A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?

Anticonvulsants

Antihypertensives

Antioxidants d Antiemetics

Answer and Explanation

The Correct Answer is A

a. Certain anticonvulsants, such as phenytoin and carbamazepine, can decrease the effectiveness of COCs.
b. Antihypertensives do not typically interfere with the effectiveness of COCs.

c. Antioxidants do not typically interfere with the effectiveness of COCs.

d. Antiemetics do not typically interfere with the effectiveness of COCs.

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Correct Answer is C

Explanation

a. This is a normal FHR pattern and is not a cause for concern.

b. These are generally benign and are not a cause for concern.

c. Late decelerations can indicate uteroplacental insufficiency and are a cause for concern.
d. This is a normal FHR and is not a cause for concern.

A. Spontaneous Rupture of the membranes B. Engagement of the presentation C. Irregular contractions. D. Cervical effacement

Correct Answer is D

Explanation

a. Spontaneous rupture of the membranes (SROM) may or may not occur during labor and is not a reliable sign.

b. Engagement of the presentation is the descent of the fetal head or breech into the pelvis and can occur before labor begins.
c. Irregular contractions can occur during false labor (Braxton Hicks contractions) and are not a reliable sign of true labor.
d. Cervical effacement is the thinning and shortening of the cervix that occurs during labor. It is a sign of true labor, along with cervical dilation and regular contractions.

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A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which fetal heart rate (FHR) finding would concern the nurse during labor? Select one:

Correct Answer is C

Explanation

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is "not really sure if she is in labor or not." Which of the following should the nurse recognize as a sign of true labor?

Correct Answer is D

Explanation

The nurse providing care for the laboring woman recognizes that late fetal heart rate (FHR) decelerations are caused by: Select one:

A woman was treated recently for toxic shock syndrome (TSS). She has intercourse occasionally and uses over-the-counter protection. On the basis of her history, what contraceptive method should she and her partner avoid?

Which nursing assessment indicates that a woman who is in second-stage labor is almost ready to give birth Select one:

You are working in the labor and delivery unit, you received several nursing reports. Which patient should you assess first? Select one:

Because of the effect of cyclic ovarian changes on the breast, the best time for breast self-examination (BSE) is:

A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?

A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing irregular contractions and painless. The nurse determines that she is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is most appropriate? Select one: