Lippincotts Q&A Review for NCLEX-RN 10th Edition.

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1. A client has obtained Plan B (levonorgestrel 0.75 mg, 2 tablets) as emergency contraception. After unprotected intercourse, the client calls the clinic to ask questions about taking the contrace... ptives. The nurse realizes the client needs further explanation when she makes which of the following responses? D 1. "I can wait 3 to 4 days after intercourse to start taking these to prevent pregnancy." D 2. "My boyfriend can buy Plan B from the pharmacy if he is over 18 years old." D 3. "The birth control works by preventing ovulation or fertilization of the egg." D 4. "I may feel nauseated and have breast tenderness or a headache after using the contraceptive." 2. An antenatal G 2, T 1, P 0, Ab 0, L 1 client is discussing her postpartum plans for birth control with her health care provider. In analyzing the available choices, which of the following factors has the greatest impact on her birth control options? D 1. Satisfaction with prior methods. D 2. Preference of sexual partner. D 3. Breast- or bottle-feeding plan. D 4. History of clotting disease. 30 3. After the nurse instructs a 20-year-old nulligravid client on how to perform a breast selfexamination, which of the following client statements indicates that the teaching has been successful? D 1. "I should perform breast self-examination on the day my menstrual flow begins." D 2. "It's important that I perform breast selfexamination on the same day each month." D 3. "If I notice that one of my breasts is much smaller than the other, I shouldn't worry." D 4. "If there is discharge from my nipples, I should call my health care provider." 4. Assessment of a 16-year-old nulligravid client who visits the clinic and asks for information on contraceptives reveals a menstrual cycle of 28 days. The nurse formulates a nursing diagnosis of Deficient knowledge related to ovulation and fertility management. Which of the following would be important to include in the teaching plan for the client? D 1. The ovum survives for 96 hours after ovulation, making conception possible during this time. D 2. The basal body temperature falls at least 0.2° F after ovulation has occurred. D 3. Ovulation usually occurs on day 14, plus or minus 2 days, before the onset of the next menstrual cycle. D 4. Most women can tell they have ovulated because of severe pain and thick, scant cervical mucus. [Show More]

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