Practice Quiz

NCLEX-PN

Category - Health Promotion

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The nurse is teaching a group of women about the calendar method, a natural family planning method. To assess whether or not the group understands the topic, the nurse asks when should a woman, who does not want to be pregnant, avoid unprotected intercourse if her menstrual cycle ranges from 26 to 28 days. Which of the following statements made by one of the women demonstrates understanding about the method?
  1. “To determine my fertile period, I need to subtract 11 days from my shortest cycle and 18 days from my longest cycle.”
  2. “I need to abstain from unprotected sex between days 14 and 16 of my menstrual cycle.”
  3. “I should abstain from sex if my vaginal discharge starts to resemble a raw egg white.”
  4. “I need to abstain from sex days 8 to 17 of my cycle.”
Explanation
Answer: D - To determine the fertile days using the calendar method, 18 days should be subtracted from the shortest menstrual cycle and 11 days from the longest cycle. If the menstrual cycle is between 26 and 28 days, the client should abstain from unprotected sex on days 8 to 17 of the cycle if she does not want to be pregnant. The other options are not correct.
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