An adolescent female patient with multiple sexual partners asks a nurse about birth control methods. The patient tells the nurse she tried oral contraceptives once but often forgot to take her pills
The nurse will recommend discussing which contraception with the provider?
a. An intrauterine device with a spermicide
b. DMPA (Depo-Provera) and condoms
c. Tubal ligation and condoms
d. Progestin-only oral contraceptives
ANS: B
This patient has demonstrated a previous history of nonadherence, so a long-acting contraceptive would be more effective for her. Because she has multiple sexual partners, she should use a condom for protection against STDs. An IUD is not indicated for her; patients with multiple sexual partners who use IUDs are at greater risk for STDs. Tubal ligation carries surgical risks and should not be used by young women, because it is irreversible. Progestin-only oral contraceptives must be taken every day.
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