A woman will be taking oral contraceptives using a 28-day pack. ...

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A woman will be taking oral contraceptives using a 28-day pack. To be protected from pregnancy, the nurse should advise this woman to:
 
  1. limit sexual contact for one cycle after starting the pill.
  2. use condoms and foam instead of the pill for as long as she takes an antibiotic.
  3. take one pill at the same time every day.
  4. throw away the pack and use a backup method if she misses two pills during week one of her cycle.

Question 2

A woman is 16 weeks pregnant and has elected to terminate her pregnancy. The nurse knows that the most common technique used for the medical termination of a pregnancy in the second trimester is:
 
  1. dilation and evacuation (D&E).
  2. instillation of hypertonic saline into the uterine cavity.
  3. intravenous administration of oxytocin (Pitocin).
  4. vacuum aspiration.

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Answer to Question 1

3
1. Incorrect. If contraceptives are to be started at any time other than during normal menses, or within 3 weeks after birth or abortion, another method contraception should be used through the first week to avoid the risk of pregnancy. Taken exactly as directed, oral contra-ceptive prevent ovulation, and pregnancy cannot occur.
2. Incorrect. No strong pharmacokinetic evidence exists that shows a relationship between broad-spectrum antibiotic use and altered hormonal levels among oral contraceptive users.
3. Correct. To maintain adequate hormonal levels for contraception and enhance com-pliance, oral contraceptives should be taken at the same time each day.
4. Incorrect. If the patient misses two pills during week 1, she would take two pills a day for 2 days and finish the package and used backup method the next 7 consecutive days.

Answer to Question 2

1
1. Correct. The most common technique for medical termination in the second trimester is dilation and evacuation.
2. Incorrect. Hypertonic solutions injected directly into the uterus account for less than 1 of all abortions because other methods are safer and easier to use.
3. Incorrect. Intravenous administration of oxytocin is used to induce labor in a woman with a third-trimester fetal demise.
4. Incorrect. Vacuum aspiration is the method used for abortions in the first trimester.

[2125004343]

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