A patient at increased risk for thromboembolic disorders will begin taking a progestin-only oral contraceptive. Which statement by the patient indicates understanding of how this oral contraceptive works?
a. "I will need to use backup contraception if I miss a pill."
b. "Irregular bleeding is an indication that I should stop using this drug."
c. "The mini-pill is safer than combination OCs and is just as effective."
d. "The progestin-only mini-pill will prevent me from ovulating."
ANS: A
When a patient taking a progestin-only OC misses one or more pills, backup contraception should always be used for at least 2 days. Irregular bleeding occurs but is not an indication to stop using the drug, although many women do because of the inconvenience. The mini-pill is slightly safer than combination OCs but not as effective. The mini-pill is a weak inhibitor of ovulation.
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Select all that apply. 1. denial 2. despair 3. detachment 4. protest 5. restitution