24 Year Old Woman With Heart Murmur Inquiring About Contraception
カートのアイテムが多すぎます
カートに追加できませんでした。
ウィッシュリストに追加できませんでした。
ほしい物リストの削除に失敗しました。
ポッドキャストのフォローに失敗しました
ポッドキャストのフォロー解除に失敗しました
24 Year Old Woman With Heart Murmur Inquiring About Contraception
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ナレーター：
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著者：
A 24-year-old woman presents for a well-adult visit. Her health history includes the diagnosis of mitral valve prolapse without significant mitral regurgitation. She is feeling well, has no chief complaint, and denies activity intolerance, stating she plays tennis or pickleball for about one hour three to four times a week. Her only medication is an oral combined hormonal contraceptive and reports being pleased with her contraceptive method. She states that she read online that “I know I have a heart murmur and I'm worried about whether the birth control pill is safe for me.” The nurse practitioner considers the following when advising this patient
A. she should switch to a progestin only contraceptive method
B. if no other contraindications are present, she can continue to use combined hormonal contraception
C. in this clinical scenario, barrier contraceptive method is advised
D. she should be referred to cardiology for advice on contraceptive methods
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