A married couple is discussing alternatives for pregnancy prevention and has asked about fertility awareness methods (FAMs). The nurse's most appropriate reply is:

a. "They're not very effective, and it's very likely you'll get pregnant."
b. "They can be effective for many couples, but they require motivation."
c. "These methods have a few advantages and several health risks."
d. "You would be much safer going on the pill and not having to worry."


B

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A FAMs are effective if used correctly by a woman with a regular menstrual cycle. The typical failure rate for all FAMs is 25% during the first year of use.
B FAMs are effective with proper vigilance of ovulatory changes in the body and adherence to coitus intervals.
C FAMs have no associated health risks.
D The use of birth control has associated health risks. In addition, taking a pill daily requires compliance on the patient's part.

Nursing

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a. How is the concept care mapping useful in teaching the nursing process? b. Does it apply critical thinking skills to the nursing process? If so, how?

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The nurse adds interventions for range-of-motion (ROM) and isometric exercises for the new patient with a stroke. The nurse's reasoning stems from her awareness that contracture formation may begin with how many days of immobilization?

a. 1 day b. 2 days c. 3 days d. 10 days

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What is an important consideration for the nurse who is communicating with a very young child?

a. Speak loudly, clearly, and directly. b. Use transition objects such as a doll. c. Disguise own feelings, attitudes, and anxiety. d. Initiate contact with the child when the parent is not present.

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