Question

A nurse is reinforcing teaching with a client who has a new prescription for ethinyl estradiol/ norethindrone, an oral contraceptive. Which of the following client statements should indicate to the nurse an understanding of the teaching?

A. "I should expect my menstrual flow to increase"
B. "I should monitor my blood pressure for hypotension while on this medication"
C. "I will take this medication at the same time each day"
D. "This type of medication is most effective because it only contains estrogen"

Answer 1

The correct client statement indicating an understanding of the oral contraceptive's proper use is the commitment to take the medication at the same time each day, which is crucial for maintaining its effectiveness in preventing pregnancy.

Step-by-step explanation:

The correct statement that indicates an understanding of the teaching is: "I will take this medication at the same time each day".

Ethinyl estradiol/norethindrone is a combination of synthetic estrogen and progestin used in oral contraceptives. Taking the medication at the same time each day maintains consistent hormone levels in the body to prevent ovulation effectively. It also helps to establish a habit and reduces the chance of missing a dose, which is crucial because skipping pills or taking them inconsistently can increase the risk of pregnancy. The medication does not typically increase menstrual flow; it may actually lead to lighter periods due to reduced endometrial thickening. Additionally, it's important to monitor for hypertension rather than hypotension, as birth control pills can raise blood pressure. Lastly, combined oral contraceptives contain both estrogen and progestin, not just estrogen, and each component plays a role in preventing pregnancy. Therefore, statement C demonstrates the best understanding of how to use the medication properly.