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The nurse is preparing to discharge a client newly prescribed a progestin-only pill (POP) for contraceptive prevention. Which contraindication associated with POP would the nurse alert the healthcare provider?

A.

The client has a BMI of >30

B.

The client is currently taking Ginger

C.

The client has a history of hypertension

D.

The client has no intention of conceiving within the year

Answer and Explanation

The Correct Answer is C

A. A BMI greater than 30 is a consideration, but it is not an absolute contraindication for the use of POPs.  

 

B. Ginger does not interact adversely with progestin-only pills and is not a contraindication.  

 

C. A history of hypertension can increase the risk of cardiovascular events, and while POPs are generally safer than combined hormonal contraceptives for women with hypertension, it should still be monitored and reported to the healthcare provider.  

 

D. Having no intention of conceiving is not a contraindication; in fact, it is a common reason for using contraceptive methods like POPs.


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Correct Answer is C

Explanation

A. A BMI greater than 30 is a consideration, but it is not an absolute contraindication for the use of POPs.

B. Ginger does not interact adversely with progestin-only pills and is not a contraindication.

C. A history of hypertension can increase the risk of cardiovascular events, and while POPs are generally safer than combined hormonal contraceptives for women with hypertension, it should still be monitored and reported to the healthcare provider.

D. Having no intention of conceiving is not a contraindication; in fact, it is a common reason for using contraceptive methods like POPs.

Correct Answer is C

Explanation

A. Asking what the usual pill looks like may not provide clarity and does not address the client's concern directly.

B. While the statement is accurate, it does not provide the client with reassurance or address the reason for the difference in appearance.

C. This response acknowledges the client's concern, offers an explanation about variations in medication appearance due to different manufacturers, and reassures the client that it is the same medication prescribed.

D. Suggesting that the pill is from a different lot number does not address the fact that variations in appearance can occur due to different manufacturers, which is more common and relevant to the situation.

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