NR508 week 8 discussion 2018
Week 2
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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 answ
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