A 35-year-old woman asks the nurse about oral contraceptives. The ...

[xroflmao]

A 35-year-old woman asks the nurse about oral contraceptives. The nurse learns that the patient smokes and has a family history of venous thromboembolism (VTE). The nurse will suggest that the patient
 
  a. discuss a progestin-only oral contraceptive with her provider.
  b. may want to consider having a tubal ligation.
  c. use a transdermal contraceptive product.
  d. will not be a candidate for oral contraceptive products.

Question 2

A woman comes to the clinic for a Depo-Provera injection. The nurse reviews her medical record and notes that it has been 100 days since her last injection. What action will the nurse perform?
 
  a. Administer Depo-Provera 150 mg IM.
  b. Give Depo-Provera 300 mg IM.
  c. Perform a pregnancy test.
  d. Suggest she wait until she has had a period.

[fauacakatahaias]

Answer to Question 1

ANS: A
Patients who smoke or who have an increased risk of VTE may be candidates for progestin-only products. A 35-year-old woman may still want children in the future, so recommending a tubal ligation is not indicated. Transdermal products contain estrogen and carry the same risks as COCs.

Answer to Question 2

ANS: C
Women should receive Depo-Provera injections every 13 weeks. Patients who are late for injections (13 weeks plus 1 day) will need to rule out pregnancy before receiving the next injection. Patients who are eligible receive 150 mg IM. It is not correct to give a higher dose.

[xroflmao]

Thank you!

[fauacakatahaias]

Always glad to help...