Despite the widespread availability of contraceptives, women continue to become pregnant due to risk-taking behavior. The decision to take a risk can be related to lack of knowledge or misperception of either fertility phase or ability to become pregnant, resulting in misuse of contraceptives. The comprehensive client management of the certified nurse-midwife provides an opportunity for identification of women at risk, correction of misinformation, and provision of facts on fertility cycles. The fertility history card is a useful tool for identifying women at-risk for contraceptive misuse, educating them about fertile signs, and promoting responsibility and self-care. Thus, women will be more informed and capable of making decisions regarding contraceptive use, minimizing future risk-taking, improving contraceptive use, and ultimately preventing unintended pregnancies.