A couple is interested in fertility-awareness-based (FAB) family planning. The nurse should advise them about what drawbacks that accompany this method? (Select all that apply.)
A.
Depends on tracking cycles on a calendar
B.
Less than 50% effective in family planning
C.
May interfere with sexual spontaneity
D.
Requires months of charting cycles before use
E.
Requires a lot of motivation and education
ANS: C, D, E
The FAB method of family planning is based on identifying the woman's fertile periods and abstaining or using other methods of contraception when she is fertile. This method requires motivation, extensive education, and commitment to be used successfully. The couple may need to chart cycles and symptoms of fertility for months before initiating this method. There are several ways to track fertility, including using a calendar or rhythm method, the standard days method, the cervical mucus method, the basal body temperature method, and the symptothermal method that combines basal body temperature with other physical signs. When used correctly and consistently, this method is about 75% effective.
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