A patient is being given a new prescription for a low-dose combination birth control pill. The nurse will be giving her advice about taking the pills. What advice will the nurse give the patient if she forgets to take the pill?
1. Take it as soon as she remembers, even if it means taking two pills the same day.
2. Skip that pill and refrain from intercourse for the rest of the month.
3. Wear a pad during the next week, as she will have some light bleeding.
4. Take an at-home pregnancy test at the end of the month to determine whether she has gotten pregnant.
1
Rationale 1: This is correct. She needs to take the pill as soon as she remembers, so as to keep the blood level of the hormone where it should be.
Rationale 2: If a pill is missed, the patient should take it as soon as it is remembered.
Rationale 3: Breakthrough bleeding can happen at any time when taking oral contraceptives.
Rationale 4: This should not be necessary, unless the patient is having signs and symptoms of pregnancy.
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