Question

Ashley comes to the clinic with a request for oral contraceptives. She has successfully used oral contraceptives before and has recently started dating a new boyfriend so would like to restart contraception. She denies recent intercourse and has a negative urine pregnancy test in the clinic. An appropriate plan of care would be ________.A. Recommending she return to the clinic at the start of her next menses to get a Depo Provera shot

B. Prescribing oral combined contraceptives and recommending that she start them at the beginning of her next period and use a back-up method for the first seven days
C. Prescribing oral contraceptives and having her start them the same day, with a back-up method used for the first seven days
D. Discussing the advantages of using the topical birth control patch and recommending she consider using the patch

Answer 1

C). Prescribing oral contraceptives and having her start them the same day, with a back-up method used for the first seven days

Step-by-step explanation:

Having a negative urine pregnancy result doesn't necessarily mean Ashley is not pregnant. A negative pregnancy test result also means that there is no presence of human chorionic gonadotropin (hCG) in the urine. A negative urine pregnancy test may also mean that the test was performed too early, or that, she drank too much liquid before performing the test.

Oral contraceptives help prevent pregnancy by making cervical mucus thick and slowing the tubal motility.

Since Ashley has a negative urine pregnacy result, the appropriate plan of care for her would be to start taking the oral contraceptives the same day as the visit with a back-up method used for the first seven days.