North American Registry of Midwives (NARM) Practice Exam

What symptom would indicate that a woman should discontinue her oral contraceptive?

1. Nausea

2. Headaches

3. Weight gain

4. Fatigue

The correct answer is: Headaches

Headaches can be a significant symptom indicating that a woman may need to discontinue her oral contraceptive, especially if they are unusual in nature or intensity. This is particularly important if the headaches are new, severe, or occur with symptoms such as visual disturbances, which may suggest the development of complications like hypertension or increased intracranial pressure linked to oral contraceptive use. While nausea, weight gain, and fatigue may be common side effects associated with oral contraceptives, headaches are more alarming as they can signal potential serious conditions that necessitate a reassessment of the contraceptive method. It is crucial for women to monitor their symptoms and maintain communication with their healthcare provider about any concerning changes, particularly regarding headaches, to ensure their safety and well-being.