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.

Answer and Explanation

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

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Correct Answer is A

Explanation

An alpha-fetoprotein test (AFP) is a blood test that measures the amount of AFP present in blood.

It’s usually part of what’s called a triple screen or quad screen in the second trimester of pregnancy.

The yolk sac, GI tract, and liver of an unborn baby produce AFP.

It then circulates through the fetal and maternal blood.

High levels of AFP in pregnant people can indicate that the baby has a neural tube defect, such as spina bifida or anencephaly.

Choice B is wrong because assessing placental function is not the primary purpose of an AFP test.

However, low levels of AFP can indicate problems with the placenta or the baby’s growth.

Choice C is wrong because determining fetal gender is not the primary purpose of an AFP test.

However, some genetic tests that use a sample of the baby’s DNA from the pregnant person’s blood can reveal the baby’s sex as early as 10 weeks of pregnancy.

Choice D is wrong because diagnosing chromosomal abnormalities is not the primary purpose of an AFP test.

However, an AFP test is usually part of a quad screen that also tests for other markers that can indicate the risk of chromosomal abnormalities, such as Down syndrome.

A. Late decelerations of the FHR with less than 50% of contractions. B. Late decelerations of the FHR with at least 50% of contractions. C. No late decelerations of the FHR during contractions. D. Variable decelerations of the FHR with or without contractions.

Correct Answer is A

Explanation

An equivocal CST indicates late decelerations of the FHR with less than 50% of contractions.

This means that the fetus may have some degree of hypoxia or distress, but not enough to warrant immediate delivery.

An equivocal CST may also result from hyperstimulation of the uterus, which can cause excessive contractions and reduce blood flow to the placenta.

Choice B is wrong because late decelerations of the FHR with at least 50% of contractions is a positive CST, which indicates a high risk of fetal death due to hypoxia and is a contraindication to labor.

Choice C is wrong because no late decelerations of the FHR during contractions is a negative CST, which indicates a good fetal wellbeing and tolerance of labor.

Choice D is wrong because variable decelerations of the FHR with or without contractions are not related to uterine activity and may indicate cord compression or other fetal problems.

Variable decelerations are not used to interpret CST results.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is explaining the purpose of an Alpha-fetoprotein Test (AFP) to a pregnant client. What is the test primarily used for ?

Correct Answer is A

Explanation

A nurse is reviewing the results of a Contraction Stress Test (CST) with a pregnant client. What does an equivocal CST indicate?

Correct Answer is A

Explanation

A nurse is caring for a patient who had an amniocentesis performed at 16 weeks gestation and reports cramping and vaginal bleeding 24 hours later which action should be taken first?

A client's Alpha-fetoprotein Test (AFP) result is reported as 0.8 MoM. What does this result suggest?

A nurse is discussing the factors that can affect Alpha-fetoprotein Test (AFP) results with a pregnant client. Which factor should the nurse mention?

A nurse is reviewing the contraindications for a Contraction Stress Test (CST) with a pregnant client. Which condition would be a contraindication for the test?

A nurse is explaining the purpose of a nuchal translucency (NT) ultrasound to a pregnant client. What does this ultrasound measure?

A nurse is caring for a client who had chorionic villus sampling (CVS) performed at 12 weeks’ gestation and asks when she can expect results from this test. The nurse should inform her that results are typically available within which timeframe?

A nurse is reviewing the results of an Alpha-fetoprotein Test (AFP) with a pregnant client. What does a low level of AFP (<0.5 MoM) potentially indicate?

A nurse is caring for a client scheduled for a CST. Which statement indicates the client understands the test procedure?

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?