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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. An amniotic fluid index (AFI) less than 5 cm indicates oligohydramnios and potential fetal compromise.
B. Fetal limb movements fewer than 3 in 30 minutes may be concerning; however, 4 movements suggest some activity but must be assessed with other parameters.
C. A nonreactive nonstress test suggests fetal distress or lack of fetal well-being.
D. Sustained fetal breathing movements of at least 20 seconds in 30 minutes indicate good fetal neurologic function and well-being.

A. Decrease the rate of the IV infusion. B. Place the client in a knee-chest position. C. Instruct the client to push with the next contraction. D. Replace the umbilical cord into the cervix

Correct Answer is B

Explanation

A. Decreasing IV infusion rate does not relieve umbilical cord prolapse.
B. Placing the client in a knee-chest position helps relieve pressure on the prolapsed umbilical cord, improving fetal oxygenation until delivery.
C. Instructing the client to push can worsen cord compression and is contraindicated.
D. The nurse should not attempt to replace the umbilical cord into the cervix; this is a sterile procedure typically performed by the provider.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the results of a biophysical profile for a client who is at 37 weeks of gestation. Which of the following findings indicates fetal well-being?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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