A nurse is teaching an adolescent female patient about 28-day monophasic combination oral contraceptives. The provider has instructed the patient to begin taking the pills on the first Sunday after the onset of her next period
What will the nurse tell the patient?
a. "If breakthrough spotting occurs, you should begin taking a new pack of pills."
b. "Protection from pregnancy will begin immediately."
c. "Use another form of contraception for the next month."
d. "You may take the pills at different times of day."
ANS: C
When beginning oral contraceptives, it is important that the patient use another form of contraception for the first month, because protection is not immediate. Breakthrough spotting is common and is not an indication for starting a new cycle. Protection from pregnancy is not immediate. It is important to take the pills at the same time each day.
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