A nurse is reviewing the medical history of a client who is considering using COCs as a method of contraception.
The nurse should identify that which of the following conditions is a contraindication for using COCs?
History of migraine headaches with aura
History of dysmenorrhea and menorrhagia
History of acne vulgaris and hirsutism
History of iron-deficiency anemia and fatigue
The Correct Answer is A
The correct answer is choice A. History of migraine headaches with aura is a contraindication for using COCs because it increases the risk of stroke.
Some possible explanations for the other choices are:
- Choice B is wrong because history of dysmenorrhea and menorrhagia is not a contraindication for using COCs. In fact, COCs may help reduce menstrual pain and bleeding.
- Choice C is wrong because history of acne vulgaris and hirsutism is not a contraindication for using COCs. In fact, COCs may help improve acne and hirsutism by reducing androgen levels.
- Choice D is wrong because history of iron-deficiency anemia and fatigue is not a contraindication for using COCs. In fact, COCs may help prevent iron-deficiency anemia by reducing menstrual blood loss.
Normal ranges for relevant parameters are:
- Blood pressure: <140/90 mmHg
- Body mass index: 18.5–24.9 kg/m
- Hemoglobin: 12–16 g/dL for women
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C.Foul-smelling vaginal discharge is a sign of a possible infection, which can be a complication of using a copper IUD.
The nurse should instruct the client to report this symptom and seek medical attention.
Choice A is wrong because increased menstrual pain and bleeding are common side effects of copper IUDs, especially in the first 3-6 months after insertion.
They are not necessarily signs of a complication.
Choice B is wrong because irregular spotting or bleeding are also common side effects of copper IUDs.
They are not necessarily signs of a complication.
Choice D is wrong because a change in string length is not a sign of a complication.
The string length may vary depending on the position of the cervix and uterus.The client should check the string length regularly and report any missing or protruding strings, which could indicate displacement of the IUD.
Correct Answer is B
Explanation
The correct answer is choice B.History of uterine prolapse is a contraindication for the use of a diaphragm as a contraceptive method.Uterine prolapse is a condition where the uterus descends into the vagina, which can interfere with the proper placement and seal of the diaphragm.
Choice A is wrong because history of cervical cancer is not a contraindication for diaphragm use.
Cervical cancer is a malignant tumor of the cervix, which can be treated with surgery, radiation, or chemotherapy.
Diaphragm use does not affect the risk or treatment of cervical cancer.
Choice C is wrong because history of ovarian cysts is not a contraindication for diaphragm use.
Ovarian cysts are fluid-filled sacs that develop in or on the ovaries, which can cause pain, bloating, or irregular periods.
Diaphragm use does not affect the formation or rupture of ovarian cysts.
Choice D is wrong because history of menopause is not a contraindication for diaphragm use.
Menopause is the natural cessation of menstrual cycles and fertility, which occurs around age 50 in most women.
Diaphragm use does not affect the hormonal changes or symptoms of menopause.
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