Nokea
The nurse is providing an informational session on oral contraceptives. Which of the following decrease effectiveness of oral contraceptives?
- A. Antihistamines for seasonal allergies
- B. Iron preparations for treatment of anemia
- C. Appetite suppressants for weight reduction
- D. Anticonvulsants for treatment of epilepsy
Correct Answer: D
Rationale: Anticonvulsants decrease the effectiveness of oral contraceptives.
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The nurse is planning to teach a woman about perimenopause. What would the nurse include regarding lowered estrogen level?
- A. It prevents osteoporosis.
- B. It decreases vaginal lubrication.
- C. It raises the level of low-density lipoproteins.
- D. It raises the level of high-density lipoproteins.
Correct Answer: C
Rationale: Estrogen increases the amount of high-density lipoproteins that carry cholesterol from body cells to the liver for excretion. With lowered levels of estrogen, low-density lipoproteins increase, causing an increase in the incidence of heart attacks and strokes.
The nurse is instructing a man considering a vasectomy. What instruction will the nurse provide to address the postoperative time period?
- A. Intercourse should be delayed for 6 weeks.
- B. Sperm will still be ejaculated for a month.
- C. Erections will be difficult to maintain.
- D. Monthly sperm counts for a year will be necessary.
Correct Answer: B
Rationale: Because sperm are distal to the severed vas deferens, sperm will be in the ejaculate for about a month. A sperm count after that period of time should be performed to confirm the absence of sperm.
At her 6-week postpartum checkup, a woman states, 'I am wondering about birth control. I used oral contraceptives before, and I'm breastfeeding now. Can I use the pill again?' What is the nurse's best response?
- A. You should know that oral contraceptives increase your milk production.'
- B. Oral contraceptives can be taken once lactation is well established.'
- C. You don't need to use any form of birth control as long as you are breastfeeding.'
- D. Oral contraceptives are contraindicated for the lactating woman.'
Correct Answer: B
Rationale: Oral contraceptives decrease breast milk production and are contraindicated until lactation is well established. Women who breastfeed their infants usually will not ovulate for 10 weeks and do not need contraception until that time.
The nurse tells a woman who is trying to conceive to check her cervical mucus for changes. What will she expect the characteristic of cervical mucus to be a few days before ovulation?
- A. Cloudy and tacky
- B. Scant and thick
- C. Thin and white
- D. Clear and slippery
Correct Answer: D
Rationale: Within a few days of ovulation, cervical mucus will become clear and slippery to aid the passage of sperm into the cervix.
What is the nurse's best response to a mother who is voicing concern about the molding of her 2-day-old infant?
- A. Molding doesn't cause any problems. Don't worry about it.'
- B. Did you deliver vaginally or by cesarean section?'
Correct Answer: B
Rationale: Molding is a common occurrence in vaginal deliveries due to the head passing through the birth canal. Asking about the delivery method helps assess whether molding is expected and provides an opportunity to reassure the mother that it typically resolves without complications.