Claudia is a 36-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. She
thought about an IUD but is concerned her husband may feel it during intimacy.
PMH: positive for mild hypertension with first pregnancy, seasonal allergies.
Surgeries: Left inguinal hernia and tonsillectomy.
Family history: Mother HTN and Father colon CA both deceased
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 67 inches, weight 157 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?
What are two possible contraceptive methods for Claudia? Please give brief
rationale for each.
Pick one method and list five (5) patient-centered teaching points for the method
you chose today.
What would your contraceptive choice be if Claudia smoked 10-15 cigarettes per
day? Explain your answer.
Treatment goals for Claudia today are to assist her in determining a safe, reliable form
of birth control that is acceptable to her and her husband that will provide for excellence
coverage as well as suitable compliance. Claudia’s history, including familial, along with
evidence based guidelines will assist in determining the best birth control method for
Claudia (Halloran, 2014). Ruling out contraindications is the first step for the new nurse
practitioner when advising a patient on contraceptive methods and determining
preexisting medical conditions is critical (Halloran, 2014).
Fortunately, Claudia’s history is straightforward. The potential for contraindication for
Claudia is in her mild hypertension during previous pregnancy, familial history of
hypertension (mother), mild increase for weight, lack of exercise and age (Woo &
Robinson, 2016). Aside from these risk parameters, Claudia still has several options.
Oral contraceptives are not completely out of the question (method A), however, given
her age (greater than 35) and predisposition for HTN, a better option may be the IUD
(method B).
This study source was downloaded by 100000830246019 from CourseHero.com on 06-10-2022 06:28:30 GMT -05:00
https://www.coursehero.com/file/44596152/NR-508-wee-2docx/
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. She
thought about an IUD but is concerned her husband may feel it during intimacy.
PMH: positive for mild hypertension with first pregnancy, seasonal allergies.
Surgeries: Left inguinal hernia and tonsillectomy.
Family history: Mother HTN and Father colon CA both deceased
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 67 inches, weight 157 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?
What are two possible contraceptive methods for Claudia? Please give brief
rationale for each.
Pick one method and list five (5) patient-centered teaching points for the method
you chose today.
What would your contraceptive choice be if Claudia smoked 10-15 cigarettes per
day? Explain your answer.
Treatment goals for Claudia today are to assist her in determining a safe, reliable form
of birth control that is acceptable to her and her husband that will provide for excellence
coverage as well as suitable compliance. Claudia’s history, including familial, along with
evidence based guidelines will assist in determining the best birth control method for
Claudia (Halloran, 2014). Ruling out contraindications is the first step for the new nurse
practitioner when advising a patient on contraceptive methods and determining
preexisting medical conditions is critical (Halloran, 2014).
Fortunately, Claudia’s history is straightforward. The potential for contraindication for
Claudia is in her mild hypertension during previous pregnancy, familial history of
hypertension (mother), mild increase for weight, lack of exercise and age (Woo &
Robinson, 2016). Aside from these risk parameters, Claudia still has several options.
Oral contraceptives are not completely out of the question (method A), however, given
her age (greater than 35) and predisposition for HTN, a better option may be the IUD
(method B).
This study source was downloaded by 100000830246019 from CourseHero.com on 06-10-2022 06:28:30 GMT -05:00
https://www.coursehero.com/file/44596152/NR-508-wee-2docx/
