Answer & Explanation

During a physical examination of a 28-year-old woman, the NP notes a grade 2/6 late-systolic murmur with a honking quality that follows a mid-systolic click. An echocardiogram identifies mitral valve prolapse but without clinically significant mitral regurgitation. The patient is healthy overall and does not report any cardiac-related symptoms. She asks which contraceptive forms she should avoid due to this condition. The NP replies:

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