A nurse is providing teaching to a client who has a new prescription for oral contraceptives (OCs).
Which of the following statements by the client indicates an understanding of how to initiate OCs?
“I will start taking my pills on Sunday after my period begins.”.
“I will start taking my pills on day one of my menstrual cycle.”.
“I will start taking my pills on day five of my menstrual cycle.”.
“I will start taking my pills on day fourteen of my menstrual cycle.”.
The Correct Answer is B
The correct answer is choice B. The client should start taking oral contraceptives (OCs) on day one of their menstrual cycle, which is the first day of their period. This way, they will be protected from pregnancy right away and do not need to use a back-up contraceptive method.
Choice A is wrong because starting OCs on Sunday after the period begins may leave a gap of several days when the client is not protected from pregnancy. They would need to use a back-up method for the first seven days of taking OCs.
Choice C is wrong because starting OCs on day five of the menstrual cycle may also leave a gap of unprotected days. The client would need to use a back-up method for the first seven days of taking OCs.
Choice D is wrong because starting OCs on day fourteen of the menstrual cycle is too late and may not prevent ovulation. The client would need to use a back-up method for the first seven days of taking OCs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C. Increased risk of HIV transmission.According to some sources, spermicide that contains nonoxynol-9 (N-9) can irritate sensitive genital tissues, especially if used several times a day.
This irritation can increase the risk of HIV and other sexually transmitted infections by giving infections an easy pathway into the body.
Choice A is wrong because vaginal dryness is not a common side effect of spermicide.
Choice B is wrong because bacterial vaginosis is not directly linked to spermicide use.
Choice D is wrong because cervical cancer is not caused by spermicide use.
Spermicide is a type of contraceptive that works by stopping sperm from reaching an egg.
It comes in different forms such as gels, creams, foams, films or suppositories.It needs to be inserted into the vagina before sex and used correctly every time for it to be effective.
Correct Answer is C
Explanation
The correct answer is choice C. OCs can decrease menstrual blood loss and cramps.This is because OCs prevent ovulation and thin the lining of the uterus, which reduces the amount of bleeding and cramping during menstruation.
Choice A is wrong because OCs do not provide protection against STIs.The only contraceptive methods that can prevent STIs are barrier methods, such as condoms.
Choice B is wrong because OCs can have variable effects on libido and sexual satisfaction.
Some women may experience an increase, while others may experience a decrease or no change at all.This depends on individual factors, such as hormone levels, mood, and relationship quality.
Choice D is wrong because OCs can also have variable effects on mood and depression.
Some women may experience an improvement, while others may experience a worsening or no change at all.This also depends on individual factors, such as hormone sensitivity, stress, and history of mental health problems.
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