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 A
Explanation
Choice A rationale
During pregnancy, the recommended daily intake of calcium is 1,300 milligrams. Therefore, the statement “I should increase my calcium intake to 1,500 milligrams per day” indicates a need for clarification.
Choice B rationale
It is indeed recommended to avoid drinking alcoholic beverages during pregnancy as alcohol can harm the developing fetus.
Choice C rationale
Drinking about 2 liters of fluid each day is generally recommended during pregnancy to stay hydrated.
Choice D rationale
Moderate caffeine intake is generally considered safe during pregnancy. However, it is recommended to limit caffeine intake to less than 200 mg per day, which is about one 12 oz cup of coffee.
Correct Answer is D
Explanation
Choice A rationale
Rho immune globulin is given to Rh-negative women after amniocentesis to prevent Rh sensitization, not to Rh-positive women.
Choice B rationale
Amniocentesis can be used to determine lung maturity, but this is typically done later in pregnancy, not at 15 weeks.
Choice C rationale
The presence of a fetal heartbeat is not a requirement for amniocentesis.
Choice D rationale
This is the correct answer. Amniocentesis requires the presence of amniotic fluid to obtain a sample for testing.
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