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38. A Mother, Who Was Lactating for Seven Months, Came to Family Planning Clinic to Take Contraceptive. A Nurse Assessed for Medical

Question

38. A mother, who was lactating for seven months, came to family planning clinic to take contraceptive. A nurse assessed for medical eligibility criteria and explained to her about the options, side effects and benefits of contraceptive for her . The mother preferred to take combined oral contraceptive. For which category of contraceptive the woman is eligible? A. Category 1 B. Category 2 C. Category 3 D. Category 4 39.A 26-year-old mother used Depo -Provers contraceptive for one year. She discontinued the contraceptive due to irregular bleeding , nausea, headache, and missing period. After three month of discontinuing the contraceptive, she became amenorriC. Her body mass index is 23.8 and blood pressure is 110/70 mmHg. What would be the priority side effect of discontinuing this contraceptive? A. Nausea B. Headache C. Amenorrhea D. Irregular bleeding 40. A multi-para woman came to family clinic for the service of contraceptive. She has repeated history of STI The nurse discussed with the woman on family planning option, benefits, side effect and time to initiate the contraceptives. What is the most priority contraceptive to be recommended for this woman? A. Sino-implant B. LNG-IUD C. CU-IUD D. Injectable

Solution

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Resposta

38. The correct answer is A. Category 1.Explanation: The woman is lactating and has no medical contraindications for combined oral contraceptives. Therefore, she falls under Category 1, which includes women who have no medical or obstetric contraindications to the use of combined oral contraceptives.39. The correct answer is C. Amenorrhea.Explanation: The priority side effect of discontinuing Depo-Provera is amenorrhea, as the woman has already experienced irregular bleeding, nausea, and headache. After three months of discontinuing the contraceptive, she became amenorrheic, which is a significant change in her menstrual cycle.40. The correct answer is B. LNG-IUD.Explanation: Given the woman's repeated history of STIs, the most suitable contraceptive option would be the Levonorgestrel Intrauterine Device (LNG-IUD). The LNG-IUD is a long-term, reversible contraceptive method that is effective in preventing STIs and does not require daily administration. It also provides benefits such as reduced menstrual bleeding and cramping.