Best NCLEX-PN Practice Questions Practice Question
A 15-year-old client's mother asks the nurse why the I-ICP prescribed oral contraceptives (OCPs) for treating her daughter's dysmenorrhea. Before responding to the mother, which fact about oral contraceptives should the nurse consider?
Correct Answer: D
Rationale: A. OCPs do not inhibit inflammation. B. OCPs do not increase uterine blood flow; the amount of menstrual discharge may decrease with OCP usage as a result of decreased endometrial stimulation. C. OCPs do inhibit progesterone production, but it is not progesterone that stimulates uterine contractions and pain; rather, it is prostaglandins. D. OCPs block ovulation by preventing the release of follicle stimulating hormone from the pituitary. The absence of ovulation decreases the sequential stimulation of the endometrium by estrogen and progesterone. This results in a decrease in the prostaglandin production by the endometrium and thus a decrease in pain.
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