Birth Control Pills Flashcards, test questions and answers

Question 1

A patient who is taking birth control pills presents with amenorrhea. What is the likely cause?

Answer

Pregnancy. No form of contraception is 100% effective (including tubal ligation), especially when patient compliance is required.
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Question 2

The nurse is assessing an adult client who appears depressed. When taking the client’s medical history, the nurse should be alert for what factors that might be contributing to depression? Select all that apply. Early signs of Alzheimer disease A deficiency in vitamin C History of thyroid disease Use of birth control pills Use of corticosteroids

Answer

All except a deficiency in vitamin C
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Question 3

Review information about the different types of birth control pills. Which type of pills requires strict adherence to taking it at the same time each day? [text & lecture]

Answer

Estrogen Pills: • Monophasic pills contain the same dose of hormones in each pill • Biphasic pills change the level of hormones once during the menstrual cycle • Multiphasic pills vary in hormone amount • Triphasic pills have 3 sets of pills per month, each week the hormonal dosage increases • Women using extended cycle regimens report higher satisfaction than women on traditional 21/7 regimens Progestin-Only Pills: (Minipill/POPs (progestin-only pills)) • Inhibit ovulation and thicken mucus • Fewer side effects than combination pills • 92-99.7% effective • More expensive than combination pills • Can cause irregular bleeding • Higher rates of ectopic pregnancies for women who get pregnant while taking the minipill
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Question 4

Ch 3: During Sami’s appointment at the women’s clinic, she has a Pap smear, breast exam, and blood work. She also informs the nurse practitioner that her menstrual flow is very heavy and that she experiences severe abdominal cramping. All of these data are added to the database as reference for future visits. Sami’s Pap smear results and breast exam are normal, but she is moderately anemic (she has a low hemoglobin level). When the nurse practitioner sees the lab results, she suspects that the heavy flow may be causing Sami’s anemia. According to clinic protocol, she prescribes birth control pills for Sami to control her heavy, painful periods and provide contraception. Ongoing assessment will include visits every 6 months to manage her birth control pills and monitor the anemia. State whether the following data are primary or secondary, subjective or objective: You see in the chart that Sami’s breast exam was normal.

Answer

Objective data (Someone other than Sami made the observation; it was not from Sami’s perspective.)
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Question 5

After teaching the client with severe rheumatoid arthritis about prescribed methotrexate (Rheumatrex), which of the following statements indicates the need for further teaching? 1. “I will take my vitamins while I’m on this drug.” 2. “I must not drink any alcohol while I’m taking this drug.” 3. “I should brush my teeth after every meal.” 4. “I will continue taking my birth control pills.”

Answer

1. Because some over-the-counter vitamin supplements contain folic acid, the client should avoid self-medication with vitamins while taking methotrexate, a folic acid antagonist. Because methotrexate is hepatotoxic, the client should avoid the intake of alcohol, which could increase the risk for hepatotoxicity. Methotrexate can cause bone marrow depression, placing the client at risk for infection. Therefore, meticulous mouth care is essential to minimize the risk of infection. Contraception should be used during methotrexate therapy and for 8 weeks after the therapy has been discontinued because of its effect on mitosis. Methotrexate is considered teratogenic.
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Question 6

Ch 3: During Sami’s appointment at the women’s clinic, she has a Pap smear, breast exam, and blood work. She also informs the nurse practitioner that her menstrual flow is very heavy and that she experiences severe abdominal cramping. All of these data are added to the database as reference for future visits. Sami’s Pap smear results and breast exam are normal, but she is moderately anemic (she has a low hemoglobin level). When the nurse practitioner sees the lab results, she suspects that the heavy flow may be causing Sami’s anemia. According to clinic protocol, she prescribes birth control pills for Sami to control her heavy, painful periods and provide contraception. Ongoing assessment will include visits every 6 months to manage her birth control pills and monitor the anemia. State whether the following data are primary or secondary, subjective or objective: Sami tells the nurse practitioner that she experiences cramping with her menstrual cycle. For the nurse practitioner, is this primary or secondary, subjective or objective data?

Answer

– Primary data (The nurse practitioner obtained the information from Sami.) – Subjective data (Sami’s perspective, told directly to the nurse practitioner by Sami)
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Question 7

Ch 3: During Sami’s appointment at the women’s clinic, she has a Pap smear, breast exam, and blood work. She also informs the nurse practitioner that her menstrual flow is very heavy and that she experiences severe abdominal cramping. All of these data are added to the database as reference for future visits. Sami’s Pap smear results and breast exam are normal, but she is moderately anemic (she has a low hemoglobin level). When the nurse practitioner sees the lab results, she suspects that the heavy flow may be causing Sami’s anemia. According to clinic protocol, she prescribes birth control pills for Sami to control her heavy, painful periods and provide contraception. Ongoing assessment will include visits every 6 months to manage her birth control pills and monitor the anemia. State whether the following data are primary or secondary, subjective or objective: You check the results of the Pap smear on the computer and see that it is normal.

Answer

– Objective data (Observed by someone other than the patient) – Secondary data (You did not get the information directly from the patient. It would be primary data for the pathologist.)
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Question 8

There is a considerable evidence that oral birth control pills protect against ovarian cancer. T/F

Answer

True
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Question 9

Ch 3: During Sami’s appointment at the women’s clinic, she has a Pap smear, breast exam, and blood work. She also informs the nurse practitioner that her menstrual flow is very heavy and that she experiences severe abdominal cramping. All of these data are added to the database as reference for future visits. Sami’s Pap smear results and breast exam are normal, but she is moderately anemic (she has a low hemoglobin level). When the nurse practitioner sees the lab results, she suspects that the heavy flow may be causing Sami’s anemia. According to clinic protocol, she prescribes birth control pills for Sami to control her heavy, painful periods and provide contraception. Ongoing assessment will include visits every 6 months to manage her birth control pills and monitor the anemia. State whether the following data are primary or secondary, subjective or objective: The nurse practitioner tells you that Sami is anemic.

Answer

– Objective data (Observed by someone other than the patient; not told to you by the patient. It isn’t the verbal reporting of data that makes them “subjective”; it is the verbal reporting by the patient.) – Secondary data for you (You did not get the data from Sami.) Actually, anemia is a diagnostic conclusion made by the nurse practitioner, not data. But when you receive the information, it is, for you, data.
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Question 10

Various religious groups and their followers are very upset about scientific advances in reproductive technology, such as birth control pills, abortion pills, in-vitro fertilization, and genetic engineering. This conflict between religious values and new scientific concepts illustrates

Answer

culture lag
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