A nurse is providing contraceptive counseling to a perimenopausal client in a monogamous relationship. What comment by the client indicates that further teaching is necessary?
1. "The calendar method is the most reliable method for me to use."
2. "If I use the IUC, I will be at minimal risk for pelvic inflammatory disease."
3. "I should still use birth control, even though I had only three periods last year."
4. "The contraceptive skin patch contains both estrogen and progesterone."
1
Explanation: 1. The client who believes the calendar method is the most reliable method requires more teaching. The menstrual cycle of perimenopausal women is irregular, and it is difficult to determine safe and unsafe times.
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