A 35-year-old woman asks the nurse about oral contraceptives. The nurse learns that the patient smokes and has a family history of venous thromboembolism (VTE). The nurse will suggest that the patient
a. discuss a progestin-only oral contraceptive with her provider.
b. may want to consider having a tubal ligation.
c. use a transdermal contraceptive product.
d. will not be a candidate for oral contraceptive products.
ANS: A
Patients who smoke or who have an increased risk of VTE may be candidates for progestin-only products. A 35-year-old woman may still want children in the future, so recommending a tubal ligation is not indicated. Transdermal products contain estrogen and carry the same risks as COCs.
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