Author Question: A client who has been prescribed an estrogen-progestin combination oral contraceptive asks the nurse ... (Read 77 times)

Deast7027 · **on:** Jul 23, 2018

A client who has been prescribed an estrogen-progestin combination oral contraceptive asks the nurse how the medication works. What can the nurse respond to the client?

Standard Text: Select all that apply.
1. It prevents ovulation by stopping the secretion of some hormones from the pituitary gland.
2. It makes the uterine lining less favorable to an embryo.
3. It makes the cervical mucus thicker to slow the sperm down.
4. It kills the sperm.
5. It stops menstruation.

Question 2

A client is prescribed an oral contraceptive that has less progestin than her previous prescription. What assessment findings would support the use of a contraceptive with less progestin?

Standard Text: Select all that apply.
1. Increased appetite
2. Weight gain
3. Fatigue
4. Hirsutism
5. Anorexia

ecox1012 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: Estrogen-progestin combination oral contraceptives act by preventing ovulation. They accomplish this by providing negative feedback to the pituitary, which suppresses the secretion of luteinizing hormone (LH) and follicle-stimulating hormone (FSH).
Rationale 2: The estrogen-progestin agents make the uterine endometrium less favorable to receiving an embryo.
Rationale 3: Estrogen-progestin combinations promote the formation of thick cervical mucus that slows sperm transport.
Rationale 4: Estrogen-progestin combinations are not spermicidal medications.
Rationale 5: Estrogen-progestin combinations do not stop menstruation.
Global Rationale: Estrogen-progestin combination oral contraceptives act by preventing ovulation. They accomplish this by providing negative feedback to the pituitary, which suppresses the secretion of luteinizing hormone (LH) and follicle-stimulating hormone (FSH). The estrogen-progestin agents make the uterine endometrium less favorable to receiving an embryo. Estrogen-progestin combinations promote the formation of thick cervical mucus that slows sperm transport. They are not spermicidal and do not stop menstruation.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: Increased appetite is a common effect that is often caused by high amounts of progestin.
Rationale 2: Weight gain is a common effect that is often caused by high amounts of progestin.
Rationale 3: Fatigue is a common effect that is often caused by high amounts of progestin.
Rationale 4: Hirsutism is a common effect that is often caused by high amounts of progestin.
Rationale 5: Anorexia is not a common effect of progestin.
Global Rationale: Adverse effects such as increased appetite, weight gain, fatigue, and hirsutism may require lowering of the amount of progestin prescribed. Anorexia is not a common effect of progestin.