An adolescent girl calls the nurse at the clinic because she had unprotected sex the night before and does not want to be pregnant. What should the nurse explain?
a. It is too late to prevent an unwanted pregnancy.
b. An abortion may be the best option if she is pregnant.
c. The risk of pregnancy is minimal, so no action is necessary.
d. Postcoital contraception is available to prevent implantation and therefore pregnancy.
ANS: D
Several emergency methods of contraception (ECP) are available and appropriate for use after unprotected sexual intercourse. A progestin-only ECP (levonorgestrel [Plan B]) is approved by the U.S. Food and Drug Administration and has high effectiveness and low rates of side effects. Plan B is effective if given within 72 hours of unprotected intercourse. An abortion is not indicated. Although the risk of pregnancy depends on the time during her menstrual cycle, a low risk of pregnancy exists. ECP is indicated.
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