38. A mother, who was lactating for seven months, came to family planning clinic to take contraceptive. A nurse assessed for medical eligibility criteria and explained to her about the options, side effects and benefits of contraceptive for her . The mother preferred to take combined oral contraceptive. For which category of contraceptive the woman is eligible? A. Category 1 B. Category 2 C. Category 3 D. Category 4 39.A 26-year-old mother used Depo -Provers contraceptive for one year. She discontinued the contraceptive due to irregular bleeding , nausea, headache, and missing period. After three month of discontinuing the contraceptive, she became amenorriC. Her body mass index is 238 and blood pressure is 110/70mmHg What would be the priority side effect of discontinuing this contraceptive? A. Nausea B. Headache C. Amenorrhea D. Irregular bleeding 40. A multi-para woman came to family clinic for the service of contraceptive. She has repeated history of STI. The nurse discussed with the woman on family planning option, benefits, side effect and time to initiate the contraceptives. What is the most priority contraceptive to be recommended for this woman? A. Sino-implant B. LNG-IUD C. CU-IUD D. Injectable

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38. A mother, who was lactating for seven months, came to family planning clinic to take contraceptive. A nurse assessed for medical eligibility criteria and explained to her about the options, side effects and benefits of contraceptive for her . The mother preferred to take combined oral contraceptive. For which category of contraceptive the woman is eligible? A. Category 1 B. Category 2 C. Category 3 D. Category 4 39.A 26-year-old mother used Depo -Provers contraceptive for one year. She discontinued the contraceptive due to irregular bleeding , nausea, headache, and missing period. After three month of discontinuing the contraceptive, she became amenorriC. Her body mass index is 238 and blood pressure is 110/70mmHg What would be the priority side effect of discontinuing this contraceptive? A. Nausea B. Headache C. Amenorrhea D. Irregular bleeding 40. A multi-para woman came to family clinic for the service of contraceptive. She has repeated history of STI. The nurse discussed with the woman on family planning option, benefits, side effect and time to initiate the contraceptives. What is the most priority contraceptive to be recommended for this woman? A. Sino-implant B. LNG-IUD C. CU-IUD D. Injectable

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38. The correct answer is A. Category 1.Explanation: The woman is eligible for Category 1 contraceptives, which include combined oral contraceptives (COCs). Category 1 contraceptives are considered safe and effective for most women without any significant medical conditions.39. The correct answer is C. Amenorrhea.Explanation: The priority side effect of discontinuing Depo-Provera (a type of contraceptive injection) is amenorrhea (absence of menstrual periods). This is because the contraceptive can cause changes in the menstrual cycle, and its discontinuation can lead to a return to normal menstrual function. The other side effects mentioned, such as nausea, headache, and irregular bleeding, are also possible but not as significant as amenorrhea in this case.40. The correct answer is B. LNG-IUD.Explanation: For a woman with a repeated history of sexually transmitted infections (STIs), the most appropriate contraceptive option would be the levonorgestrel intrauterine device (LNG-IUD). The LNG-IUD is a long-term, reversible contraceptive method that is effective in preventing pregnancy and does not increase the risk of STIs. It also provides benefits such as reduced menstrual bleeding and cramping. The other options, such as the copper intrauterine device (CU-IUD) and injectable contraceptives, may not be suitable for a woman with a history of STIs.

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