Author Question: A female client has been prescribed Micronor as an oral contraceptive. What is the best explanation ... (Read 18 times)

captainjonesify · **on:** Jul 23, 2018

A female client has been prescribed Micronor as an oral contraceptive. What is the best explanation by the nurse in terms of how this medication is used to prevent pregnancy?

1. It produces a thick, viscous mucus at the entrance to the uterus that prevents penetration by sperm.
2. It terminates pregnancy.
3. It increases ovulation.
4. It prevents ovulation.

Question 2

Which client statement indicates a need for further instruction regarding oral contraceptives?

1. I should stop smoking.
2. If I miss a dose, I should take it as soon as I remember, or two the next day.
3. I do not need to perform monthly breast exams while taking an oral contraceptive.
4. If I miss two consecutive periods, I should contact my doctor.

fromAlphatoOmega22 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1

Rationale 1: The progestin-only oral contraceptives prevent pregnancy primarily by producing a thick, viscous mucus at the entrance to the uterus that prevents penetration by sperm.
Rationale 2:Progestin-only contraceptives do not terminate a pregnancy.
Rationale 3:Progestin-only contraceptives do not increase ovulation.
Rationale 4: Progestin-only contraceptives do not prevent ovulation.

Global Rationale: The progestin-only oral contraceptives prevent pregnancy primarily by producing a thick, viscous mucus at the entrance to the uterus that prevents penetration by sperm. A thicker mucosal lining inhibits implantation of a fertilized egg.

Answer to Question 2

3

Rationale 1:The statement indicates client understanding.
Rationale 2:The statement indicates client understanding.
Rationale 3: The client should perform breast self-exams monthly and obtain routine mammograms as recommended by the healthcare provider.
Rationale 4:The statement indicates client understanding.

Global Rationale: The client should perform breast self-exams monthly and obtain routine mammograms as recommended by the healthcare provider.