(Answered) NR508 Week 2 Discussion

Week 2: Discussion

Claudia is a 26-year-old mother of two G2P2, she recently delivered her last child 9 months ago, and has been using condoms for birth control for the last 7 months. Today she is requesting a more reliable birth control, she is not sure of her current pregnancy plans, however, she does not wish to discuss sterilization. No religious contraindications for treatment. Previous methods include condoms, and oral contraceptive pills.

PMH: positive for mild hypertension with first pregnancy, seasonal allergies.

Surgeries: Right inguinal hernia and tonsillectomy.

Family history: Mother HTN and Father colon CA both living

Social History: Denies tobacco use, wine one to two glasses a week, denies recreational drugs, exercises twice a week.

Drug allergies-Sulfa causes a rash. Current medications-MVI with Fe, Calcium chews, prn Allegra for allergies. Height 65 inches, weight 137 pounds, BP 110/75, P 70, R 16. PAP collected today, breast exam WNL, urine pregnancy negative.

Physical exam is normal.

What are your treatment goals for Claudia today?

What are two possible contraceptive methods for Claudia? Please give brief rationale for each.

Pick one method and list five (5) patient-centered teaching points for the method you chose today.

What would your contraceptive choice be if Claudia smoked 10-15 cigarettes per day? Explain your answer.


Treatment goals for Claudia today

Taking into consideration Claudia’s past medical history, the main treatment goal is to provide an effective birth control measure that would be effective taking into account her view on sterilization and the medical history. The other treatment goal is to educate alternative methods of birth control other than a condom.

What are two possible contraceptive methods for Claudia? Please give brief rationale for each.

Intrauterine devices specifically copper IUDs is one of the possible methods of birth control for Claudia.  IUDs is one of the effective and reversible contraception with a low rate of failures (Madden, Cortez, Kuzemchak, Kaphingst, & Politi, 2016)….please click the icon below to purchase full solution at $5