NR 508 Week 2 Case Study Discussion
Claudia is a 26-year-old mother of two G2P2, she recently delivered her last child 9 months ago, and has been
using condoms for birth control for the last 7 months. Today she is requesting a more reliable birth control, she
is not sure of her current pregnancy plans, however, she does not wish to discuss sterilization. No religious
contraindications for treatment. Previous methods include condoms, and oral contraceptive pills.
PMH: positive for mild hypertension with first pregnancy, seasonal allergies.
Surgeries: Right inguinal hernia and tonsillectomy.
Family history: Mother HTN and Father colon CA both living
Social History: Denies tobacco use, wine one to two glasses a week, denies recreational drugs, exercises twice a
week.
Drug allergies-Sulfa causes a rash.
Current medications-MVI with Fe, Calcium chews, prn Allegra for allergies.
Height 65 inches, weight 137 pounds, BP 110/75, P 70, R 16. PAP collected today, breast exam WNL, urine
pregnancy negative.
Physical exam is normal.
What are your treatment goals for Claudia today?
Strategies to prevent unintended pregnancy include assisting women at risk for unintended pregnancy and their
partners with choosing appropriate contraceptive methods and helping them use methods correctly and
consistently to prevent pregnancy.
PE: normal; BMI = 22.8; , BP 110/75, P 70, R 16; Breast exam: WNL; Urine pregnancy negative; PAP
result: pending
, She does have family history of HTN with her mother and colon cancer with her father; PMH of positive
for mild hypertension with first pregnancy, current BP is within normal limit and she does exercise
twice weekly
Social assessment:
o Claudia, although no mention of a spouse, reported that she used condoms as a birth control
method in the past showed her stableness and understanding of preventative measures in family
planning.
o She is a busy mother two children, one of whom is 9 months old, so I would discuss methods
that are low maintenance and safe for her.
o She is also clearly not ready for sterilization, thus ruled out that option.
What are two possible contraceptive methods for Claudia? Please give brief rationale for each.
CDCP’s Categories for classifying hormonal contraceptives and intrauterine devices
1 = A condition for which there is no restriction for the use of the contraceptive method.
2 = A condition for which the advantages of using the method generally outweigh the theoretical or proven risks.
3 = A condition for which the theoretical or proven risks usually outweigh the advantages of using the method.
4 = A condition that represents an unacceptable health risk if the contraceptive method is used.
According to the CDCP’s chart above, Claudia meets categories 1 and 2, thus she is eligible for most methods
usages.
Condition Cu- LNG-IUD Implant DMP POP CHC
IUD s A s
History of high blood pressure during pregnancy 1 1 1 1 1 2
Claudia is a 26-year-old mother of two G2P2, she recently delivered her last child 9 months ago, and has been
using condoms for birth control for the last 7 months. Today she is requesting a more reliable birth control, she
is not sure of her current pregnancy plans, however, she does not wish to discuss sterilization. No religious
contraindications for treatment. Previous methods include condoms, and oral contraceptive pills.
PMH: positive for mild hypertension with first pregnancy, seasonal allergies.
Surgeries: Right inguinal hernia and tonsillectomy.
Family history: Mother HTN and Father colon CA both living
Social History: Denies tobacco use, wine one to two glasses a week, denies recreational drugs, exercises twice a
week.
Drug allergies-Sulfa causes a rash.
Current medications-MVI with Fe, Calcium chews, prn Allegra for allergies.
Height 65 inches, weight 137 pounds, BP 110/75, P 70, R 16. PAP collected today, breast exam WNL, urine
pregnancy negative.
Physical exam is normal.
What are your treatment goals for Claudia today?
Strategies to prevent unintended pregnancy include assisting women at risk for unintended pregnancy and their
partners with choosing appropriate contraceptive methods and helping them use methods correctly and
consistently to prevent pregnancy.
PE: normal; BMI = 22.8; , BP 110/75, P 70, R 16; Breast exam: WNL; Urine pregnancy negative; PAP
result: pending
, She does have family history of HTN with her mother and colon cancer with her father; PMH of positive
for mild hypertension with first pregnancy, current BP is within normal limit and she does exercise
twice weekly
Social assessment:
o Claudia, although no mention of a spouse, reported that she used condoms as a birth control
method in the past showed her stableness and understanding of preventative measures in family
planning.
o She is a busy mother two children, one of whom is 9 months old, so I would discuss methods
that are low maintenance and safe for her.
o She is also clearly not ready for sterilization, thus ruled out that option.
What are two possible contraceptive methods for Claudia? Please give brief rationale for each.
CDCP’s Categories for classifying hormonal contraceptives and intrauterine devices
1 = A condition for which there is no restriction for the use of the contraceptive method.
2 = A condition for which the advantages of using the method generally outweigh the theoretical or proven risks.
3 = A condition for which the theoretical or proven risks usually outweigh the advantages of using the method.
4 = A condition that represents an unacceptable health risk if the contraceptive method is used.
According to the CDCP’s chart above, Claudia meets categories 1 and 2, thus she is eligible for most methods
usages.
Condition Cu- LNG-IUD Implant DMP POP CHC
IUD s A s
History of high blood pressure during pregnancy 1 1 1 1 1 2
