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 C
Explanation
Choice A rationale
A positive pregnancy test is a probable sign of pregnancy, not a presumptive one. Probable signs are observed by the healthcare provider and are strongly suggestive of pregnancy but could be caused by other conditions.
Choice B rationale
Cervical softening, also known as Goodell’s sign, is a probable sign of pregnancy that occurs around the 6-8th week of gestation. It is observed by the healthcare provider during a physical examination.
Choice C rationale
Amenorrhea, or the absence of menstruation, is a presumptive sign of pregnancy. Presumptive signs are those experienced by the woman, such as amenorrhea, fatigue, and increased urination. However, these signs are not definitive proof of pregnancy as they could be caused by other conditions.
Choice D rationale
A violet coloration of the vagina, known as Chadwick’s sign, is a probable sign of pregnancy that occurs around the 4th week of gestation due to increased blood flow. It is observed by the healthcare provider during a physical examination.
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.
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.