A woman wants to start a contraceptive implant but has unexplained vaginal bleeding. Which action should the nurse take first?
Correct answer: A. Refer for assessment of the abnormal bleeding
- A. Refer for assessment of the abnormal bleeding
- B. Insert the implant and ignore the bleeding
- C. Give an oestrogen dose without assessment
- D. Advise permanent sterilisation immediately
Explanation
Unexplained vaginal bleeding should be assessed before implant insertion because important causes, including pregnancy or cervical and uterine disease, may be present. The implant can be considered after appropriate evaluation and counselling.
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About Family Planning
Family planning covers fertility awareness, lactational amenorrhoea, condoms, oral pills, injectables, implants, intrauterine devices, emergency contraception, sterilisation and postpartum options. Questions address mechanisms, effectiveness, contraindications, adverse effects, counselling and follow-up, with careful distinction between contraception, emergency contraception and treatment for infertility.
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