A patient is beginning to take a combination estrogen-progestin product as an oral contraceptive (OC). Which symptom(s), if verbalized, demonstrates that the patient has knowledge of the ad-verse effects associated with this drug?
a. Total loss of menses
b. Reduced breast size
c. Hypotension
d. Hypertension
ANS: D
The estrogenic adverse effects from OCs include nausea, vomiting, breast tenderness and en-largement, hypertension and migraine headaches. Progestins can cause appetite increase, weight gain, fatigue, depression, and decreased libido.
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