A nurse is teaching a client who is prescribed COCs about the mechanism of action of these pills.

The nurse should explain that COCs prevent pregnancy by?

Inhibiting the production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH)

Increasing the production of prostaglandins that cause uterine contractions

Decreasing the permeability of the fallopian tubes to sperm and egg

Suppressing ovulation, thickening cervical mucus and altering the uterine lining

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. COCs prevent pregnancy by inhibiting the production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are responsible for ovulation.

By suppressing ovulation, COCs prevent the release of a mature egg that can be fertilized by sperm.

Choice B is wrong because COCs do not increase the production of prostaglandins that cause uterine contractions.

Prostaglandins are involved in inflammation and pain, and are not directly related to contraception.

Choice C is wrong because COCs do not decrease the permeability of the fallopian tubes to sperm and egg.

The fallopian tubes are the site of fertilization, and COCs do not affect their function.

Choice D is partially correct but not the best answer. COCs do suppress ovulation, but they also have other mechanisms of action, such as thickening cervical mucus and altering the uterine lining.

These effects make it harder for sperm to reach the egg and for a fertilized egg to implant in the uterus.

Therefore, choice D does not capture the full mechanism of action of COCs.

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Free Nursing Study Resources

Correct Answer is A

Explanation

The correct answer is choice A.A history of toxic shock syndrome (TSS) is a contraindication for the use of a diaphragm.

TSS is a rare but serious condition caused by a bacterial infection that can occur when using a diaphragm for too long or not cleaning it properly.

Choice B is wrong because a history of uterine fibroids is not a contraindication for the use of a diaphragm.

Uterine fibroids are benign tumors that grow in the uterus and usually do not affect the cervix or the fit of the diaphragm.

Choice C is wrong because a history of irregular menstrual periods is not a contraindication for the use of a diaphragm.

Irregular periods may be caused by various factors such as stress, hormonal imbalance, or medical conditions, but they do not affect the effectiveness or safety of the diaphragm.

Choice D is wrong because a history of breast cancer is not a contraindication for the use of a diaphragm.

Breast cancer is not related to the use of barrier methods of contraception such as the diaphragm.

However, some hormonal methods of contraception may increase the risk of breast cancer or be contraindicated for women who have or had breast cancer.

A. "You may experience weight gain as a side effect of the injection.". B. "You should use a barrier method of contraception for the first week after the injection.". C. "You should massage the injection site to promote absorption of the medication.". D. "You may resume fertility as soon as you stop the injections.".

Correct Answer is A

Explanation

The correct answer is choice A."You may experience weight gain as a side effect of the injection."

Choice B is wrong because you do not need to use a barrier method of contraception for the first week after the injection.Medroxyprogesterone injection provides contraception for three months and works mainly by stopping the release of an egg from the ovary (ovulation).

Choice C is wrong because you should not massage the injection site to promote absorption of the medication.

Massaging the injection site may cause irritation or pain.You should also avoid rubbing or scratching the injection site for a few days after receiving the injection.

Choice D is wrong because you may not resume fertility as soon as you stop the injections.

There may be a delay in your return to normal fertility after you finish using medroxyprogesterone injection.It might take 10 months or more before you begin ovulating again.

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A nurse is teaching a client who is prescribed COCs about the mechanism of action of these pills. The nurse should explain that COCs prevent pregnancy by?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education about the diaphragm to a patient. Which of the following is a contraindication for the use of a diaphragm?

Correct Answer is A

Explanation

A nurse is providing discharge instructions to a client who has just received her first medroxyprogesterone injection for contraception. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is providing education to a patient about the use of intrauterine devices (IUDs). Which of the following statements made by the patient indicates a need for further teaching?

A nurse is reviewing the laboratory results of a client who is taking medroxyprogesterone injections for contraception. Which of the following findings should the nurse report to the provider?

A nurse is caring for a client who requests information about female sterilization (bilateral tubal ligation). Which of the following statements by the nurse is appropriate? (Select all that apply.).

A nurse is teaching a patient about the use of spermicide. Which of the following is an adverse effect of some spermicides that contain nonoxynol-9 (N-9)?

A nurse is reinforcing teaching with a client who wants to use an intrauterine device (IUD) for contraception but has concerns about its safety and effectiveness. Which of the following information should the nurse include in the teaching?

A nurse is reviewing the mechanism of action of IUDs with a group of nursing students. Which of the following statements by a student indicates an understanding of the teaching?

A nurse is teaching a client who is considering female sterilization as a contraceptive method. Which of the following statements by the nurse is appropriate?

A nurse is caring for a client who has an intrauterine device (IUD) in place and reports missing her menstrual period this month. Which of the following actions should the nurse take first?

A nurse is teaching a client who is prescribed COCs about the mechanism of action of these pills.

The nurse should explain that COCs prevent pregnancy by?