A nurse is reviewing the medical history of a client who is considering using COCs as a method of contraception.
The nurse should identify that which of the following conditions is a contraindication for using COCs?
History of migraine headaches with aura
History of dysmenorrhea and menorrhagia
History of acne vulgaris and hirsutism
History of iron-deficiency anemia and fatigue
The Correct Answer is A
The correct answer is choice A. History of migraine headaches with aura is a contraindication for using COCs because it increases the risk of stroke.
Some possible explanations for the other choices are:
- Choice B is wrong because history of dysmenorrhea and menorrhagia is not a contraindication for using COCs. In fact, COCs may help reduce menstrual pain and bleeding.
- Choice C is wrong because history of acne vulgaris and hirsutism is not a contraindication for using COCs. In fact, COCs may help improve acne and hirsutism by reducing androgen levels.
- Choice D is wrong because history of iron-deficiency anemia and fatigue is not a contraindication for using COCs. In fact, COCs may help prevent iron-deficiency anemia by reducing menstrual blood loss.
Normal ranges for relevant parameters are:
- Blood pressure: <140/90 mmHg
- Body mass index: 18.5–24.9 kg/m
- Hemoglobin: 12–16 g/dL for women
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 D
Explanation
The correct answer is choice D. Choice D is wrong because it implies that the IUD affects fertility, which is not true.According to the NHS website, “Your fertility will return to normal as soon as the IUD is taken out.” The other choices are correct because:
- Choice A is correct because the copper IUD does not contain any hormones and can be used by people who cannot or do not want to use hormonal methods of contraception.
- Choice B is correct because a pregnancy test is needed before inserting an IUD to make sure that the person is not already pregnant.
- Choice C is correct because the hormonal IUD can reduce menstrual pain and heavy bleeding by thinning the lining of the uterus and thickening the cervical mucus.
Therefore, choice D indicates a need for further teaching.
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