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25. A lactating mother came to the family planning I clinic seeking contraception for the first time. The nurse discussed about contraception option, the benefits , and side effects. But the monitor was confused to decide the type of contraception she wants to use. What is the priority counseling approach to be applied in this condition? (Tikimt 2013/October 2020) A. Keep two-way communication B. Remain non judgmental C. Ensure privacy D. Show empathy 26.A mother who uses an Implant contraceptive came with complaints of changed bleeding pattern,headache , abdominal pain , breast tenderness ; and nausea. The mother reported that her menstruation period become sometimes absent and little in amount on other time. What is the priority intervention for this woman? (Tikimt 2013/October 2020) A. Switch contraception B. Provide counseling C. Check for pregnancy D. Remove the contraception

23. A 46-year-old woman was admitted for chemotherapy of stage IC ovarian cancer.On admission, she had persistent abdominal distension and pelvic pain. She has loss of appetite, nausea , vomiting, increased urinary urgency and frequency. What is the priority nursing management for this woman? (Hidar 20121 December 2019 ) A. Administering mild opioids B. Paracentesis for abdominal distention C. Patient education on catheterization D. Terminal stage symptom control 24. A six month lactating mother came to health center for family planning service. After assessing her eligibility and providing counseling,the nurse inserts jadelle in September 2012 E.C. Before the mother left the clinic, the nurse gave her a reminder card for return visit for removal purpose. What would be the most appropriate appointment date for the next visit?(Tikimt 2013/October2020) A. September 2014 B. September 2015 C. September 2016 D. September 2017

23. A 46-year-old woman was admitted for chemotherapy of stage IC ovarian cancer.On admission, she had persisten t abdominal and pelvic pain. She has loss of appetite, nausea , vomiting, increased urinary urgency and frequency. What is the priority nursing management for this woman? (Hidar 2012/ December 2019 ) A. Administering mild opioids B. Paracentesis for abdominal distention C. Patient education on catheterization D. Terminal stage symptom control 24. A six month lactating mother came to health center for family planning service. After assessing her eligibility and providing counseling, the nurse inserts Jadelle in September 2012 E.C. Before the mother left the clinic, the nurse gave her a reminder card for return visit for removal purpose. What would be the most appropriate appointment date for the next visit?(Tikimt 2013/October2020) A. September 2014 B. September 2015 C. September 2016 D. September 2017

12. A woman has delivered 4000g baby within 3 hours since labor starts . At the initial postpartum assessment, fundus is firm and at the level of the umbilicus.But there is heavy brighter red bleeding with occasional small clots. Vital signs are unchanged from prenatal value. What is the best next step of your intervention?(Hidar 2012/December 2019 ) A. Tell the mother it is normal having vaginal discharge after delivery B. Tell the mother it is okay as long as the bleeding is less than 500ml C. Begin aggressive intravenous fluid and oxytocic administration D. Insert speculum and explore cervix , vagina and perineum for tear 13. A 25-year-old woman delivered her baby at a health center. You attempt to deliver the placenta actively with intramuscula oxytocin but it was not successful. She starts to bleed heavily. It has been 40 minute since the delivery of the baby . Despite your attempt, the placenta neither expels out nor it shows sign of separation. What is your best intervention at this level? ( Hidar 2012/December 2019 ) A. Put her on IV fluid,give ampicilline 2 g IV . refer her B. Change oxytocin with ergometrine and attempt CCT once again C. Wait the placenta for additional 20 minutes, attempt manual removal D. Give sedative agent and prophylactic antibiotics, attempt manual removal

12. A woman has delivered 4000g baby within 3 hours since labor starts . At the initial postpartun assessment, fundus is firm and at the level of the umbilicus. But there is heavy brighter red bleeding with occasional small clots. Vital signs are unchanged from prenatal value. What is the best next step of your intervention? (Hidar 2012/December 2019 ) A. Tell the mother it is normal having vaginal discharge after delivery B. Tell the mother it is okay as long as the bleeding is less than 500ml C. Begin aggressive intravenous fluid and oxytocic administration D. Insert speculum and explore cervix , vagina and perineum for tear 13. A 25-year-olc woman delivered her baby at a health center. You attempt to deliver the placenta actively with intramuscular oxytocin but it was not successful. She starts to bleed heavily. It has been 40 minute since the delivery of the baby . Despite your attempt, the placenta neither expels out nor it shows sign of separation. What is your best intervention at this level? ( Hidar 2012/December 2019 ) A. Put her on IV fluid, give ampicilline 2 g IV , refer her B. Change oxytocin with ergometrine and attempt CCT once again C. Wait the placenta for additional 20 minutes, attempt manual removal D. Give sedative agent and prophylactic antibiotics, attempt manual removal