A nurse is providing contraceptive counseling to a perimenopausal patient in a monogamous relationship. What comment by the patient indicates that further teaching is necessary?

1. "The calendar method is the most reliable method for me to use.".
2. "If I use the IUD, I will be at minimal risk for pelvic inflammatory disease.".
3. "I should still use birth control, even though I had only three periods last year.".
4. "The contraceptive patch contains both estrogen and progesterone.".


1
Rationale 1: The patient who believe the calendar method is the most reliable method requires more teaching. The menstrual cycle of perimenopausal women is irregular, and it is difficult to determine safe and unsafe times.
Rationale 2: The IUDs available today do not increase the risk of pelvic inflammatory disease (PID).
Rationale 3: Even with very irregular periods, the patient still might ovulate.
Rationale 4: The patch does contain both estrogen and progesterone.

Nursing

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