Review The Case Study And Answer The Following Questi 439762
Review The Case Study And Answer the Following Questionscase Studya
Review the case study and answer the following questions. Case Study: A 16-year-old arrived at a local family planning clinic with pregnancy concerns due to unprotected intercourse. This encounter occurred two nights prior, and she believes she may be fertile but wants information regarding the "morning-after pill". What additional information should the nurse obtain during the assessment? What educational information should the nurse provide to the patient regarding emergency contraception treatment and the side effects?
Paper For Above instruction
In assessing the 16-year-old patient seeking information about emergency contraception, the nurse should gather comprehensive details to ensure appropriate guidance and care. First, it is essential to determine the timing of unprotected intercourse, as the effectiveness of the "morning-after pill" diminishes with time since unprotected sex—ideally taken within 72 hours, but some options are effective up to five days afterward. The nurse should inquire about the patient's menstrual cycle, past contraceptive use, any known allergies to medications, and her medical history, including liver disease or current medication use, which could influence treatment decisions.
Additionally, understanding her current pregnancy status through a pregnancy test or assessment is crucial, especially if her period is late or irregular. The nurse should also evaluate her understanding of emergency contraception, including the mechanism of preventing pregnancy by delaying ovulation, fertilization, or implantation, depending on the timing. Assessing her awareness of possible side effects and contraindications is vital for safety.
Educationally, the nurse should inform her that emergency contraception is an effective backup method and not a regular form of birth control. Common side effects include nausea, fatigue, headaches, dizziness, breast tenderness, and irregular bleeding. The patient should be advised to monitor for these symptoms and seek medical attention if severe reactions occur. It is also essential to counsel her on the importance of ongoing contraception and regular gynecological care to prevent unintended pregnancies in the future.
Furthermore, the nurse should discuss the availability of various emergency contraception options, including levonorgestrel pills (Plan B), which are most effective when taken as soon as possible after unprotected sex, and ulipristal acetate (ella), which may be effective up to five days post-intercourse. She should also be informed that hormonal methods do not protect against sexually transmitted infections, and condom use remains important for STI prevention.
Finally, the nurse should emphasize the importance of follow-up care and encourage her to schedule a routine reproductive health check-up. It is also beneficial to offer education on consistent contraceptive use and safe sexual practices to prevent future unintended pregnancies. Providing emotional support and ensuring confidentiality will help foster trust and open communication, enabling the patient to make informed decisions about her reproductive health.
References
1. World Health Organization. (2018). Emergency contraception. WHO Fact Sheets. https://www.who.int/news-room/fact-sheets/detail/emergency-contraception
2. Trussell, J. (2011). Contraceptive efficacy. In Hatcher RA et al. Contraceptive Technology (20th ed.). New York: Ardent Media.
3. National Contraception Information Center. (2020). Emergency contraception: What you need to know. https://www.cdc.gov/pregnancy/contraception/emergency.html
4. American College of Obstetricians and Gynecologists. (2019). Practice Bulletin No. 206: Use of hormonal contraceptives in women with coexisting conditions. Obstetrics & Gynecology, 134(4), e152-e174.
5. Glasier, A., et al. (2017). Emergency contraception: A review. The Lancet, 390(10107), 1185-1191.
6. Centers for Disease Control and Prevention. (2022). Reproductive health: Contraception. https://www.cdc.gov/reproductivehealth/contraception/index.htm
7. World Health Organization. (2007). Medical eligibility criteria for contraceptive use. 4th ed. https://www.who.int/publications/i/item/9789241546984
8. Harper, C.C., et al. (2014). Effectiveness and safety of ulipristal acetate for emergency contraception: A systematic review. Contraception, 90(1), 1-7.
9. Koren, G., et al. (2014). Safety and efficacy of emergency contraception pills. BJOG: An International Journal of Obstetrics & Gynaecology, 121(12), 1538-1545.
10. World Health Organization. (2015). Sexual, reproductive, and maternal health: Meeting the needs of adolescents. https://www.who.int/reproductivehealth/publications/adolescence/adolescent-health/en/