Answers
1.Oral contracceptibe medications usually releases progesterone and estrogen .This is mainly because of the estrogen which can cause blood clots which can block the blood supply to brain and cause stroke.Though women have a very minimal chance of getting it.A history of it can predict the risk and side effect of the contraceptive pill when used in this patient
2.A family history of blood clot and stroke with use of contraceptive pills can strongly contribute to the increased risk of hereditary passage to Margery from mother (dominant trait) and paternal grandfather (recessive trait)
3.The factor V Leiden is a marker which used to identify the mutated gene in factor V.When there is a mutation in the factor V it can cause blood clots.Doing this test can enable to assess the press end of any carrier of the gene .
4.Some of the concerns which can be handled in a professional manner are
- Provide a complete knowledge about the medication used for contraception
- Health educate the client for natural abstinence which is always safer with no size effects but at risk of pregnancy
- Provide psychological support to the patient.
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