A client is surprised to learn she is pregnant in spite of using ...

[cookcarl]

A client is surprised to learn she is pregnant in spite of using a contraceptive sponge for the last 5 years. Which condition might have altered the contraceptive ability of this form of birth control?
 
  1. Migraine headaches
  2. Vaginal yeast infection
  3. Strep throat
  4. Urinary tract infection

Question 2

An adolescent client has been taking oral contraceptives for the last 6 months for treatment of an irregular menstrual cycle. Which statement indicates that the client has met the goals of treatment?
 
  1. The client reports that a period occurs every 30 days.
  2. The client reports a decrease in premenstrual symptoms.
  3. The client reports that acne has improved.
  4. The client reports that migraine headaches are better.

[Dominic]

Answer to Question 1

Correct Answer: 2
Rationale 1: Medications used in the treatment of migraine headaches would not inactivate the spermicidal action of the contraceptive sponge.
Rationale 2: The use of intravaginal azole antifungals can inactivate the spermicides used in the contraceptive sponge.
Rationale 3: Medications used in the treatment of a throat infection would not inactivate the spermicidal action of the contraceptive sponge.
Rationale 4: Medications used in the treatment of a urinary tract infection would not inactivate the spermicides used in the contraceptive sponge.
Global Rationale: The use of intravaginal azole antifungals can inactivate the spermicides used in the contraceptive sponge. Medications used in the treatment of migraine headaches would not inactivate the spermicidal action of the contraceptive sponge. Medications used in the treatment of a throat infection would not inactivate the spermicidal action of the contraceptive sponge. Medications used in the treatment of a urinary tract infection would not inactivate the spermicides used in the contraceptive sponge.

Answer to Question 2

Correct Answer: 1
Rationale 1: The client is taking oral contraceptives for treatment of an irregular menstrual cycle; therefore, a regular menstrual cycle is the goal of the treatment.
Rationale 2: Oral contraceptives can cause a decrease in premenstrual symptoms, but the goal of treatment is to have a regular menstrual cycle.
Rationale 3: Oral contraceptives can cause a decrease in acne symptoms, but this does not meet the goal of a regular menstrual cycle.
Rationale 4: An improvement in headaches is not the goal of treatment.
Global Rationale: This is the goal of the treatment. The client is taking oral contraceptives for treatment of an irregular menstrual cycle; therefore, a regular menstrual cycle is the goal of the treatment. Oral contraceptives can cause a decrease in premenstrual symptoms, but the goal of treatment is to have a regular menstrual cycle. Oral contraceptives can cause a decrease in acne symptoms, but this does not meet the goal of a regular menstrual cycle. An improvement in headaches is not the goal of treatment.

[cookcarl]

Excellent

[dantucker]

TYSM