章节:Postpartal Care

SC
正确指数:0% 正确的次数:0 错误的次数:2 4772---The nurse is reviewing discharge instructions with a postpartum breast- feeding client who is going home. She has chosen depot medroxyprogesterone acetate (DMPA) as birth control. Which statement by the client identifies that she needs further instruction concerning birth control?

Saunders Comprehensive Review for the NCLEX-RN® Examination, 7e (Saunders Comprehensive Review for Nclex-Rn)

1. “I will wait for my 6-week checkup to get my first DMPA injection.”
2. “DMPA injections last for 90 days.”
3. “My milk supply should be well established before receiving a birth control injection.”
4. “You will give me my first DMPA injection before I leave today.”

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正确答案:
4. “You will give me my first DMPA injection before I leave today.”
解释 :
Depot medroxyprogesterone acetate (DMPA) is an injectable progestin contraceptive that can reduce the initial production of breast milk. It is given to a breast-feeding woman when she returns for the 6-week postpartum checkup. By this time, the milk supply is well established and will remain at that level. DMPA is effective as a contraceptive for 90 days. DMPA can be given within 5 days of birth only if a mother is not breast-feeding.