Difficulty: Medium
Average Score: 63%
Full-length
The client using contraceptive foam for birth control has not had her menses for two (2) months. Which intervention should the nurse implement first?
Correct answer
D
Rationale
Amenorrhea for two months with contraceptive foam (less effective than other methods) suggests possible pregnancy, requiring a pregnancy test first. Vaginal exam, urine analysis, and vital signs are secondary.