A woman who is taking a progestin-only pill has just stopped ...

[saliriagwu]

A woman who is taking a progestin-only pill has just stopped nursing her 9-month-old infant and tells the primary care NP that she would like to space her children about 2 years apart. The NP should:
 
  a. discontinue the progestin-only pill.
  b. prescribe a COCP and a folic acid supplement.
  c. prescribe a progestin-only pill for another 6 months.
  d. suggest that she use a barrier method of contraception.

Question 2

The primary care NP sees a patient several months after a myocardial infarction (MI). The patient has been taking furosemide to treat heart failure. The NP notes that the patient has edema of the hands, feet, and ankles.
 
  The NP should add which drug to this patient's regimen? a. Ethacrynic acid
  b. Chlorothiazide (Lozol)
  c. Triamterene (Dyrenium)
  d. Spironolactone (Aldactone)

[jessofishing]

Answer to Question 1

B
Serum folate levels may be decreased by oral contraceptives. Women who become pregnant shortly after stopping oral contraceptive use may have a greater chance of birth defects. This woman should become pregnant in about 6 months if she wants to space her children 2 years apart, so she needs an oral contraceptive. Progestin-only pills are used only during lactation.

Answer to Question 2

B
The addition of a thiazide to a loop diuretic along with sodium restriction may be useful in the treatment of refractory edema in patients with congestive heart failure. Ethacrynic acid is a loop diuretic. The other two options are potassium-sparing diuretics.

[saliriagwu]

Thanks

[jessofishing]

Welcome