The 15-year-old female tells the nurse that she makes her boyfriend stop intercourse before she has an orgasm so she will not get pregnant. What teaching is necessary for this client?
1. Even though she doesn't get pregnant, she might still get a sexually transmitted infection.
2. Intercourse until orgasm may actually reduce conception because the vaginal contractions help to expel sperm.
3. Conceiving is not related to whether or not the female partner experiences an orgasm.
4. As long as her boyfriend does not ejaculate in her vagina, conception is unlikely.
Correct Answer: 3
Rationale 1: Conceiving is not related to experiencing orgasm. This client is very likely to conceive and is also at risk for getting any sexually transmitted infection her boyfriend might have.
Rationale 2: Conceiving is not related to experiencing orgasm.
Rationale 3: Conceiving is not related to experiencing orgasm.
Rationale 4: The seminal fluid expelled prior to ejaculation also contains sperm and can result in pregnancy even if the male ejaculates outside the vagina.
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True False