Which statement made by the patient would signal to the nurse that she should not take oral contraceptives?

“I drink one to two alcoholic drinks a few times a week.”.

“I am slightly overweight and have a difficult time fitting exercise into my schedule.”.

“I am trying to limit cigarettes to one pack a week.”.

“I try to have my boyfriend wear a condom every time we have sex.”. .

Answer and Explanation

The Correct Answer is C

Choice A rationale
Drinking one to two alcoholic drinks a few times a week does not typically signal that a woman should not take oral contraceptives.
Choice B rationale
Being slightly overweight and having a difficult time fitting exercise into a schedule does not typically signal that a woman should not take oral contraceptives16.
Choice C rationale
Trying to limit cigarettes to one pack a week does signal that a woman should not take oral contraceptives16. Smoking can increase the risk of serious side effects from oral contraceptives, including blood clots, stroke, or heart attack.
Choice D rationale
Trying to have a boyfriend wear a condom every time they have sex does not typically signal that a woman should not take oral contraceptives16.

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Correct Answer is B

Explanation

Choice A rationale
Insufficient dietary intake is not the main cause of hot flashes and night sweats in postmenopausal women.
Choice B rationale
Deficiency in estrogen is the primary cause of hot flashes and night sweats in postmenopausal women. During menopause, the levels of estrogen, a hormone that regulates the body’s temperature among other things, decrease. This can disrupt the body’s temperature control, leading to hot flashes and night sweats.
Choice C rationale
An active lifestyle is not the main cause of hot flashes and night sweats in postmenopausal women.
Choice D rationale
Changes in vaginal pH are not the main cause of hot flashes and night sweats in postmenopausal women.

A. Inform the obstetrician. B. Straight catheterize the patient. C. Prepare the patient for manual removal of uterine clots. D. Ask the patient to void.

Correct Answer is D

Explanation

Choice A rationale
Informing the obstetrician is important, but it is not the first action to take. The nurse should first try to address the issue at hand, which is a displaced and boggy uterus.
Choice B rationale
Straight catheterization of the patient could be necessary if the patient is unable to void. However, the first step should be to ask the patient to void.
Choice C rationale
Preparing the patient for manual removal of uterine clots is a more invasive procedure that should be considered if other measures, such as asking the patient to void or massaging the fundus, are not effective.
Choice D rationale
A full bladder can displace the uterus and prevent it from contracting properly. Asking the patient to void can help the uterus contract and reduce bleeding.

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Which statement made by the patient would signal to the nurse that she should not take oral contraceptives?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In the context of educating a group of postmenopausal women about hot flashes and night sweats, what would be the main cause the nurse would address?

Correct Answer is B

Explanation

Within 3 hours, the fundus becomes boggy and is located 2 cm above the umbilicus and displaced to the right in the postpartum patient. What is the priority nursing action?

Correct Answer is D

Explanation

The labor nurse is admitting a patient in active labor who has a history of genital herpes. The patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What action should the nurse take in anticipating the plan of care for this patient?

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Assessment of a female client reveals a frothy, yellow-green vaginal discharge. Based on these findings, the nurse would suspect that the client has:

A client with polycystic ovarian syndrome (PCOS) is receiving oral contraceptives as part of her treatment plan. When discussing this treatment with the client, the nurse would discuss which rationale for this therapy?

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After a birth complicated by a shoulder dystocia, the infant’s Apgar scores were 7 at 1 minute and 9 at 5 minutes. The infant is now crying vigorously. What should the nurse in the birthing room do?

A patient is scheduled to receive Pergonal (Menotropins) injections as part of an infertility treatment before in vitro fertilization. What is the anticipated effect of this medication?