Author Question: A woman who is taking a combined oral contraceptive (COC) that contains 21 days of active pills and ... (Read 82 times)

dbose · **on:** Jul 23, 2018

A woman who is taking a combined oral contraceptive (COC) that contains 21 days of active pills and 7 days of inert pills reports having headaches accompanying withdrawal bleeding every month. The nurse will

a. counsel her to take ibuprofen to counter these side effects.
b. notify her provider to discuss these adverse effects.
c. recommend a Loestrin Fe product.
d. suggest she ask her provider about Mircette.

Question 2

A woman who is using a NuvaRing transvaginal contraceptive product calls to report that the ring has slipped out while sleeping. The nurse will instruct the patient to rinse the ring with lukewarm water, reinsert the ring, and

a. abstain from sexual intercourse for 24 hours.
b. replace it with a new ring as soon as possible.
c. take an oral contraceptive product for 2 weeks.
d. use a backup method of contraception for 7 days.

Kimmy · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Mircette provides 2 inert pills and 5 pills with 10 mcg of ethinyl estradiol during the counter phase, which helps to decrease withdrawal bleeding and headaches. Loestrin counters withdrawal bleeding but does not help with headaches.

Answer to Question 2

ANS: D
If the NuvaRing slips out, it should be rinsed off and reinserted. If it has been out longer than 3 hours, the woman should be counseled to use a backup method of contraception.