A nurse is providing teaching to a client who has a new prescription for oral contraceptives (OCs).

Which of the following statements by the client indicates an understanding of how to initiate OCs?

The nurse should include all of the following information in the teaching:

• The typical failure rate for IUDs is 1% to 3% per year.
• This means that out of 100 women who use an IUD for a year, one to three may get pregnant.
• The risk of pelvic inflammatory disease (PID) is highest in the first 6 weeks after insertion.
• PID is an infection of the reproductive organs that can cause infertility, chronic pain, or ectopic pregnancy.
• The risk of PID is higher if the woman or her partner has multiple sexual partners or a sexually transmitted infection (STI).
• The IUD can be inserted at any time during the menstrual cycle.
• However, some doctors may prefer to insert it during or right after the period, when the cervix is more open and the chance of pregnancy is lower.

Choice A is wrong because it only states one piece of information that the nurse should include in the teaching.

Choice B is wrong because it only states one piece of information that the nurse should include in the teaching.

Choice C is wrong because it only statesone piece of information that the nurse should include in the teaching

The correct answer is choice A.COCs can reduce the risk of endometrial, ovarian and colon cancer.This is because COCs suppress ovulation and reduce inflammation in the genital tract, which may lower the exposure to carcinogens and mutagens.

Choice B is wrong because COCs do not increase bone density or prevent osteoporosis.In fact, some studies have suggested that COCs may have a negative effect on bone mineral density.

Choice C is wrong because COCs do not enhance fertility or improve menstrual regularity.

COCs prevent pregnancy by inhibiting ovulation, which means that they temporarily suppress fertility.COCs may also cause irregular bleeding or amenorrhea in some women.

Choice D is wrong because COCs do not lower blood pressure or cholesterol levels.On the contrary, COCs may increase the risk of hypertension and dyslipidemia in some women, especially those who smoke, are obese, or have a family history of cardiovascular disease.