Family Nurse Practitioner Exam

Which of the following conditions is not an absolute contraindication for the use of oral contraceptives?

1. Hepatomas

2. History of emboli that resolved with heparin therapy 15 years ago

3. A family history of migraines with aura

4. A history of gallbladder disease during pregnancy

The correct answer is: A family history of migraines with aura

Oral contraceptives are generally contraindicated in conditions that significantly increase the risk of serious adverse effects, particularly thromboembolism. Conditions such as hepatomas, unresolved emboli, or a history of gallbladder disease, especially during pregnancy, may pose substantial risks if oral contraceptives are used. In contrast, a family history of migraines with aura is not considered an absolute contraindication. Although migraines with aura can be a risk factor for stroke when taking estrogen-containing contraceptives, a family history does not automatically mean the individual will experience similar issues. The increased risk is more pertinent to those who actively experience migraines with aura themselves. Therefore, individuals with only a family history of such migraines can generally use oral contraceptives, assuming they do not have a personal history of migraines with aura. This differentiation is essential in making informed decisions about contraceptive use, balancing risks with the individual's specific health background.