The nurse is discharging a client who gave birth to her first child two days ago. When discussing birth control, which question is the most important for the nurse to ask this client?
1. "Are you breastfeeding or bottle-feeding your baby?"
2. "What form of birth control does your husband want you to use?"
3. "How much weight did you gain during your pregnancy?"
4. "How soon do you plan to return to work?"
Correct Answer: 1
Rationale 1: Some types of hormonal birth control are contraindicated or should be delayed until breastfeeding is established.
Rationale 2: The choice of birth control is the client's; the husband's choice is not a priority. A more appropriate question might be whether the client has discussed birth control with anyone.
Rationale 3: Some forms of birth control can contribute to weight gain, but the amount of weight gained during the pregnancy does not affect birth control choice.
Rationale 4: The client's work plans will not affect the choice of birth control method.
Global Rationale: Some types of hormonal birth control are contraindicated or should be delayed until breastfeeding is established. The choice of birth control is the client's; the husband's choice is not a priority. A more appropriate question might be whether the client has discussed birth control with anyone. Some forms of birth control can contribute to weight gain, but the amount of weight gained during the pregnancy does not affect birth control choice. The client's work plans will not affect the choice of birth control method.
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