A nurse is teaching a client who is prescribed COCs about the mechanism of action of these pills.

The nurse should explain that COCs prevent pregnancy by?

Inhibiting the production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH)

Increasing the production of prostaglandins that cause uterine contractions

Decreasing the permeability of the fallopian tubes to sperm and egg

Suppressing ovulation, thickening cervical mucus and altering the uterine lining

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. COCs prevent pregnancy by inhibiting the production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are responsible for ovulation.

By suppressing ovulation, COCs prevent the release of a mature egg that can be fertilized by sperm.

Choice B is wrong because COCs do not increase the production of prostaglandins that cause uterine contractions.

Prostaglandins are involved in inflammation and pain, and are not directly related to contraception.

Choice C is wrong because COCs do not decrease the permeability of the fallopian tubes to sperm and egg.

The fallopian tubes are the site of fertilization, and COCs do not affect their function.

Choice D is partially correct but not the best answer. COCs do suppress ovulation, but they also have other mechanisms of action, such as thickening cervical mucus and altering the uterine lining.

These effects make it harder for sperm to reach the egg and for a fertilized egg to implant in the uterus.

Therefore, choice D does not capture the full mechanism of action of COCs.

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Correct Answer is D

Explanation

The correct answer is choice D. The client should switch to a higher-dose formulation of oral contraceptives.Breakthrough bleeding is a common side effect of low-dose birth control pills, especially in the first months of use.It may indicate that the estrogen dose is too low to suppress the growth of the endometrium.

A higher-dose formulation may reduce or eliminate breakthrough bleeding by providing more estrogen.

Choice A is wrong because taking two pills daily until bleeding stops is not a recommended way to manage breakthrough bleeding.

It may cause side effects such as nausea, headache, or breast tenderness.It may also increase the risk of blood clots.

Choice B is wrong because stopping oral contraceptives immediately is not advisable unless there is a medical reason to do so.

Stopping oral contraceptives may cause irregular bleeding, ovulation, and pregnancy.

The client should consult with their provider before discontinuing any medication.

Choice C is wrong because smoking does not cause breakthrough bleeding, but it does increase the risk of serious complications from oral contraceptives, such as stroke, heart attack, or blood clots.The client should avoid smoking while taking any hormonal contraceptive, regardless of whether they experience breakthrough bleeding or not.

A. “The procedure involves inserting flexible agents into your fallopian tubes.”. B. “The procedure will be done under general anesthesia in an operating room.”. C. “The procedure will make you sterile immediately after it is done.”. D. “The procedure will affect your hormone levels and menstrual cycle.”.

Correct Answer is A

Explanation

The correct answer is choice A.The procedure involves inserting flexible agents into your fallopian tubes.These agents cause tissue to grow around them and block the tubes, preventing pregnancy.

Choice B is wrong because the procedure does not require general anesthesia or an operating room.It can be done in an outpatient facility with local anesthesia.

Choice C is wrong because the procedure does not make you sterile immediately after it is done.

It takes about 3 months for the tissue to grow and occlude the tubes.You need to use another form of contraception during this time and have a test to confirm the tubal blockage.

Choice D is wrong because the procedure does not affect your hormone levels or menstrual cycle.It only blocks the fallopian tubes, not the ovaries or uterus.

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A nurse is teaching a client who is prescribed COCs about the mechanism of action of these pills. The nurse should explain that COCs prevent pregnancy by?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is caring for a client who has been taking oral contraceptives for several months and reports frequent breakthrough bleeding during her cycle. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is providing preoperative teaching to a client who is undergoing a transcervical sterilization procedure. Which of the following information should the nurse include?

Correct Answer is A

Explanation

A nurse is caring for a client who has an intrauterine device (IUD) in place and reports lower abdominal pain and fever for 2 days. Which of the following actions should the nurse take?

A nurse is providing education about the diaphragm to a patient. Which of the following is a contraindication for the use of a diaphragm?

A nurse is caring for a client who is taking COCs and reports nausea. The nurse should advise the client to

A nurse is reinforcing teaching with a client who is considering a progestin-releasing IUD for contraception. Which of the following benefits should the nurse include in the teaching?

A nurse is providing teaching to a client who has a new prescription for oral contraceptives (OCs). Which of the following statements by the client indicates an understanding of how to initiate OCs?

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 nurse is caring for a client who requests information about female sterilization (bilateral tubal ligation). Which of the following statements by the nurse is appropriate? (Select all that apply.).

A nurse is teaching a patient about the use of spermicide. Which of the following is an adverse effect of some spermicides that contain nonoxynol-9 (N-9)?

A nurse is teaching a client who is prescribed COCs about the mechanism of action of these pills.

The nurse should explain that COCs prevent pregnancy by?