A female patient has forgotten to take an ovulation suppressant for two mornings in a row. What should the nurse advise the patient to do?
A) Take two pills a day for the rest of the month.
B) Take three pills immediately and avoid coitus for the remainder of the month.
C) Start a new cycle of 21 pills immediately plus additional estrogen for the next 3 days.
D) Take two pills now and use a second method of contraception for the remainder of the month.
D
Feedback:
If two consecutive active pills are missed, the patient should be advised to take two pills immediately. Then the patient should continue the following day with the usual schedule. Missing two pills may allow ovulation to occur, so an added contraceptive such as a spermicide should be used for the remainder of the month. The patient does not need to take two pills every day for the rest of the month, take three pills and abstain from coitus, or start a new cycle of 21 pills.
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