A woman using a combined oral contraceptive pill has repeated blood pressure readings of 168/104 mmHg. Which advice is most appropriate?
Correct answer: B. Stop the combined pill and discuss another method
- A. Continue the pill and recheck blood pressure yearly
- B. Stop the combined pill and discuss another method
- C. Double the pill dose to prevent pregnancy
- D. Change to a copper intrauterine device immediately
Explanation
Severe hypertension is a contraindication to estrogen-containing combined pills because they may increase cardiovascular and stroke risk. The nurse should arrange an alternative method after assessing the woman, rather than advising her to continue the pill or change methods without counselling.
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About Family Planning
Family planning covers fertility awareness, lactational amenorrhoea, condoms, oral pills, injectables, implants, intrauterine devices, emergency contraception, sterilisation and postpartum options. Questions address mechanisms, effectiveness, contraindications, adverse effects, counselling and follow-up, with careful distinction between contraception, emergency contraception and treatment for infertility.
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