A woman visits the family planning clinic to request a prescription for birth control pills.
Which factor would indicate that an ovulation suppressant would not be the best contraceptive method for her?
She is 30 years old.
She has a family history of thromboembolism.
She has irregular menstrual cycles.
She has a history of allergy to foreign protein.
The Correct Answer is B
Choice A rationale
Age alone is not a contraindication for the use of ovulation suppressants. Many women safely and effectively use these methods of contraception into their 30s and beyond.
Choice B rationale
This is the correct answer. A family history of thromboembolism can increase the risk of developing blood clots, a potential side effect of hormonal contraceptives like birth control pills.
Choice C rationale
Irregular menstrual cycles can sometimes be regulated by the use of hormonal contraceptives, so this would not necessarily indicate that an ovulation suppressant is not a good choice.
Choice D rationale
An allergy to foreign protein is not typically a contraindication for the use of ovulation suppressants. Birth control Explore
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
This choice suggests that the client has had 2 pregnancies with no term births, no preterm births, 2 abortions, and no living children. However, this does not accurately reflect the client’s history, which includes one pregnancy terminated by elective abortion at 9 weeks, the birth of twins at 36 weeks, and a spontaneous abortion at 15 weeks.
Choice B rationale
This choice suggests that the client has had 3 pregnancies with no term births, 2 preterm births, no abortions, and 2 living children. This does not accurately reflect the client’s history.
Choice C rationale
This choice suggests that the client has had 4 pregnancies with 2 term births, no preterm births, 2 abortions, and 2 living children. This accurately reflects the client’s history. The client has been pregnant 4 times (one current pregnancy, one set of twins, one elective abortion, and one spontaneous abortion). The client has had 2 term births (the twins), no preterm births, 2 abortions (one elective and one spontaneous), and 2 living children (the twins)12.
Choice D rationale
This choice suggests that the client has had 4 pregnancies with no term births, 1 preterm birth, 2 abortions, and 2 living children. This does not accurately reflect the client’s history.
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.
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