The nurse instructs a woman taking oral contraceptives to report which possible side effects? (Select all that apply.)
Abdominal pain
Speech disturbances
Headache
Weight gain
Eye or visual problems
Correct Answer : A,B,C,E
A. Abdominal pain: Severe abdominal pain can signal hepatic dysfunction, gallbladder disease, or vascular problems (e.g., hepatic vein thrombosis) associated with oral contraceptives and needs prompt evaluation.
B. Speech disturbances: New speech changes can be a sign of stroke or transient ischemic attack -OCPs increase thrombotic risk in some patients, so neurological symptoms must be reported immediately.
C. Headache: Sudden or severe headaches (or new, persistent headaches) may indicate hypertension, migraine with aura, or cerebrovascular events and should be reported.
D. Weight gain: Not typically urgent to report. Weight change is a common side effect of hormonal contraceptives; it should be discussed during follow-up if bothersome, but it is not an immediate warning sign like the others.
E. Eye or visual problems: Visual disturbances (blurry vision, visual loss) may indicate hypertensive crisis, retinal thrombosis, or cerebrovascular events and require immediate evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Stop taking the pills and switch to a different contraceptive method.": Stopping and switching is not the routine immediate response to a single missed combined pill in week 1; instructions generally focus on taking the missed pill and short-term backup if needed.
B. "Take the missed dose now, then continue the medication as ordered.": For a missed combined oral contraceptive pill in the first week, guidance is to take the most recent missed pill as soon as possible (even if that means taking two pills in one day), continue the pack as usual, and use backup contraception or abstain until 7 consecutive days of pills have been taken; emergency contraception may be considered if there was unprotected sex.
C. "Take a home pregnancy test.": A pregnancy test is not the immediate action for a single missed pill in week 1 unless there are other indications (for example, missed multiple pills and unprotected intercourse some time earlier) -the immediate step is to take the missed pill.
D. "Do not have vaginal intercourse until after your next period.": While abstaining until effective contraception is restored (7 consecutive days of pills) or using backup is recommended, “until after your next period” is unnecessarily restrictive and not the standard instruction.
Correct Answer is B
Explanation
A. Cervical mucus facilitates movement of the ovum through the fallopian tube: Cervical mucus primarily affects sperm transport through the cervix and does not facilitate ovum movement through the fallopian tube.
B. Cervical mucus enhances the motility of the sperm: Around ovulation mucus becomes thin, clear, and stretchy, creating a hospitable medium that helps sperm survive and move toward the egg.
C. Cervical mucus provides vaginal lubrication during intercourse: Cervical mucus does contribute to lubrication, but the key fertility-related change at ovulation is enhanced sperm transport rather than lubrication alone.
D. Cervical mucus indicates endometrial readiness for implantation: Endometrial readiness is a separate process; cervical mucus characteristics reflect fertility status and sperm transport, not directly implantation readiness.
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