How to respond to missed doses or changing of contraceptive types from one to another? CORRECT ANSWER For products that use a 28-day cycle, the following
... [Show More] recommendations from the Centers for Disease Control apply:
• If one or more pills are missed in the first week, take one pill as soon as possible and then continue with the pack. Use an additional form of contraception for 7 days.
• If one or two pills are missed during the second or third week, take one pill as soon as possible and then continue with the active pills in the pack but skip the placebo pills and go straight to a new pack once all the active pills have been taken.
• If three or more pills are missed during the second or third week, follow the same instructions given for missing one or two pills but use an additional form of contraception for 7 days.
For combination OCs that use an extended or continuous cycle, up to 7 days can be missed? CORRECT ANSWER with little or no increased risk for pregnancy provided that the pills had been taken continuously for the prior 3 weeks.
If one or more doses is missed or taken greater than 3 hours after the scheduled dose, the following guidelines apply: CORRECT ANSWER -If one pill is missed, it should be taken as soon as remembered and backup contraception should be used for at least 2 days. The pills should be resumed as scheduled on the next day.
-If two pills are missed, the regimen should be restarted and backup contraception should be used for at least 2 days.
-If two or more pills are missed and no menstrual bleeding occurs, a pregnancy test should be done.
Types of contraceptives and which would be best for specific patient scenarios CORRECT ANSWER Combination OCs should be avoided by women with certain cardiovascular disorders (see later) as well as by women older than 35 years who smoke. For women in these categories, an alternative method (e.g., diaphragm, progestin-only pill, or IUD) is preferable.
For women who engage in coitus frequently, OCs or a long-term method (e.g., Nexplanon, Depo-Provera, IUD) are reasonable choices.
when sexual activity is limited, and if individual has multiple partners use of a spermicide, condom, or diaphragm may be more appropriate. B [Show Less]