Author Question: A young female client, deciding on which form of birth control to use, tells the nurse she does not ... (Read 47 times)

Starlight · **on:** Jul 23, 2018

A young female client, deciding on which form of birth control to use, tells the nurse she does not want to have to touch down there. Which form of birth control would be contraindicated for this client?

1. Oral contraceptives
2. Transdermal delivery method
3. Depot injection method
4. Intrauterine device

Question 2

If asked to recommend a delivery method of birth control, for which client would the nurse suggest the use of the depot injection method?

1. A 30-year-old with no children and a family history of breast cancer
2. A 37-year-old with three children and a history of irregular menstrual cycles
3. A 27-year-old with one child and no preexisting conditions
4. A 16-year-old with one child, age 6 months

brittrenee · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Oral contraceptives require the client to take a pill every day, so no touching of the perineum is required.
Rationale 2: The transdermal delivery method requires the client to place a patch on the shoulder, torso, or abdomen, and to change it every 7 days. It does not require touching the perineum.
Rationale 3: The depot injection method is given by a health care provider. The drug is injected intramuscularly or subcutaneously every 3 months, and requires no touching of the perineum.
Rationale 4: The intrauterine device is inserted into the vagina by a health care provider, but the client must check its position on a regular basis. This is done by reaching into the vagina and checking to make sure that the string is still in the proper place.
Global Rationale: The intrauterine device is inserted into the vagina by a health care provider, but the client must check its position on a regular basis. This is done by reaching into the vagina and checking to make sure that the string is still in the proper place. Oral contraceptives require the client to take a pill every day, so no touching of the perineum is required. The transdermal delivery method requires the client to place a patch on the shoulder, torso, or abdomen, and to change it every 7 days. It does not require touching the perineum. The depot injection method is given by a health care provider. The drug is injected intramuscularly or subcutaneously every 3 months, and requires no touching of the perineum.

Answer to Question 2

Correct Answer: 4
Rationale 1: The nurse would not automatically disqualify this woman from the use of the depot injection method because of the family history of breast cancer, because the depot injection contains no estrogen, but a 30-year-old woman with no children has demonstrated the ability to use birth control.
Rationale 2: The depot injection would not be recommended for a client with menstrual irregularities, because the side effects include amenorrhea and irregular menstrual bleeding.
Rationale 3: The depot injection is often recommended for clients who have trouble remembering to take the birth control pill. A 27-year-old with one child has demonstrated the ability to use some form of birth control.
Rationale 4: The depot injection is often recommended for clients who have trouble remembering to take the birth control pill. In this case, a teenager who already has a child would be the best choice.
Global Rationale: The depot injection is often recommended for clients who have trouble remembering to take the birth control pill. In this case, a teenager who already has a child would be the best choice. A 27-year-old with one child has demonstrated the ability to use some form of birth control. The nurse would not automatically disqualify a woman with family history of breast cancer from the use of the depot injection method because the depot injection contains no estrogen, but a 30-year-old woman with no children has demonstrated the ability to use birth control. The depot injection would not be recommended for a client with menstrual irregularities, because the side effects include amenorrhea and irregular menstrual bleeding.