RN Maternal Newborn Online Practice 2014 B / Revised Questions and Answers / Sure A+
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? (SATA) - Cholecystitis Hypertension Migraine headaches MY ANSWER Cholecystitis is correct. A history of gallbladder disease is a contraindication for the use of oral contraceptives. Hypertension is correct. Hypertension is a contraindication for the use of oral contraceptives. Human papillomavirus is incorrect. The presence of human papillomavirus is not a contraindication for the use of oral contraceptives. Migraine headaches is correct. A history of migraine headaches is a contraindication for the use of oral contraceptives. Anxiety disorder is incorrect. The presence of an anxiety disorder is not a contraindication for the use of oral contraceptives. A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 weeks late. The client appears anxious and asks the nurse if she is pregnant. Which of the following responses should the nurse make? - "You can miss your period for several other reasons. Describe your typical menstrual cycle." "You can miss your period for several other reasons. Describe your typical menstrual cycle."MY ANSWERAmenorrhea is a presumptive sign of pregnancy, not a positive sign. Therefore, the nurse should explore the client's menstrual cycle to determine other necessary interventions. "If you have been sexually active and haven't used protection, it is likely that you are pregnant."The nurse's response is assuming and confirming that the client is pregnant based only on the client's statement, which can increase the client's anxiety level. "Let's check to see if you have any other signs of pregnancy. Have you noticed any abdominal enlargement yet?"The nurse's response is making a false assumption that the client is pregnant based only on the client's statement. The nurse should gather more information from the client before making any false assumptions. "Because you have missed your period, yo
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rn maternal newborn online practice 2014 b revis