Health Promotion and Maintenance
9. A client, who is a gravida 7, para 3, delivers a healthy 6-pound, 4-ounce infant. When an RN performs a postpartum assessment, the client states, "I hope this is our last baby because we can't afford any more children." What is the best response by the nurse?
. "You won't have to worry about getting pregnant again until you stop breastfeeding."
. "You should discuss this with your physician at your postpartum checkup."
. "Perhaps the social worker can help you find a way to budget your finances."
. "We can discuss different birth-control methods you can use."
Test-Taking Tip
The client is asking about birth control. Eliminate the answers where the nurse doesn't focus on birth control or that contain incorrect advice (Answer 1).
Content Area: Maternity, Postpartum; Integrated Process: Communication and Documentation; Cognitive Level: Application; Client Need/Subneed: Psychosocial Integrity/Therapeutic Communications
Health Promotion and Maintenance
.
Answer 1 is incorrect because breastfeeding is not a reliable method of birth control. Answer 2 is incorrect because ovulation may occur before the 6-week postpartum checkup, and may lead to an unwanted pregnancy. Answer 3 is incorrect because, although a referral to a social worker may assist in providing information about available resources, it will not prevent an unwanted pregnancy. Answer 4 is correct because it is appropriate to discuss birth control at the time when the client is asking questions and is receptive to teaching.