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A new mother who is bottle feeding says that she is happy to not have to use birth control for several months after having a baby.What should the nurse say in response?

A.

You won’t need to use it for at least 6 months.

B.

Most people don’t need it for 3 months.

C.

You might ovulate within 27 days.

D.

That’s right.

Answer and Explanation

The Correct Answer is C

Choice A rationale

 

It is incorrect to say that birth control is not needed for at least six months. Ovulation can occur much sooner, and contraception should be discussed early.

 

Choice B rationale

 

Most people do not need birth control for three months is also incorrect. Ovulation can resume as early as three weeks postpartum.

 

Choice C rationale

 

Ovulation can occur within 27 days postpartum, making it important to discuss contraception early to prevent unintended pregnancies.

 

Choice D rationale

 

Agreeing with the statement is incorrect and can lead to misinformation. It is important to provide accurate information about postpartum ovulation and contraception.

 


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Correct Answer is C

Explanation

Choice A rationale

Within 2 days after delivery is not the typical timeframe for breast milk to come in. Colostrum, the first milk, is produced immediately after birth, but mature milk usually comes in a few days later.

Choice B rationale

In about 10 days after delivery is too late for the onset of mature breast milk. Most women experience their milk coming in within the first week postpartum.

Choice C rationale

In 3 to 5 days after delivery is the correct response. This is the typical timeframe for the transition from colostrum to mature milk. During this period, the breasts may feel fuller and heavier as milk production increases.

Choice D rationale

In 6 to 8 days after delivery is later than the usual timeframe for breast milk to come in. While there can be some variation, most women experience their milk coming in within 3 to 5 days postpartum.

Correct Answer is D

Explanation

Choice A rationale

Staying home until one week after delivery is not a specific intervention for postpartum depression. Social support and monitoring are more effective strategies.

Choice B rationale

While adequate rest is important, advising to sleep as much as possible is not a targeted intervention for postpartum depression. Structured support and counseling are more beneficial.

Choice C rationale

Returning to work two weeks after delivery is not advisable for someone with a history of postpartum depression. Early return to work can increase stress and exacerbate symptoms.

Choice D rationale

Contacting a crisis counselor once a week provides structured support and monitoring, which is crucial for managing postpartum depression. Regular counseling helps in early identification and management of symptoms.

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