Paediatrics and maternity proctored exam (examplify)
A client and their partner are planning to use natural family planning to prevent pregnancy. The client decides the calendar (rhythm) method would work best and monitors their menstrual cycle for 6 months prior to beginning this method. Over the 6 months menstrual cycles lasted from 29-32 days. Based on this information the client knows that if they desire to prevent pregnancy they should avoid intercourse from day dropdown to day dropdown of their cycle.
Explanation & Rationale
Rationale: To calculate the fertile window using the calendar (rhythm) method: Subtract 18 days from the shortest cycle length (29 – 18 = 11). This gives the first fertile day. Subtract 11 days from the longest cycle length (32 – 11 = 21). This gives the last fertile day. Therefore, to prevent pregnancy, the client should avoid unprotected intercourse from day 11 through day 21 of their cycle.
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