breastfeeding has many effects on sexual intercourse."
2. "IUDs are easy to use and easy to insert prior to sexual intercourse."
3. "Breastfeeding hampers ovulation, but to be safe, some form of contraception should be utilized to prevent pregnancy."
4. "Breastfeeding hampers ovulation, so no contraception is needed."
3
Rationale:
1. "Breastfeeding has many effects on sexual intercourse" is not a clear explanation. The woman might spurt milk at the time of orgasm, but otherwise there is no effect.
2. Stating that IUDs are easy to use and easy to insert prior to sexual intercourse is incorrect because IUDs can only be placed by a health care provider in a clinic situation.
3. Breastfeeding hampers ovulation, but to be safe, breastfeeding women should be given available options and allowed to choose which contraceptive method is best fits their lifestyle, financial situation, and personal preference. Breastfeeding increases the hormone prolactin, which hampers the release of the hormonal feedback system that induces ovulation. However, it is not a guarantee, and many things can interfere.
4. This is an incorrect response. Breastfeeding hampers ovulation, but to be safe, breastfeeding women should be given available options and allowed to choose which contraceptive method is best fits their lifestyle, financial situation, and personal preference.
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