The graduate nurse (GN) is reinforcing teaching for a client who is initiating contraception with the etonogestrel and ethinyl estradiol vaginal ring. Which statement by the GN would require the nurse preceptor to intervene?

Question

The graduate nurse (GN) is reinforcing teaching for a client who is initiating contraception with the etonogestrel and ethinyl estradiol vaginal ring.  Which statement by the GN would require the nurse preceptor to intervene?

Quizplus · Accepted Answer

11ecbb05_ccba_af86_b433_833da4e456a2_MD0009_00 The etonogestrel and ethinyl estradiol vaginal ring (NuvaRing) is a combined hormonal contraceptive. The client inserts the ring into the posterior vagina, though positioning is not crucial. Unlike some contraceptives that are placed vaginally (eg, diaphragm, cervical cap), the ring is not a barrier method and requires time for hormone absorption. For clients initiating contraception with the etonogestrel and ethinyl estradiol vaginal ring, abstinence or a barrier method (eg, condom) is necessary during the first 7 days of use until hormones produce their full contraceptive effect (Option C). (Option A) Hormones from the vaginal ring are absorbed into circulation through the vaginal mucosa and work systemically to prevent ovulation. (Option B) If the ring is displaced (eg, during intercourse or bowel movements), it should be rinsed and placed back in the vagina within 3 hours; otherwise, backup contraception is required for 1 week. (Option D) The client should insert and leave the ring in place for 3 weeks. When the client removes the ring, withdrawal bleeding occurs. The client should place a new ring after 7 hormone-free days. Educational objective: The client using the etonogestrel and ethinyl estradiol vaginal ring (NuvaRing) for contraception absorbs hormones systemically through the vaginal mucosa and leaves the ring in place for 3 weeks before removing it for the fourth. A barrier method (eg, condom) is necessary for 7 days when initiating contraception or if the ring is removed from the vagina for >3 hours.

The Graduate Nurse (GN) Is Reinforcing Teaching for a Client