Question

A 15-year-old girl tells the nurse at a family planning clinic that she is sexually active but does not use birth control. She states that her boyfriend won't use condoms and she is concerned about pregnancy. In addition, she lives at home with her parents, and she doesn't want them to know that she is using contraception. What assessment and teaching strategies would the nurse use to address these patient concerns?

Answer 1

Safest Contraceptive methods:

Some oral contraceptives contain only progesterone, which thickens the mucus around the cervix to prevent passage by sperm cells. whether progesterone only or combined, oral contraceptives are also serve to guard against endometnal and ovarian cancer, limit menstrual flow, protect against endometnoss and regularize the menstrual cycle.

Barrier methods the condom or diaphragm block the passage of sperm cells to keep them away from the uterus. Spermicidal agents kill sperm before they can fertilize an ovum; while some forms of contraceptive (like intrauterine devices, or IUDs) prevent a fertilized ovum from implanting into the uterine lining.

The safest method of avoiding pregnancy is sexual abstinence, which also prevents the spread of sexually transmitted diseases. One of the least trustworthy, however is the avoidance of sexual contact during times when ovulation may be possible (the so called rhythm method)

Nurse assessment and teaching strategies of contraception:

The oral contraceptive pills are needed to be taken daily for 3 weeks on the near exact time for them to be more effective the last one week is the week when they have their menses. The oral contraception pack usually comes in the pack of 28 pills in which 21 pills are of hormonal formulation whereas the other 7 are placebo pill so as to not to break the lobe of taking pills.

Sometimes women forget to take their regular dose in such cases it should be taken immediately and the next dose be taken at their usual time. If two doses are missed two pills are taken immediately and the next dose at the usual time. A backup contraception is needed for the next seven days. If the dose is missed in the active pill day, then all the active pills are taken once a day and Inactive pills are discarded.

Teaching about the timing when to start taking oral contraciption is necessary. In many cases, especially in case of POPS backup contraception method is needed. Method of using the oral contraception includes:

1. Quick start: The pills are taken on the same day they are prescribed and a backup contraceptive method s also is used for the first 7 days.

2. First-day method: The pill is advised to be taken on the first day of the next menstrual cycle. No backup method is needed in this method.

3. Sunday start method: Women are advised to take the pill on the first Sunday after menses. In this method also, a backup contraception method Is needed for the first 7 days.

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