Nokea
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client’s history should the nurse recognize as a contraindication to oral contraceptives? (Select all that apply.)
- A. Cholecystitis
- B. Hypertension
- C. Human papillomavirus
- D. Migraine headaches
Correct Answer: A, B, D
Rationale: The correct answer is A, B, D. Cholecystitis is a contraindication due to increased risk of gallbladder disease. Hypertension is a contraindication as estrogen in oral contraceptives can elevate blood pressure. Migraine headaches with aura are contraindicated due to increased risk of stroke. Human papillomavirus is not a contraindication. It's important to consider individual health factors for each client when prescribing oral contraceptives.
You may also like to solve these questions
Which of the following is a potential complication of maternal hyperemesis gravidarum?
- A. Preterm labor
- B. Fetal growth restriction
- C. Maternal dehydration
- D. All of the above
Correct Answer: D
Rationale: Hyperemesis gravidarum can lead to preterm labor, fetal growth restriction, and maternal dehydration.
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
- A. "I should increase my protein intake to 60 grams each day."
- B. "I should drink 2 liters of water each day."
- C. "I should increase my overall daily caloric intake by 300 calories."
- D. "I should take 600 micrograms of folic acid each day."
Correct Answer: A
Rationale: Increasing protein intake to 60 grams daily is essential during pregnancy to support fetal growth and maternal tissue expansion. This aligns with nutritional guidelines for pregnancy.
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
- A. Administer penicillin G 2.4 million units IM to the client.
- B. Instruct the client to schedule an annual pelvic examination.
- C. Tell the client they will start medication for HIV immediately after delivery.
- D. Report the client’s condition to the local health department.
Correct Answer: D
Rationale: Reporting the client’s HIV status to the local health department is a legal requirement to ensure proper public health tracking and intervention.
Which of the following is a potential complication of a breech delivery?
- A. Fetal distress
- B. Maternal hemorrhage
- C. Birth trauma
- D. All of the above
Correct Answer: C
Rationale: The correct answer is C: Birth trauma. In a breech delivery, where the baby is positioned feet or buttocks first, there is an increased risk of birth trauma due to potential difficulties in delivering the baby's head, leading to possible injuries such as fractures or nerve damage. Fetal distress and maternal hemorrhage can also occur but are not exclusive complications of breech delivery. Choice D, "All of the above," is incorrect as not all potential complications of a breech delivery are listed.
A nurse is caring for a newborn who was transferred to the nursery 30 min after birth because of mild respiratory distress. Which of the following actions should the nurse take first?
- A. Confirm the newborn's Apgar score.
- B. Verify the newborn's identification.
- C. Administer vitamin K to the newborn.
- D. Determine obstetrical risk factors.
Correct Answer: B
Rationale: Verifying the newborn's identification is the first priority to ensure that the correct newborn is receiving care, especially in a busy nursery setting.