An adolescent is in the family practice clinic to obtain birth ...

[Marty]

An adolescent is in the family practice clinic to obtain birth control. She began menstruating 4 days ago and wants the Depo-Provera injection because of the convenience associated with the method.
 
  What action by the nurse is best?
  A.
  Administer the injection as prescribed.
  B.
  Assist the teen in choosing another method.
  C.
  Document that education was completed.
  D.
  Obtain a urine sample for a pregnancy test.

Question 2

A woman is being started on oral contraceptive pills. Which screening assessments should the nurse perform or assist with?
 
  A.
  Blood pressure
  B.
  Breast exam
  C.
  Pelvic exam
  D.
  Weight

[juwms]

Answer to Question 1

ANS: A
There is recent evidence that Depo-Provera causes bone density loss. The teenager should be educated about the range of appropriate birth control options and side effects and assisted to make a choice that is appropriate for her. The bone density loss often is reversed once the patient has stopped the medication. If the benefits (i.e., convenience; teen will not be consistent with other methods) outweigh the risks, the nurse should administer the injection as requested. If the benefits do not outweigh the risks, then the nurse can assist the teen to make another choice. Documentation should always be complete, and because this patient is within 5 to 7 days of menstruation, a pregnancy test is not required.

Answer to Question 2

ANS: A
The only routine screening needed before initiating oral contraceptive pills is blood pressure, unless the woman has other symptoms that need investigation.

[Marty]

Excellent

[Viet Thy]

TYSM