A 40-year-old woman who smokes desires a reliable contraceptive ...

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A 40-year-old woman who smokes desires a reliable contraceptive method. Which should the nurse recommend to this patient?
 
  A) An ovulation suppressant
  B) A condom and spermicide
  C) A spermicidal suppository
  D) The rhythm (calendar) method

Question 2

Which finding obtained during a client history would the nurse identify as increasing a client's risk for ovarian cancer?
 
  A) Multiple sexual partners
  B) Consumption of a high-fat diet
  C) Underweight
  D) Grand multiparity (more than five children)

[nanny]

Answer to Question 1

B
Feedback:
Women who are 40 years of age and smoke should not take ovulation suppressants. Irregular menstrual cycles make natural methods difficult. Women older than the age of 40 may have vaginal dryness, so a spermicidal suppository would not be effective. The best option is for the patient to use a condom and spermicide.

Answer to Question 2

B
Feedback:
Risk factors for ovarian cancer include a high-fat diet, obesity, nulliparity, early menarche, late menopause, and increasing age. Having multiple sexual partners is a risk factor for cervical cancer.