Tiffany McBride is getting married in 3 months and is at a women's health clinic to discuss contraception options. Tiffany is 33 years old and has never been pregnant. She smokes a
pack of cigarettes per day and has frequent migraine headaches and expressed concerns about taking oral contraceptives. Because of her age, she hopes to start a family within a year. Which of the following responses would be most appropriate when counseling Tiffany?
1. A diaphragm or cervical cap should be considered, because they have very few side effects, although they are not as effective as hormonal methods.
2. Condoms are a good choice, because they are the man's responsibility and they protect against STDs.
3. Depo-Provera would be a good alternative to oral contraceptives and it has a benefit of being effective almost immediately.
4. Oral contraceptives are the most effective and simple birth control method, and there is no reason to avoid taking the pill.
Question 2
Which of the following girls is least likely to become pregnant?
1. Elsa King, an African American 10th grader who is being encouraged by both parents to seek a college basketball scholarship
2. Francesca Lopez, a Mexican American 9th grader who lives with her mother and grandmother (who were both teen mothers) and who has a slight learning disability
3. Grace Martin, a Caucasian 8th grader who has been sexually abused by her mother's boyfriend for the past 10 months
4. Hannah Norris, a Caucasian 10th grader who had been an A student but whose grades dropped significantly after she and her boyfriend started drinking and experimenting with marijuana
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