A woman will be taking oral contraceptives using a 28-day pack. The nurse should advise this woman to protect against pregnancy by
a. Limiting sexual contact for one cycle after starting the pill
b. Using condoms and foam instead of the pill for as long as she takes an antibiotic
c. Taking one pill at the same time every day
d. Throwing away the pack and using a backup method if she misses two pills during
week 1 of her cycle
C
Feedback
A If contraceptives are to be started at any time other than during normal menses or
within 3 weeks after birth or abortion, another method of contraception should
be used through the first week to prevent the risk of pregnancy. Taken exactly as
directed, oral contraceptives prevent ovulation, and pregnancy cannot occur.
B No strong pharmacokinetic evidence indicates a link between the use of
broad-spectrum antibiotics and altered hormonal levels in oral contraceptive
users.
C To maintain adequate hormone levels for contraception and to enhance
compliance, patients should take oral contraceptives at the same time each day.
D If the patient misses two pills during week 1, she should take two pills a day for
2 days and finish the package and use a backup method the next 7 consecutive
days.
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