Health Promotion and Maintenance
70. A client, who delivered 8 weeks ago, is exclusively breastfeeding, and asks for information on birth control methods that do not interfere with breast milk production. Which statement should indicate to a nurse that the client needs further instruction?
. "Breastfeeding itself is effective at preventing pregnancy."
. "Using condoms would be a good choice for me."
. "I can use Depo-Provera and breastfeed without problems."
. "I can use contraceptive foam for birth control."
Test-Taking Tip
This question is asking for the incorrect answer. Be careful when reading the stem so that you do not choose the first correct response rather than the incorrect response.
Content Area: Maternity, Postpartum; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Analysis; Client Need/Subneed: Health Promotion and Maintenance/Lifestyle Choices
Health Promotion and Maintenance
.
Answer 1 is correct because high prolactin levels with exclusive breastfeeding can delay ovulation for up to 6 months. However, it is a very unpredictable method of birth control. Answer 2 is incorrect because condoms are a mechanical barrier method that does not interfere with breastfeeding. Answer 3 is incorrect because Depo-Provera is an injectable form of progestin that prevents pregnancy for 3 months. It is safe for use during lactation once the milk supply is established. Answer 4 is incorrect because contraceptive foam has no hormones to affect lactation, and is safe for use during the postpartum period.