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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?

A.

History of migraine headaches with aura

B.

History of dysmenorrhea and menorrhagia

C.

History of acne vulgaris and hirsutism

D.

History of iron-deficiency anemia and fatigue

Answer and Explanation

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


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Related Questions

Correct Answer is A

Explanation

The correct answer is choice A."You may experience weight gain as a side effect of the injection."

Choice B is wrong because you do not need to use a barrier method of contraception for the first week after the injection.Medroxyprogesterone injection provides contraception for three months and works mainly by stopping the release of an egg from the ovary (ovulation).

Choice C is wrong because you should not massage the injection site to promote absorption of the medication.

Massaging the injection site may cause irritation or pain.You should also avoid rubbing or scratching the injection site for a few days after receiving the injection.

Choice D is wrong because you may not resume fertility as soon as you stop the injections.

There may be a delay in your return to normal fertility after you finish using medroxyprogesterone injection.It might take 10 months or more before you begin ovulating again.

Correct Answer is B

Explanation

The correct answer is choice B.The client should wear scrotal support for at least 48 hours after the procedure to decrease pain and swelling, and protect the wound.

Some possible explanations for the other choices are:

  • Choice A is wrong because the client should avoid sexual activity for at least 1 week, not 4 weeks, after the procedure.The client will not be sterile right away and will need to use another form of birth control until the sperm count is zero.
  • Choice C is wrong because the client should apply ice packs to the scrotum for at least 2 days, not 72 hours, after the procedure.Ice helps prevent tissue damage and decrease swelling and pain.
  • Choice D is wrong because the client should not take aspirin for pain relief after the procedure, as it can increase the risk of bleeding.The client can take nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen instead.

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