Missed Nora-be Pill

Patient : I am on nora-be, for 2 yrs now. I missed 1 whole day, over 24 hrs, of the pill, that day had unprotected sex 4 times. I recently took a 1st response test it came back + then I took an ept test that came back negative. I have very light brownish spotting for the last 3 days on & off. Could I be pregnant?
Symptoms:  Brown spotting, 2 mornings only of nausea. Irritable mood, bloat
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