Family Nurse Practitioner Exam

What should the college freshman do after missing two oral contraceptive pills in a row?

1. Start a new pack of pills

2. Take 2 pills today and 2 pills the next day; use condoms

3. Stop the pills and start a new cycle

4. Take 1 pill now and 2 pills the next day

The correct answer is: Take 2 pills today and 2 pills the next day; use condoms

In the case of missing two oral contraceptive pills in a row, the most appropriate action is to take two pills as soon as possible and then continue with two pills the next day. This approach is recommended to help maintain the effectiveness of the contraceptive method and to re-establish a consistent hormonal level in the body. It is also essential to use a backup method of contraception, such as condoms, for at least the next seven days to ensure protection against unintended pregnancy. This recommendation aligns with the common guidelines provided in contraceptive counseling, which recognize the importance of hormonal balance and preventing ovulation after missed doses. Taking the additional pills allows the user to catch up while the temporary use of a backup method ensures safety against potential pregnancy during the time when contraceptive effectiveness may be compromised.