Author Question: An oral contraceptive user telephones to report that she missed her pill last evening and needs ... (Read 74 times)

Diane · **on:** Jul 23, 2018

An oral contraceptive user telephones to report that she missed her pill last evening and needs advice about how to proceed. Select the nurse's best response.

a. Continue taking your pills as prescribed.
b. Take two pills today at the regular time you take your oral contraceptive. Then continue taking one pill per day.
c. Stop the pills and wait to restart after the next period.
d. Use another form of contraception for the next month.

Question 2

A patient who has been taking an oral contraceptive asks about switching to a contraceptive patch. What finding would cause the nurse to discourage this change?

a. Withdrawal bleeding started earlier in the day.
b. The pill has not caused side effects.
c. The patient weighs more than 200 pounds (90 kg).
d. The patient wants more children in the future.

Swizqar · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
The patient should be advised to take two pills at the regular scheduled time she takes her oral contraceptive and then to continue the regular schedule.
Just missing the dose without trying to make it up is incorrect.
It would not be effective to stop taking the pill until the next menses.
Because the person has missed just one pill, use of a back-up method is unnecessary; however, the nurse should strongly recommend that condoms be used as a precaution.

Answer to Question 2

ANS: C
Women who weigh 200 pounds (90 kg) or more have an increased pregnancy rate.
Withdrawal bleeding, lack of side effects, and the desire for more children are not reasons to discourage a change from an OC to the patch.