Author Question: A nurse is teaching a community education class on contraceptives. The nurse tells the class that if ... (Read 28 times)

sc00by25 · **on:** Jul 23, 2018

A nurse is teaching a community education class on contraceptives. The nurse tells the class that if spermicides containing nonoxynol-9 are used, the patient should take special precautions, because these spermicides have been linked to:

a. human papillomavirus (HPV) infections.
b. spontaneous abortions.
c. endometrial cancer.
d. increased transmission of the human immunodeficiency virus (HIV).

Question 2

A patient at increased risk for thromboembolic disorders will begin taking a progestin-only oral contraceptive. Which statement by the patient indicates understanding of how this oral contraceptive works?

a. I will need to use backup contraception if I miss a pill.
b. Irregular bleeding is an indication that I should stop using this drug.
c. The mini-pill is safer than combination OCs and is just as effective.
d. The progestin-only mini-pill will prevent me from ovulating.

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

Answer to Question 1

ANS: D
Spermicides that contain nonoxynol-9 have been linked to the increased transmission of HIV. Spermicides containing nonoxynol-9 have not been linked to HPV infections, spontaneous abortions, or endometrial cancer.

Answer to Question 2

ANS: A
When a patient taking a progestin-only OC misses one or more pills, backup contraception should always be used for at least 2 days. Irregular bleeding occurs but is not an indication to stop using the drug, although many women do because of the inconvenience. The mini-pill is slightly safer than combination OCs but not as effective. The mini-pill is a weak inhibitor of ovulation.