A nurse is reviewing contraception options for four clients.
The nurse should identify that which of the following clients has a contraindication for receiving oral contraceptives?
A 25-year-old client who has migraine headaches with aura.
A 32-year-old client who has endometriosis.
A 28-year-old client who has polycystic ovary syndrome
A 22-year-old client who has irregular menstrual cycles.
The Correct Answer is A
This is because migraine headaches with aura are a contraindication for receiving oral contraceptives, as they increase the risk of stroke and other cardiovascular complications.
Some possible explanations for the other choices are:
Choice B: A 32-year-old client who has endometriosis.
This is not a contraindication for receiving oral contraceptives, as they can actually help reduce the symptoms of endometriosis by suppressing ovulation and reducing menstrual bleeding.
Choice C: A 28-year-old client who has polycystic ovary syndrome (PCOS).
This is not a contraindication for receiving oral contraceptives, as they can help regulate the menstrual cycle and lower the levels of androgens (male hormones) that cause acne, hirsutism (excess hair growth), and other problems in women with PCOS.
Choice D: A 22-year-old client who has irregular menstrual cycles.
This is not a contraindication for receiving oral contraceptives, as they can help normalize the menstrual cycle and prevent unintended pregnancy.
Normal ranges for oral contraceptive doses are:
Estrogen: 10 to 35 mcg of ethinyl estradiol or estradiol valerate
Progestin: varies depending on the type and brand of oral contraceptive
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
There are no known risks or complications for the pregnant person or the fetus.
Prenatal ultrasound is a safe and noninvasive procedure that uses sound waves to create images of the fetus and the placenta.
It does not use radiation or harm the fetal tissues.
Choice A is wrong because ultrasound does not cause harm to the fetus.
There is no evidence that ultrasound has any adverse effects on fetal development, growth, or health.
Choice C is wrong because pregnant individuals do not need to avoid ultrasound due to potential radiation exposure.
Ultrasound does not involve radiation, unlike x-rays or CT scans.
Choice D is wrong because ultrasound does not lead to miscarriage or preterm labor.
Ultrasound is not associated with any increased risk of pregnancy complications, such as miscarriage, preterm labor, or birth defects.
Correct Answer is B
Explanation
This method can be used to induce uterine contractions during the test by stimulating the uterus with a hormone that causes contractions.
Oxytocin is also the hormone that naturally triggers labor contractions.
Choice A is wrong because nipple stimulation can also induce contractions, but it is not as reliable or controllable as oxytocin infusion.
Choice C is wrong because oral medications are not used to induce contractions during a CST.
Some medications may interfere with the test results or cause side effects.
Choice D is wrong because applying warm compresses to the abdomen does not induce contractions.
It may help with pain relief or relaxation, but it does not affect the uterus.
Normal ranges for uterine contractions during a CST are three contractions in 10 minutes, each lasting 40 to 60 seconds.
Normal ranges for fetal heart rate during a CST are 110 to 160 beats per minute, with no decelerations after contractions.
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