A woman has decided to stop taking contraceptives so that she can become pregnant. Which information would the nurse provide?
1. "If you are not pregnant within the first month after discontinuing your contraceptive, it is likely that it will take several months to conceive."
2. "You should use a barrier method of contraception for 6 months to let your body clear the extra hormones before you try to conceive."
3. "It may take several months for your menstrual periods to become regular."
4. "Since you have taken contraceptives for several years, you may have difficulty conceiving."
5. "Your risk for miscarriage is no higher because you took contraceptives."
3,5
Rationale 1: Some women conceive in the first month, and others take several months to conceive. There is no evidence to support that not getting pregnant in the first month means pregnancy will be delayed several months.
Rationale 2: There is no reason to "let the extra hormones clear" for 6 months.
Rationale 3: It may take several months for regular menstrual cycles to occur.
Rationale 4: The length of contraceptive use does not appear to affect fertility.
Rationale 5: The risk of miscarriage is not affected by taking contraceptives.
Global Rationale: It may take several months for regular menstrual cycles to occur. The risk of miscarriage is not affected by taking contraceptives. There is no reason to "let the extra hormones clear" for 6 months. Some women conceive in the first month and others take several months to conceive. There is no evidence to support that not getting pregnant in the first month means pregnancy will be delayed several months. The length of contraceptive use does not appear to affect fertility.
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