A nurse is considering contraceptive options for four patients.
Which patient should the nurse identify as having a contraindication for oral contraceptives?
A 26-year-old patient who experiences migraines at the start of each menstrual cycle.
A 38-year-old patient who reports smoking one pack of cigarettes daily.
A 32-year-old patient with benign breast disease.
A 28-year-old patient with a history of pelvic inflammatory disease.
The Correct Answer is B
Choice A rationale
While migraines can sometimes be exacerbated by oral contraceptives, they are not a contraindication.
Choice B rationale
This is the correct answer. Smoking, especially over the age of 35, significantly increases the risk of serious cardiovascular side effects from oral contraceptive use.
Choice C rationale
Benign breast disease is not a contraindication for oral contraceptives.
Choice D rationale
A history of pelvic inflammatory disease is not a contraindication for oral contraceptives.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While male condoms are a widely used method of contraception, they are not the most reliable. They have a typical use failure rate of about 13%, meaning that 13 out of 100 women will become pregnant in a year of using this method.
Choice B rationale
The diaphragm with spermicide is less reliable than some other methods of contraception. Its typical use failure rate is about 17%89.
Choice C rationale
Oral contraceptives are more reliable than condoms or diaphragms, with a typical use failure rate of about 7%. However, they require daily adherence and can have side effects.
Choice D rationale
The intrauterine device (IUD) is one of the most reliable methods of contraception. It has a typical use failure rate of less than 1%. It is also long-lasting and does not require daily adherence.
Correct Answer is A
Explanation
Choice A rationale
Facial edema, or swelling, can be a sign of preeclampsia, a serious condition that can occur during pregnancy. Preeclampsia is characterized by high blood pressure and damage to organs such as the liver and kidneys. If a pregnant woman notices sudden or severe swelling in her face or hands, she should seek medical attention immediately.
Choice B rationale
Nausea and vomiting are common discomforts during the first trimester of pregnancy. They are often caused by hormonal changes and usually resolve by the second trimester. While they can be uncomfortable, they are not typically a sign of a serious problem.
Choice C rationale
Leukorrhea, or a thin, milky white vaginal discharge, is normal during pregnancy. It is caused by increased estrogen production and greater blood flow to the pelvic area. However, if the discharge changes in color, consistency, or smell, or if it is associated with itching or burning, it could be a sign of an infection and should be reported to a healthcare provider.
Choice D rationale
Increased urinary frequency is a common symptom in early pregnancy. It is caused by hormonal changes and increased blood flow to the kidneys. While it can be inconvenient, it is not typically a sign of a serious problem.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.