SCENARIO: You are working in a busy OB/GYN office, and the last…

SCENARIO: You are working in a busy OB/GYN office, and the last… SCENARIO:You are working in a busy OB/GYN office, and the last patient of the day is P.B., a 36-year-old who is planning to get married soon. She wants to use birth control but is not sure what to choose. Her fiancé is in law school, and they do not have health insurance, so she is anxious not to get pregnant right away. She asks you to review the various methods and help her explore what is best for her. 1). What past medical information will you need to ask P.B. about?2). Are there any other conditions that would influence the choice of a contraceptive method?3). Is P.B. currently at risk for sexually transmitted infections (STIs)?4). What lifestyle information will help you assist P.B. in choosing an appropriate method for her?5). P.B. asks you about the effectiveness rating of available birth control methods. Categorize your response according to the following efficacy ratings: most effective (more than 99%), highly effective (97% to 99%), and moderately effective (less than 90%).6).  P.B. asks you to explain the main advantages and disadvantages of the most effective methods.7). What are the main advantages and disadvantages of the contraceptive methods in the highly effective category?8). What about the moderately effective birth control methods? What are the main advantages and disadvantages?9). She wants to know about cost with each method because she will be on a tight budget, with limited insurance coverage.10). She asks you which method you would pick. What do you tell her? Case Study Progress:P.B. comes back in a week and tells you that she can get a low-cost oral contraceptive through a local store. You convey this information to the nurse practitioner, who examines P.B. and writes a prescription for a biphasic pill containing ethinyl estradiol and norethindrone. You are asked to discuss the use of the pill with P.B. 11). What key factors should you address with P.B.? 12). A few months later, P.B. calls the clinic because she realized she missed a dose of her oral contraceptive. What will you tell her? (Select all that apply.)a). “Take the missed pill now, along with today’s pill, then resume the pack.”b). “It is okay, you are still protected from pregnancy if you take two now.”c). “Just throw that pill away; restart taking your pills tomorrow.”d).  “Please make an appointment so we can insert a temporary IUD.”e). “Wait until the start of your next menses, then begin a new pack of pills.”f). “You should use a backup form of contraception until you start your menses.” Health Science Science NursingNUR 445Share QuestionEmailCopy link Comments (0)

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