Oral contraceptive pills are of different types. Which type is most appropriate for mothers who are breastfeeding?

21-day pills mixed type.

Mixed type- estrogen and progesterone.

Estrogen-only.

Progesterone only.

Answer and Explanation

The Correct Answer is D

Choice A rationale

21-day mixed type pills contain estrogen and progesterone, which can reduce milk supply in breastfeeding mothers and are not recommended.

Choice B rationale

Mixed type pills with estrogen and progesterone are not ideal for breastfeeding mothers as estrogen can interfere with milk production and affect milk quality.

Choice C rationale

Estrogen-only pills are not suitable for breastfeeding mothers as estrogen can decrease milk supply and affect infant feeding patterns, leading to poor weight gain in infants.

Choice D rationale

Progesterone-only pills are recommended for breastfeeding mothers as they do not affect milk supply and are safe for the infant while providing effective contraception.

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Correct Answer is C

Explanation

Choice A rationale

Dysuria, while concerning, is typically less urgent compared to the complete absence of fetal movement, which can indicate fetal distress or demise.

Choice B rationale

Nausea is a common symptom during pregnancy and generally less urgent compared to the absence of fetal movement, which may indicate a serious issue.

Choice C rationale

No fetal movement is a critical concern as it may indicate fetal demise or severe distress requiring immediate assessment and intervention to ensure fetal well-being.

Choice D rationale

A cough in pregnancy can be bothersome but is generally not as urgent compared to the absence of fetal movement, which can indicate potential fetal demise.

A. A high-protein, low-carbohydrate diet may help keep your weight gain under control. B. You are eating for two now, but breastfeeding can help you lose excess weight later. C. Gaining 1 lb (0.5 kg) per week in this stage of pregnancy is important and expected. D. You can exercise daily, so you don’t have to worry about weight gain.

Correct Answer is C

Explanation

Choice A rationale

High-protein, low-carbohydrate diets are not recommended during pregnancy as they can lead to ketone production, which may harm fetal development. A balanced diet is crucial for maternal and fetal health.

Choice B rationale

Although breastfeeding can help with postpartum weight loss, it is not advisable to use pregnancy as a reason to overeat. Healthy weight gain during pregnancy is essential for fetal development.

Choice C rationale

Gaining 1 lb (0.5 kg) per week is recommended during the second trimester for a client with a normal BMI to ensure proper fetal growth and development.

Choice D rationale

Exercise is beneficial, but it cannot prevent all weight gain during pregnancy. Appropriate weight gain is necessary for fetal health and development.

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Oral contraceptive pills are of different types. Which type is most appropriate for mothers who are breastfeeding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an obstetric clinic has received messages from four clients. Which of the following clients should the nurse call first?

Correct Answer is C

Explanation

A 16-year-old client at 18 weeks gestation with a normal BMI expresses concern about weight gain during pregnancy. The client wants to know how to avoid gaining too much weight. What is an appropriate response from the nurse?

Correct Answer is C

Explanation

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