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 B
Explanation
Choice A rationale
Enlarged lymph nodes are not a typical finding related to breast changes in early pregnancy.
Choice B rationale
Darkened breast areolas are a common change in early pregnancy. This is due to hormonal changes that affect the skin’s pigmentation.
Choice C rationale
Deeply fissured nipples are not a typical change in early pregnancy. However, some women may experience nipple sensitivity or tenderness.
Choice D rationale
Slack soft breast tissue is not a typical change in early pregnancy. In fact, many women experience breast enlargement and firmness during this time.
Correct Answer is C
Explanation
Choice A rationale
An irregular fetal heart rate is not a typical finding in a hydatidiform mole. In a complete molar pregnancy, no embryo forms, and thus, there would be no fetal heart rate to measure.
Choice B rationale
While vaginal discharge can occur in a molar pregnancy, it is typically described as brownish or bloody, not clear.
Choice C rationale
Excessive uterine enlargement is a common symptom of a hydatidiform mole. This occurs because the abnormal placental tissue grows rapidly, which can cause the uterus to expand more quickly than it would in a normal pregnancy.
Choice D rationale
In a molar pregnancy, human chorionic gonadotropin (hCG) levels typically rise more rapidly than they would in a normal pregnancy, not decline rapidly.
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