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."
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.
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