The nurse is providing education to sexually active adolescents. Which contraceptive will the nurse include in the section regarding long-term formulations?(Select all that apply.)
1. Medroxyprogesterone IM (Depo-Provera)
2. Polyethylene cylinder (Mirena)
3. Ethinyl estradiol and norelgestromin (OrthoEvra)
4. Estrogen and progestin (NuvaRing)
5. Ortho-Novum 7/7/7-28
1, 2, 3, 4
Rationale 1: A deep intramuscular injection of medroxyprogesterone (Depo-Provera) provides 3 months of contraceptive protection.
Rationale 2:Polyethylenecylinder (Mirena) is placed in the uterus that releases levonorgestrelto provide 5 years of contraception.
Rationale 3: OrthoEvra is a transdermal patch containing ethinyl estradiol and norelgestromin that is worn on the skin. The patch is changed every 7 days for the first 3 weeks, followed by no patch during week 4.
Rationale 4: NuvaRing is a 2-inch-diameter ring containing estrogen and progestin that is inserted into the vagina to provide 3 weeks of contraceptive protection. The ring is removed during week 4, and a new ring is inserted during the first week of the next menstrual cycle.
Rationale 5:Ortho-Novum 7/7/7-28 is incorrect because this is a triphasic daily oral contraceptive.
Global Rationale: A deep intramuscular injection of medroxyprogesterone acetate (Depo-Provera) provides 3 months of contraceptive protection. Polyethylene cylinder (Mirena) is placed in the uterus that releases levonorgestrel to provide 5 years of contraception. OrthoEvra is a transdermal patch containing ethinyl estradiol and norelgestromin that is worn on the skin. The patch is changed every 7 days for the first 3 weeks, followed by no patch during week 4. NuvaRing is a 2-inch-diameter ring containing estrogen and progestin that is inserted into the vagina to provide 3 weeks of contraceptive protection. The ring is removed during week 4, and a new ring is inserted during the first week of the next menstrual cycle. Ortho-Novum 7/7/7-28 is incorrect because this is a triphasic daily oral contraceptive.
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