A woman with a contraceptive implant reports irregular spotting during the first months of use. Which response is appropriate?
Correct answer: A. Irregular bleeding can occur and does not usually mean failure
- A. Irregular bleeding can occur and does not usually mean failure
- B. The implant must be removed because spotting proves infection
- C. The woman should take extra implant rods to stop the bleeding
- D. The bleeding confirms that ovulation is occurring every month
Explanation
Irregular spotting or bleeding is a common effect of progestin implants and does not usually indicate reduced contraceptive effectiveness. The nurse should assess troublesome or persistent bleeding, but routine spotting alone does not prove infection or implant failure.
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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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