A client has been taking low-dose oral contraceptives. She calls the clinic and reports that she is ...

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Rationale 1: Mid-cycle spotting is common, especially with low-dose OC.
Rationale 2: Contraceptive failure is always a possibility, but slight spotting is normal and does not indicate possible pregnancy.
Rationale 3: The client should monitor the bleeding for changes such as becoming heavy or continuous.
Rationale 4: There is no reason to discontinue the pills.
Rationale 5: There is no indication that the wrong pills were obtained.
Global Rationale: Mid-cycle spotting is common, especially with low-dose OC. The client should monitor the bleeding for changes such as becoming heavy or continuous. Contraceptive failure is always a possibility, but slight spotting is normal and does not indicate possible pregnancy. There is no reason to discontinue the pills. There is no indication that the wrong pills were obtained.