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?

Question

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

Answer 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.