SITUATION 06

Mrs. Ruth Reyes, 35 years old, expressed her desire to undergo bilateral tubal ligation (BTL). She is G4 P4. Her youngest child is 6 months old.

26. The following are important instructions to be given prior to the procedure. Which one is the most important?
A. The couple must be certain that they understand and desire that procedure
B. Do not take anything by mouth after midnight until after the procedure
C. Take a shower or bath before the procedure
D. Bring a responsible person as a companion

27. After the procedure, Mrs. Reyes could do any of the following except:
A. resume sexual intercourse with husband
B. shower anytime, but keep the incision site dry for 7 days
C. take medications as prescribed
D. lift her youngest child

28. Which in the following statements is true in BTL?
A. Very effective and safe
B. Allows immediate sterility
C. Irreversible
D. Does not interrupt sexual activities

29. Mrs. Reyes asks, "Will it be possible for me to get pregnant after the operation?" The best response of the nurse will be:
A. "What made you ask?"
B. "The doctor did a good job. I would not worry if I were you."
C. "Absolutely not, this is a permanent sterilily."
D. "In some cases, there was reports of women getting pregnant after BTL but it is comparatively rare."

30. Vasectomy is not a popular choice among males because:
A. it diminishes their macho image
B. it is very costly
C. sterility is not immediate
D. restoration of fertility does not always succeed