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 A
Explanation
Choice A rationale
Painless red vaginal bleeding is a classic symptom of placenta previa, a condition where the placenta covers the cervix either partially or completely. This bleeding can occur at any time during the pregnancy but is most common in the third trimester.
Choice B rationale
Increasing abdominal pain with a non-relaxed uterus is more indicative of conditions such as preterm labor or placental abruption, not placenta previa.
Choice C rationale
Intermittent abdominal pain following passage of bloody mucus could be a sign of labor or a problem with the cervix, but it is not typically associated with placenta previa.
Choice D rationale
Abdominal pain with scant red vaginal bleeding could be a sign of many different conditions, including placental abruption or preterm labor. However, placenta previa is typically associated with painless bleeding.
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