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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Correct Answer is D
Explanation
Choice A rationale
While male condoms are a widely used method of contraception, they are not the most reliable. They have a typical use failure rate of about 13%, meaning that 13 out of 100 women will become pregnant in a year of using this method.
Choice B rationale
The diaphragm with spermicide is less reliable than some other methods of contraception. Its typical use failure rate is about 17%89.
Choice C rationale
Oral contraceptives are more reliable than condoms or diaphragms, with a typical use failure rate of about 7%. However, they require daily adherence and can have side effects.
Choice D rationale
The intrauterine device (IUD) is one of the most reliable methods of contraception. It has a typical use failure rate of less than 1%. It is also long-lasting and does not require daily adherence.
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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