LEIK Family Nurse Practitioner (FNP) Practice Exam 2025 – The Complete All-in-One Guide to Master Your FNP Certification!

The choice indicating thrombosis related to an IV needle is not considered a relative contraindication for oral contraceptive pills. This is primarily because the scenario of thrombosis connected to an IV needle may not indicate an underlying thrombotic risk that would be universally applicable. While the presence of a thrombotic event could raise concerns when prescribing oral contraceptives, the specifics of this case suggest it may not inherently justify avoiding the use of these medications.

In contrast, conditions like active hepatitis A infection, undiagnosed vaginal bleeding, and migraine headaches with focal aura are more traditionally seen as contraindications. Active hepatitis indicates liver dysfunction, which can impact the metabolism of hormones in oral contraceptives, potentially leading to an increased risk of complications. Undiagnosed vaginal bleeding raises concerns about serious underlying reproductive health issues that require further investigation before initiating hormonal contraception. Migraine headaches with focal aura are associated with a higher risk of arterial thromboembolic events, making their presence a significant concern in the context of prescribing hormones that can elevate the risk of stroke.

Understanding these distinctions is critical in the clinical decision-making process regarding oral contraceptive prescriptions.