A 30-year-old patient comes in for her annual check-up and mentions she wants to start on oral contraceptive pills. She is concerned about needing a mammogram first because her mother had breast cancer. The midwife proceeds with the consultation. Which statement by the patient indicates that she requires further education?
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A"I understand that oral contraceptive pills do not protect against sexually transmitted infections (STIs)."
B"I should take the pill at the same time every day to maximize its effectiveness."
C"I need to inform my midwife immediately if I experience severe headaches or vision changes while on the pill."
D"I will need a mammogram before I can get started on oral contraceptive pills."
✓ Correct answer: D. "I will need a mammogram before I can get started on oral contraceptive pills."Answer: "I will need a mammogram before I can get started on oral contraceptive pills." A mammogram is not required before starting oral contraceptive pills. Breast cancer screening typically starts at age 40 or earlier for those with a significant family history, but it is not a prerequisite for contraception initiation. Oral contraceptives do not protect against STIs, need to be taken consistently, and any severe side effects should be reported immediately.
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