A 40-year-old woman tells the primary care nurse...

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Chapter 54: Contraceptives Test Bank MULTIPLE CHOICE 1. A 40-year-old woman tells the primary care nurse practitioner (NP) that she does not want more children and would like a contraceptive. She does not smoke and has no personal or family history of cardiovascular disease. She has frequent tension headaches. For this patient, the NP should prescribe: a. condoms. b. tubal ligation. c. monophasic combined oral contraceptive pill (COCP). d. low-estrogen COCP. ANS: D Low-estrogen COCPs are recommended for women older than 40 with or without cardiovascular risk. Monophasic COCPs are recommended for women with migraine headaches. Condoms are more useful for preventing sexually transmitted diseases and not as reliable as contraception. Tubal ligation has surgical risks.
DIF: Cognitive Level: Applying (Application) REF: 619 2. A primary care NP prescribes a COCP for a woman who has never taken oral contraceptives before. The woman is in a monogamous relationship, and she and her partner have been using condoms and wish to stop using them. Her last period was 1 week ago. The NP should:
DIF: Cognitive Level: Applying (Application) REF: 617

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