A nurse is instructing a client who is starting COCs for the first time.

The nurse should tell the client that if she misses one pill, she should ?

Take the missed pill as soon as possible and continue with the next pill at the usual time

Take two pills at once and skip the next pill

Discard the missed pill and take the next pill at the usual time

Stop taking the pills for the rest of the cycle and use a backup method of contraception

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. The nurse should tell the client that if she misses one pill, she should take the missed pill as soon as possible and continue with the next pill at the usual time. This will ensure that she maintains a continuous hormonal exposure and does not extend the hormone-free interval beyond 7 days. She does not need to use extra contraception.

Choice B is wrong because taking two pills at once and skipping the next pill will disrupt the hormonal balance and may cause side effects such as nausea or breakthrough bleeding. Choice C is wrong because discarding the missed pill and taking the next pill at the usual time will shorten the duration of hormonal exposure and increase the risk of ovulation. Choice D is wrong because stopping taking the pills for the rest of the cycle and using a backup method of contraception will expose the client to an unnecessary hormone-free interval and may compromise her contraceptive efficacy.

COCs are combined oral contraceptives that contain synthetic estrogen and progestin hormones that prevent ovulation and thicken cervical mucus to inhibit sperm penetration. The normal range of COCs dosage is 20 to 35 micrograms of estrogen and 0.1 to 3 milligrams of progestin per pill.

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Correct Answer is A

Explanation

The correct answer is choice A.COCs can reduce the risk of endometrial, ovarian and colon cancer.This is because COCs suppress ovulation and reduce inflammation in the genital tract, which may lower the exposure to carcinogens and mutagens.

Choice B is wrong because COCs do not increase bone density or prevent osteoporosis.In fact, some studies have suggested that COCs may have a negative effect on bone mineral density.

Choice C is wrong because COCs do not enhance fertility or improve menstrual regularity.

COCs prevent pregnancy by inhibiting ovulation, which means that they temporarily suppress fertility.COCs may also cause irregular bleeding or amenorrhea in some women.

Choice D is wrong because COCs do not lower blood pressure or cholesterol levels.On the contrary, COCs may increase the risk of hypertension and dyslipidemia in some women, especially those who smoke, are obese, or have a family history of cardiovascular disease.

A. Mennorhagia B. Ovarian cysts C. Fibrocystic breast disease D. Endometriosis

Correct Answer is A

Explanation

The correct answer is choice A.Mennorhagia is a contraindication for the use of an intrauterine device (IUD) for contraception because it can cause heavy or prolonged menstrual bleeding.This can lead to anemia, infection, or expulsion of the device.

Choice B is wrong because ovarian cysts are not a contraindication for IUD use.They are usually benign and do not interfere with the placement or function of the device.

Choice C is wrong because fibrocystic breast disease is not a contraindication for IUD use.It is a common condition that causes benign lumps in the breast tissue and does not affect the hormonal balance or the risk of infection.

Choice D is wrong because endometriosis is not a contraindication for IUD use.In fact, some types of IUDs that release progestin can help reduce the symptoms of endometriosis by thinning the endometrial lining and suppressing ovulation.

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A nurse is instructing a client who is starting COCs for the first time. The nurse should tell the client that if she misses one pill, she should ?

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Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client who is using COCs about some of the benefits of this method of contraception. The nurse should inform the client that COCs can?

Correct Answer is A

Explanation

A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which of the following findings is a contraindication for the use of this device?

Correct Answer is A

Explanation

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A nurse is instructing a client who is starting COCs for the first time. The nurse should tell the client that if she misses one pill, she should ?

Which of the following is a contraindication for the use of a diaphragm as a contraceptive method?

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A nurse is instructing a client who is starting COCs for the first time.

The nurse should tell the client that if she misses one pill, she should ?