Which issues should the nurse consider when counseling a client on contraceptive methods? Select all that apply
1. Age at menarche
2. Efficacy of the method
3. Future childbearing plans
4. Whether the client is a vegetarian
5. Cultural perspectives on menstruation and pregnancy
2, 3, 5
Explanation:
1. Age at menarche has no impact on contraceptive method use.
2. Efficacy of contraceptive methods varies and must be considered when discussing contraception with clients. When pregnancy is medically contraindicated, high-efficacy methods (such as an IUD, hormonal methods, or sterilization) should be discussed with the client. When the client would like to avoid pregnancy at this time, but pregnancy is not medically contraindicated, lower-efficacy methods (such as diaphragm, cervical cap, or Today sponge) could be discussed.
3. If a client desires children in the future, sterilization methods would be inappropriate to discuss.
4. Vegetarianism has no impact on contraceptive method use.
5. Cultural and religious beliefs, practices, and sanctions must be considered when discussing contraception with clients in order to avoid insulting a client for whom a particular type of contraceptive method is prohibited by her background.
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