If asked to recommend a delivery method of birth control, for which client would the nurse suggest the use of the depot injection method?
1. A 30-year-old with no children and a family history of breast cancer
2. A 37-year-old with three children and a history of irregular menstrual cycles
3. A 27-year-old with one child and no preexisting conditions
4. A 16-year-old with one child, age 6 months
Correct Answer: 4
Rationale 1: The nurse would not automatically disqualify this woman from the use of the depot injection method because of the family history of breast cancer, because the depot injection contains no estrogen, but a 30-year-old woman with no children has demonstrated the ability to use birth control.
Rationale 2: The depot injection would not be recommended for a client with menstrual irregularities, because the side effects include amenorrhea and irregular menstrual bleeding.
Rationale 3: The depot injection is often recommended for clients who have trouble remembering to take the birth control pill. A 27-year-old with one child has demonstrated the ability to use some form of birth control.
Rationale 4: The depot injection is often recommended for clients who have trouble remembering to take the birth control pill. In this case, a teenager who already has a child would be the best choice.
Global Rationale: The depot injection is often recommended for clients who have trouble remembering to take the birth control pill. In this case, a teenager who already has a child would be the best choice. A 27-year-old with one child has demonstrated the ability to use some form of birth control. The nurse would not automatically disqualify a woman with family history of breast cancer from the use of the depot injection method because the depot injection contains no estrogen, but a 30-year-old woman with no children has demonstrated the ability to use birth control. The depot injection would not be recommended for a client with menstrual irregularities, because the side effects include amenorrhea and irregular menstrual bleeding.
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