SOLVED855

A 41-year-old woman presents for contraceptive counseling. She has been in a new sexual relationship with a male partner for the past 3 months. She is using condoms for birth control but neither she nor her partner is happy with this method. Her ex-husband had a vasectomy and she has not thought about birth control “for years.” Her past medical history is benign, and her past surgical history includes a primary cesarean section (C/S) for breech and a repeat, elective C/S. Her blood pressure is 122/78 and her body mass index is 27. Family history is notable for hypertension for her parents, both of whom are still living. Her menses are regular, occurring every 26 to 28 days and her last menstrual period was 8 days ago. She has two to three alcoholic drinks per day on weekends only and smokes in social situations, often when with friends. She estimates that she smokes less than one pack of cigarettes per week. She denies recreational drug use. She just had a complete physical exam and Pap smear with her primary care provider and states that all testing was normal. She is seeing you only to establish contraception. How would you approach
SCIENCE
HEALTH SCIENCE
NURSING

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