A young girl comes to the OB-GYN office to begin contraception. What is the most important information the nurse should find in the history before starting a contraceptive?

Correct Answer: A

Rationale: Cramps that interfere with daily activities could indicate underlying issues that need to be addressed before starting contraception. This is a priority because it could suggest a need for further evaluation or treatment before prescribing a contraceptive method. Choice B is important but less critical than assessing the impact of menstrual symptoms on daily life. Choice C, while important for overall health, does not have a direct impact on contraception planning. Choice D is less useful in this context compared to understanding how menstrual symptoms affect daily functioning.

Correct Answer: C

Rationale: The best sites for applying the contraceptive patch are the buttocks, arm, and leg. These areas have sufficient fat and are away from areas that might rub off the patch. Choice B (Neck) is incorrect as the neck is not recommended for patch application due to the potential for irritation and the high blood flow area. Choice C (Breast) is not recommended because the breast tissue may affect the adhesion of the patch.

Correct Answer: B

Rationale: In the context of pharmacology and contraception, it is crucial for nurses to educate patients on the possible side effects of oral combination contraceptives. For this question, the correct answer is option B) Thick vaginal discharge. The rationale behind this is that thick vaginal discharge is not a common side effect of oral combination contraceptives, unlike the other options provided. A) Irregular bleeding is a common side effect that may occur when a client is taking oral combination contraceptives. It is important for patients to be aware of this possibility to avoid unnecessary worry. C) Nausea is another common side effect that patients may experience when initiating oral combination contraceptives. Educating patients on this potential side effect can help them manage it effectively. D) Breast tenderness is also a known side effect of oral combination contraceptives. By informing patients about this, nurses can prepare them for any discomfort they may experience. In an educational context, providing this information to patients empowers them to make informed decisions about their contraceptive choices and manage any side effects they may encounter effectively. It also ensures patient safety and compliance with the prescribed medication regimen.

Correct Answer: C

Rationale: Depo-Provera can cause irregular bleeding patterns, including spotting or no bleeding at all. Choice A is incorrect because Depo-Provera needs to be administered every 3 months, not every 5 months. Choice B is incorrect as weight gain is more commonly associated with Depo-Provera, not weight loss. Choice D is incorrect as Depo-Provera can be used regardless of whether the woman has been pregnant before.

Correct Answer: B

Rationale: The IUD may contain metal components, and it's crucial to check for any metal allergies before placement. Choice A, family history of heart disease, is not directly related to IUD use. Choice C is incorrect because previous IUD insertion is not as crucial as identifying an allergy to the materials in the IUD. Choice D is incorrect because hypertension is not a contraindication for IUD use, though it should be monitored.