A nurse is preparing a teaching plan for a newly married female client with a cervical spinal cord injury who would like to have children someday. The client does not want to become pregnant at this time. What information would be important for the nurse to include? Select all that apply.

Rationale: A. A cervical spinal cord injury does not automatically prevent pregnancy. Fertility may be reduced depending on the injury, but many women with spinal cord injuries can conceive. Telling the client she cannot become pregnant is inaccurate and may lead to unsafe assumptions about contraception. B. Oral contraceptives are a reversible, effective method to prevent pregnancy. The nurse should provide teaching on proper use, potential side effects, and any contraindications, such as increased risk of blood clots in clients with reduced mobility. C. Condoms are a non-hormonal contraceptive method that also protect against sexually transmitted infections. They are an important option for clients who cannot or choose not to use hormonal contraception. D. Barrier methods like a diaphragm are effective if used correctly. Teaching the partner proper insertion ensures correct use and safety, which is particularly important if the client has limited mobility. E. Vasectomy is a permanent contraceptive method, which is inappropriate for a couple who desires children in the future. Suggesting a vasectomy would contradict the client’s goal of having children someday.