An adolescent female student who is sexually active visits the office of the school nurse. Which of the following statements best reflects the student's understanding of the effective use of contraception devices?
a. "My boyfriend is able to withdraw before ejaculation, and that prevents me from getting pregnant."
b. "I take my temperature every morning, and when it goes down for at least two days, we have unprotected sex."
c. "We use ‘foam' before each time we have sex, and I haven't gotten pregnant yet."
d. "We use a condom with a water-based lubricant."
D
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A Any act of unprotected intercourse can result in pregnancy. Withdrawal is not an effective contraceptive method.
B Any act of unprotected intercourse can result in pregnancy. The patient's statement, "I take my temperature every morning, and when it goes down for at least two days, we have unprotected sex," also does not demonstrate understanding of the basal body temperature method of contraception.
C Using spermicidal foam alone is not recommended. The patient should use a condom and foam to be more effective in preventing pregnancy.
D For a more effective contraceptive method, the water-based lubricant reduces the risk of the condom breaking. The patient is verbalizing understanding.
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