The nurse is providing education to sexually active adolescents. Which contraceptive will the nurse include in the section regarding long-term formulations? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Medroxyprogesterone acetate (Depo-Provera)
2. Ethinyl estradiol and levonorgestrel (Alesse)
3. Ethinyl estradiol and norelgestromin (Ortho-Evra)
4. Estrogen and progestin (NuvaRing)
5. Ortho-Novum 7/7/7
Correct Answer: 1, 3, 4
Rationale 1: A deep intramuscular injection of medroxyprogesterone acetate (Depo-Provera) provides 3 months of contraceptive protection.
Rationale 2: Ethinyl estradiol and levonorgestrel (Alesse) is incorrect because it is a monophasic daily oral contraceptive.
Rationale 3: Ortho-Evra is a transdermal patch containing ethinyl estradiol and norelgestromin that is worn on the skin. The patch is changed every 7 days for the first 3 weeks, followed by no patch during week 4.
Rationale 4: NuvaRing is a 2-inch-diameter ring containing estrogen and progestin that is inserted into the vagina to provide 3 weeks of contraceptive protection. The ring is removed during week 4, and a new ring is inserted during the first week of the next menstrual cycle.
Rationale 5: Ortho-Novum 7/7/7 is incorrect because this is a triphasic daily oral contraceptive.
Global Rationale: A deep intramuscular injection of medroxyprogesterone acetate (Depo-Provera) provides 3 months of contraceptive protection. Ortho-Evra is a transdermal patch containing ethinyl estradiol and norelgestromin that is worn on the skin. The patch is changed every 7 days for the first 3 weeks, followed by no patch during week 4. NuvaRing is a 2-inch-diameter ring containing estrogen and progestin that is inserted into the vagina to provide 3 weeks of contraceptive protection. The ring is removed during week 4, and a new ring is inserted during the first week of the next menstrual cycle. Ethinyl estradiol and levonorgestrel (Alesse) is incorrect because it is a monophasic daily oral contraceptive. Ortho-Novum 7/7/7 is incorrect because this a triphasic daily oral contraceptive.
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