A 28-year-old female patient visits the clinic requesting a contraceptive method. She reports smoking one pack of cigarettes per day, has a history of migraines with aura, and her last menstrual period was 3 weeks ago. She states she wants a highly effective, hormonal method she can take daily. Which response by the nurse is most appropriate?
- Prescribe a combined oral contraceptive pill since it is highly effective and taken daily.
- Advise that combined estrogen-progestin pills are contraindicated given her history and recommend a progestin-only pill as a safer daily hormonal option.
- Suggest she stop smoking for 30 days and return for combined oral contraceptive initiation.
- Recommend an intrauterine device (IUD) because her smoking history disqualifies her from any oral contraceptive.