A 34-year-old woman who is discussing contraceptive options with the nurse says, "I want to have children, but not for a few years." Which response by the nurse is appropriate?
a. "If you do not become pregnant within the next few years, you never will."
b. "You may have more difficulty becoming pregnant after about age 35."
c. "You have many years of fertility left, so there is no rush to have children."
d. "You should plan to stop taking oral contraceptives several years before you want to become pregnant."
ANS: B
The probability of successfully becoming pregnant decreases after age 35, although some patients may have no difficulty in becoming pregnant. Oral contraceptives do not need to be withdrawn for several years for a woman to become pregnant. Although the patient may be fertile for many years, it would be inaccurate to indicate that there is no concern about fertility as she becomes older. Although the risk for infertility increases after age 35, not all patients have difficulty in conceiving.
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