A nurse is assessing a client who is requesting a combined oral contraceptive (COC). Which of the following findings should indicate to the nurse that the client has a contraindication to COC use?
The client drinks 240 mL (8 oz) of wine per day.
The client is breastfeeding their 4-week-old newborn.
The client weighs 115 kg (254 lb).
The client is 25 years old.
The Correct Answer is B
A. Moderate alcohol intake is not a contraindication to COC use.
B. Breastfeeding in the first 6 weeks postpartum is a contraindication to combined oral contraceptives because estrogen can reduce milk supply and increase the risk of thrombosis.
C. High body weight is not an absolute contraindication, though efficacy may be reduced.
D. Age 25 alone is not a contraindication to COCs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Monitoring cervical dilation is important but not the immediate priority.
B. Asking about the color of the amniotic fluid helps assess for meconium but is secondary.
C. Vaginal pH testing can help confirm rupture but is not the first action.
D. Determining the fetal heart rate is the priority to assess for signs of fetal distress immediately after rupture of membranes.
Correct Answer is D
Explanation
Naegele's rule calculation:
First day of last menstrual period (LMP): July 21
Add 1 year: July 21, next year
Subtract 3 months: April 21
Add 7 days: April 28
Answer; April 28th.
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