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Practice Question

A nurse in a provider's office is collecting data from a client who is requesting a prescription for a transdermal contraceptive patch. The nurse should recognize which of the following client findings is a contraindication for this method of contraception.

Answer Choices:

Correct Answer:

Weight 98 kg (216 lb)

Rationale:

🔶 A body weight over 90 kg (198 lb) is a known contraindication to the use of the transdermal contraceptive patch because it may reduce hormonal absorption.

🔶 In individuals with increased adipose tissue, the effectiveness of the patch is diminished, increasing the risk of unintended pregnancy.

🔶 For example, a client weighing 216 lb may not achieve therapeutic estrogen-progestin levels consistently through transdermal application.

🔶 Alternative methods such as IUDs, injectables, or oral contraceptives should be considered for these clients to ensure reliable contraception.

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This question is from RN ATI Mental&Newborn care~NGN-2020 which contains 59 questions.

More Questions from This Exam
A nurse in a prenatal clinic is reinforcing teaching with a client about expected physiological changes during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

Answer Choices:

A. "I should expect to have burning when I urinate during the third trimester."
B. "l may have an infection if I develop a dark line in the middle of my abdomen."
C. "I should expect my fingers and face to be swollen:
D. "l may develop discoloration on my cheeks from hormonal changes.
A nurse is caring for a client who is postpartum. The client is experiencing excessive vaginal bleeding and has a boggy uterus. Which of the following actions should the nurse take first?

Answer Choices:

A. Apply oxygen via a non-rebreather mask at L/min.
B. Administer methylergonovine 0.2 mg 1M
C. Encourage the client to empty her bladder
D. Initiate fundal massage.
A nurse is reinforcing teaching about perineal care to a client who is 2 hr postpartum and has an episiotomy and hemorrhoids. Which of the following statements by the client indicates an understanding of the teaching?

Answer Choices:

A. "l will place a heat pack to the area several times a day.
B. "l will apply witch hazel pads after urination."
C. "l will use the numbing spray prior to cleansing the area."
D. "l will remain in the sitz bath for 10 minutes."
A nurse is collecting data from a client at a 6-week postpartum checkup. The client tells the nurse, "I am breastfeeding and would like to use a birth control pill." Which of the following statements should the nurse make?

Answer Choices:

A. "Progestin-only birth control pills are preferred for contraception during lactation."
B. "Taking birth control pills while breastfeeding can increase your risk for breast cancer.
C. "You do not need birth control pills as long as you are lactating."
D. "Birth control pills are contraindicated for breastfeeding clients.-
From Exam
RN ATI Mental&Newborn care~NGN-2020

59 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Maternal & Newborn Care
  • Answer Choices: 4
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