At her 6-week postpartum checkup, a woman states, "I am wondering about birth control. I used oral contraceptives before, and I'm breastfeeding now. Can I use the pill again?" What is the nurse's best response?
a. "You should know that oral contraceptives increase your milk production."
b. "Oral contraceptives can be taken once lactation is well established."
c. "You don't need to use any form of birth control as long as you are breastfeeding."
d. "Oral contraceptives are contraindicated for the lactating woman."
ANS: B
Oral contraceptives decrease breast milk production and are contraindicated until lactation is well established. Women who breastfeed their infants usually will not ovulate for 10 weeks and do not need contraception until that time.
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