7. Did you have a baby less than 6 months ago, are you fully or nearly-fully breastfeeding, and have you had no menstrual period since then? 8. Have you abstained from sexual intercourse since your last menstrual period or delivery? 9. Have you had a miscarriage or abortion in the last 7 days? 10. Have you been using a reliable contraceptive method consistently and correctly? If the client answered YES to and she is free of signs or at one of questions 6–10 symptoms of pregnancy, you can be reasonably sure that she is not pregnant. The client can have implants inserted now. If the client began her last menstrual period within the past 7 days (5 days for she can have implants inserted now. No additional contraceptive protection Implanon), is needed. If the client began her last menstrual period more than 7 days ago (5 days for she can but instruct her that she must Implanon), have implants inserted now, use Give her condoms to use for the next condoms or abstain from sex for the next 7 days. 7 days. If the client answered NO to pregnancy cannot be out. She all of questions 6–10, must use a pregnancy test or wait until her next menstrual period to have implants inserted. Give her condoms to use in the meantime. CASES COMMENTS TASK/ACTIVITY Preparing For Implant Insertion 1 2 3 Checks to be sure client has washed her entire arm. Covers the procedure and arm support with a clean cloth. Asks client to lie on her back with arm resting on the arm support.
7. Did you have a baby less than 6 months ago, are you fully or nearly-fully breastfeeding, and have you had no menstrual period since then? 8. Have you abstained from sexual intercourse since your last menstrual period or delivery? 9. Have you had a miscarriage or abortion in the last 7 days? 10. Have you been using a reliable contraceptive method consistently and correctly? If the client answered YES to at one of questions 6–10 and she is free of signs or symptoms of pregnancy, you can be reasonably sure that she is not pregnant. The client can have implants inserted now. If the client began her last menstrual period within the past 7 days (5 days for Implanon), she can have implants inserted now. No additional contraceptive protection is needed. If the client began her last menstrual period more than 7 days ago (5 days for Implanon), she can have implants inserted now, but instruct her that she must use condoms or abstain from sex for the next 7 days. Give her condoms to use for the next 7 days. If the client answered NO to all of questions 6–10, pregnancy cannot be out. She must use a pregnancy test or wait until her next menstrual period to have implants inserted. Give her condoms to use in the meantime. TASK/ACTIVITY CASES COMMENTS Preparing For Implant Insertion 1 2 3 Checks to be sure client has washed her entire arm. Covers the procedure and arm support with a clean cloth. Asks client to lie on her back with arm resting on the arm support.