A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?

Anticonvulsants

Antihypertensives

Antioxidants d Antiemetics

Answer and Explanation

The Correct Answer is A

a. Certain anticonvulsants, such as phenytoin and carbamazepine, can decrease the effectiveness of COCs.
b. Antihypertensives do not typically interfere with the effectiveness of COCs.

c. Antioxidants do not typically interfere with the effectiveness of COCs.

d. Antiemetics do not typically interfere with the effectiveness of COCs.

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Correct Answer is B

Explanation

a. Not every woman ovulates on day 14 of her cycle, and the basal temperature only rises after ovulation, not before.
b. The basal temperature is the lowest body temperature during a 24-hour period.

It is usually measured first thing in the morning before any physical activity or eating. The basal temperature can indicate when a woman is ovulating, as it tends to rise slightly (about 0.5°F or 0.3°C) after ovulation and remain elevated until the next menstrual period. By tracking the basal temperature over several cycles, a woman can identify her most fertile days and plan accordingly.
c. Intercourse can affect the body temperature and give a false reading.

d. The basal temperature is influenced by factors such as food, drink, stress, and activity, so it should be measured before any of these occur.

A. A 27-year-old G2P1 woman at 37 weeks' gestation who experienced spontaneous rupture of membranes 30 minutes ago but feels normal fetal movements and not contractions are noted. B. A 22-year-old. 9cm 100% +4. Who is requesting to go to the bathroom to have a bowel movement C. A 32-year-old G4P3 woman at 27 weeks' gestation who noted scan vaginal bleeding today, after of having a sexual intercourse in the morning. D. A 17-year-old. 2cm 80% -2. Who is crying and shows mild anxiety

Correct Answer is B

Explanation

a. A woman at 37 weeks' gestation who experienced spontaneous rupture of membranes 30 minutes ago with normal fetal movements is not a priority assessment as long as there are no signs of fetal distress.
b. A woman who is 9 cm dilated and fully effaced and is requesting to go to the bathroom to have a bowel movement is in the second stage of labor, which means that the cervix is fully dilated and the fetus is descending in the birth canal. The urge to have a bowel movement is a sign that the fetal head is pressing on the rectum and that delivery is imminent. This patient needs immediate attention and preparation for delivery.
c. A woman at 27 weeks' gestation who noted scant vaginal bleeding today after having sexual intercourse in the morning may be experiencing placenta previa or placental abruption but this is not a priority compared to the woman in option b who is yet to deliver.
d. A woman who is 2 cm dilated and 80% effaced and is crying and shows mild anxiety is not a priority assessment as long as there are no signs of fetal distress.

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A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is instructing a female client about how to check the basal temperature in order to determine if the client is ovulating. The nurse should instruct the client to check her temperature at which of the following times?

Correct Answer is B

Explanation

You are working in the labor and delivery unit, you received several nursing reports. Which patient should you assess first? Select one:

Correct Answer is B

Explanation

A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?

A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months. These symptoms are most likely related to:

The phase in which the ovarian function and hormone production decline and the patient had a lack of menstrual period for 13 months is known as:

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