A 50-year-old woman states, "It is such a relief not to need birth control any more. I haven't had a period in 3 months." How should the nurse respond?
a. "Birth control is usually unnecessary after age 50, even if you are still having periods."
b. "It is still possible for you to get pregnant. You should consider having a tubal ligation."
c. "You should continue to use birth control for at least 6 months after cessation of your periods."
d. "You may still be fertile for several months after your last period. You should consult with your physician to know when to stop using birth control."
ANS: D
It is important to remind perimenopausal women that they may still be fertile after several months of amenorrhea. A. To prevent conception, they need to continue to practice birth control until they receive confirmation from their primary care provider that menopause is complete. C. Six months is not a magic number. B. A tubal ligation is not necessary, because only a brief time of needing protection remains.
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