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Author Question: A woman will begin taking a combination oral contraceptive (COC) that has a higher estrogenic ... (Read 76 times)

segrsyd

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on: Jul 23, 2018
A woman will begin taking a combination oral contraceptive (COC) that has a higher estrogenic activity than her previous COC. When teaching this woman about the new product, the nurse will explain that she may experience which effect(s)?
 
  a. Cyclic breast changes and chloasma
  b. Decreased dysmenorrhea and menorrhagia
  c. Decreased libido
  d. Weight gain and fatigue

Question 2

A woman is taking a combination oral contraceptive and asks the nurse why progestin is necessary. The nurse will explain that progestin helps prevent pregnancy by which method?
 
  a. Altering the quantity and viscosity of cervical mucus
  b. Inhibiting proliferative and secretory changes in the endometrium
  c. Increasing motility of muscles and cilia in the fallopian tubes
  d. Stimulating a surge in luteinizing hormone


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Viet Thy

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Increased estrogenic activity may include side effects such as cyclic breast changes and chloasma as well as increased dysmenorrhea and menorrhagia. Increased progestin causes decreased libido, weight gain, and fatigue.

Answer to Question 2

ANS: A
Progestin alters the quantity and viscosity of cervical mucus, making it thick and hostile to sperm penetration. Estrogen inhibits proliferative and secretory changes in the endometrium. Progestin decreases muscle and ciliary motility and decreases the LH surge.


segrsyd

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Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

Joy Chen

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Reply 3 on: Yesterday
Excellent

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