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 D

Explanation

a. While this is important, it is not the priority when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy.
b. This is important for managing the bleeding but is not the priority.
c. Monitoring uterine contractions is important, but assessing fetal heart rate (FHR) and maternal vital signs is the priority to determine the status of the fetus and mother.
d. Bleeding in late pregnancy can indicate placental abruption, which is a life- threatening condition for both the mother and the fetus. The nurse should monitor the FHR and maternal vital signs to assess the severity of the bleeding and the fetal and maternal well-being.

A. Anasarca B. Morning vomiting C. c Braxton Hick contractions D. Frequent urination

Correct Answer is A

Explanation

a. Anasarca, which refers to generalized edema or swelling, can be a sign of a serious medical condition such as preeclampsia or heart failure and should prompt immediate medical evaluation.
b. Morning vomiting is a common discomfort in the first trimester of pregnancy and typically does not require immediate medical attention unless it is severe or persistent.
c. Braxton Hicks contractions, which are mild and irregular contractions that can occur throughout pregnancy, are typically not a cause for concern.
d. Frequent urination is a common discomfort in the first trimester of pregnancy and typically does not require immediate medical attention unless it is accompanied by other symptoms.

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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

The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy ( 37 weeks) is to: Select one:

Correct Answer is D

Explanation

Correct Answer is A

Explanation

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