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 ["A","B","C","D","E"]

Explanation

Choice A rationale

Calculating the estimated date of birth involves determining the gestational age. Gestational age is crucial for monitoring fetal development and timing prenatal care.

Choice B rationale

Obtaining the client’s personal and family medical history helps identify genetic risks, potential complications, and health conditions that may affect pregnancy and delivery.

Choice C rationale

Obtaining information about prior pregnancies provides insight into potential risks and outcomes. Previous pregnancy complications can indicate risks for the current pregnancy.

Choice D rationale

Checking the client’s urine with a reagent strip screens for urinary tract infections, protein, and glucose levels. UTIs can cause complications, while protein and glucose levels help monitor maternal health.

Choice E rationale

Scheduling the client for prenatal laboratory testing, such as blood work and ultrasounds, helps assess maternal and fetal health. Tests like blood type, Rh factor, and infectious diseases are essential for prenatal care.

Choice F rationale

Discussing chorionic villus sampling is not necessary at 18 weeks of gestation. CVS is typically performed between 10-13 weeks for early genetic testing.

A. Slower satiety. B. Nausea. C. Vomiting. D. Constipation. E. Urinary frequency. F. Nocturia.

Correct Answer is ["B","C","D","E","F"]

Explanation

Choice A rationale

Pregnancy generally leads to slower gastric emptying due to increased progesterone, but satiety is not directly slowed.

Choice B rationale

Increased progesterone levels during pregnancy slow gastric motility, leading to nausea, especially in the first trimester.

Choice C rationale

Vomiting is also common due to hormonal changes, specifically elevated human chorionic gonadotropin (hCG) levels.

Choice D rationale

Constipation occurs because increased progesterone reduces bowel motility and increases water absorption in the colon.

Choice E rationale

The growing uterus places pressure on the bladder, leading to increased urinary frequency.

Choice F rationale

Nocturia occurs as the kidneys filter more blood and the uterus compresses the bladder, especially in later stages of pregnancy.

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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 is caring for a client during an initial prenatal visit. The client’s last menstrual period was 18 weeks ago. Which of the following actions should the nurse plan to take?

Correct Answer is ["A","B","C","D","E"]

Explanation

A nurse is providing teaching to a client about the gastrointestinal and genitourinary changes of pregnancy. Which of the following information should the nurse include?

Correct Answer is ["B","C","D","E","F"]

Explanation

A nurse in a health clinic is caring for a client who arrived for their initial visit after a positive home pregnancy test. The nurse should identify that which of the following actions should occur during the initial visit?

A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect?

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?

A nurse is providing teaching to a client who is scheduled for an alpha-fetoprotein (AFP) test. Which of the following statements should the nurse include?

A nurse is providing teaching to a client who is planning on becoming pregnant about the changes she should expect. Identify the sequence of maternal changes. Order from the first in appearance to last.

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

A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client’s last menstrual period began on July 27. What is the client’s EDB? (State the date in MMDD. For example, July 27 is 0727) .