Which of the following are hormonal methods of contraception? (Select all that apply)

Choice A rationale
Sporadic vaginal bleeding accompanied by chronic pelvic pain is not typically associated with a woman who has had multiple pregnancies and is admitted for repair of cystocele and rectocele.
Choice B rationale
Heavy leukorrhea with vulvar pruritus is not typically associated with a woman who has had multiple pregnancies and is admitted for repair of cystocele and rectocele.
Choice C rationale
Menstrual irregularities and hirsutism on the chin are not typically associated with a woman who has had multiple pregnancies and is admitted for repair of cystocele and rectocele.
Choice D rationale
Stress incontinence with a feeling of low abdominal pressure is a common symptom in women who have had multiple pregnancies and are admitted for repair of cystocele and rectocele. Multiple pregnancies can weaken the pelvic floor muscles, leading to conditions like cystocele and rectocele. Stress incontinence, where urine leaks out with increased abdominal pressure (such as when coughing, sneezing, or lifting), is a common symptom of these conditions.

Choice A rationale
While lying down can be part of the breast self-examination process, the arms should not be at the side. Instead, they should be raised above the head to spread the breast tissue evenly over the chest.
Choice B rationale
The finger pads of the three middle fingers are used to apply pressure to the breast during a self-exam. This allows for a thorough examination of the breast tissue for any lumps or abnormalities. This is the correct method for performing a breast self-examination.
Choice C rationale
Even if the breast feels fine, it is important to check under the arm. The lymph nodes located in this area can swell due to breast cancer.
Choice D rationale
While examining the breast, it is not necessary to work from left to right towards the ribs. The important thing is to cover the entire breast area, including the armpit.