A client with polycystic ovarian syndrome (PCOS) is receiving oral contraceptives as part of her treatment plan. When discussing this treatment with the client, the nurse would discuss which rationale for this therapy?

Restore menstrual regularity

Induce ovulation

Improve insulin uptake

Alleviate hirsutism

Answer and Explanation

The Correct Answer is A

Choice A rationale
Oral contraceptives are often used in the treatment of PCOS to restore menstrual regularity. They do this by regulating the hormonal imbalances that cause the irregular periods seen in PCOS678910.
Choice B rationale
While oral contraceptives can indirectly lead to ovulation in some women with PCOS by regulating their menstrual cycles, they are not typically used to directly induce ovulation. Other medications, such as clomiphene or letrozole, are more commonly used for this purpose.

Choice C rationale
While insulin resistance is a common feature of PCOS, oral contraceptives are not typically used to improve insulin uptake. Other medications, such as metformin, are more commonly used for this purpose.
Choice D rationale
While oral contraceptives can help alleviate hirsutism (excessive hair growth) in women with PCOS by reducing levels of circulating androgens, this is typically considered a secondary benefit rather than the primary rationale for their use.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale
Kernicterus is a rare type of brain damage that occurs in a newborn with severe jaundice. It happens when a substance in the blood, bilirubin, builds up to very high levels and spreads into the brain tissues. This condition can cause athetoid cerebral palsy and hearing loss. Kernicterus also causes problems with vision and teeth and sometimes can cause intellectual disabilities. However, the symptoms provided do not align with this condition.
Choice B rationale
A severe cardiac anomaly could cause heart failure and respiratory distress, but it would not explain the positive Coomb’s test, high bilirubin levels, severe anemia, jaundice, and generalized edema.
Choice C rationale
Respiratory distress syndrome (RDS) is a common problem in premature babies. It causes babies to need extra oxygen and help with breathing. RDS occurs most often in babies born before the 28th week of pregnancy and can be a problem for babies born before 37 weeks of pregnancy. It’s caused by a lack of a slippery substance called surfactant, which helps the lungs inflate with air and keeps them from collapsing. However, the symptoms provided do not align with this condition.
Choice D rationale
Hydrops fetalis is a severe, life-threatening problem of severe edema (swelling) in the fetus and newborn. It is also called hydrops. There are two types of hydrops fetalis: immune and nonimmune. Immune hydrops fetalis is a complication of a severe form of Rh incompatibility, which can be prevented. Nonimmune hydrops fetalis occurs as a result of other diseases, such as infections, heart or lung defects, liver disease, or genetic disorders, which aligns with the symptoms provided.

A. Age of 25 years B. History of smoking C. Diabetes since the age of 15 D. Weight below the standard for height and age

Correct Answer is A

Explanation

Choice A rationale
Age of 25 years is not typically identified as a potential risk factor for infertility. Women in their mid-twenties are often in their peak reproductive years.
Choice B rationale
A history of smoking can potentially impact fertility. Smoking can harm the ovaries and the eggs they produce, potentially leading to fertility issues.
Choice C rationale
Diabetes since the age of 15 could potentially impact fertility. Diabetes can cause irregular menstrual cycles and other reproductive issues, which could lead to difficulty conceiving. Choice D rationale
Weight below the standard for height and age could potentially impact fertility. Being underweight can lead to irregular menstrual cycles and ovulation, which could lead to difficulty conceiving.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client with polycystic ovarian syndrome (PCOS) is receiving oral contraceptives as part of her treatment plan. When discussing this treatment with the client, the nurse would discuss which rationale for this therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

When assessing a woman who has been unable to conceive, which factor would the nurse least likely identify as a potential risk in her history?

Correct Answer is A

Explanation

The nurse determines that a woman has implemented prescribed therapy for her fibrocystic breast disease when the patient reports that she has eliminated which item from her lifestyle?

Which of the following are hormonal methods of contraception? (Select all that apply)

The nurse is developing the discharge plan for a woman who has had a left-sided radical mastectomy. The nurse is including instructions for ways to minimize lymphedema. Which statement by the client indicates the need for additional instruction?

After conducting an in-service program about ovarian cysts, what type of cyst would the nurse expect the group to identify as being commonly found in females of reproductive age and regresses with the menstrual cycle?

If an infant in the well-baby nursery has been feeding poorly over the last 24 hours and the temperature has been averaging at 97.5 degrees, what should the nurse immediately assess for?

Within 3 hours, the fundus becomes boggy and is located 2 cm above the umbilicus and displaced to the right in the postpartum patient. What is the priority nursing action?

A client comes to the clinic with abdominal pain. Based on her history, the nurse suspects endometriosis. When reviewing the woman’s history, the nurse would LEAST likely identify which factor as a possible risk?

Which statement made by the patient would signal to the nurse that she should not take oral contraceptives?