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    Ati demsn maternal newborn proctored exam
    Select All That Apply

    Read Chart Tab with patient history and select all that apply. Based on the client's history and preferences, which contraceptive methods would be most appropriate for the nurse to recommend? (Select All that Apply).

    Explanation & Rationale

    A. Progestin-only pills (mini-pill): Although safer than combined oral contraceptives for smokers, this option requires strict daily adherence at the same time each day. Because the client frequently forgets to take daily medications, this method is not ideal for her lifestyle. B. Combined oral contraceptive pills (COCs): COCs are contraindicated in women under 35 who smoke due to an increased risk of thromboembolic events. Additionally, her difficulty with medication adherence makes this method unreliable and potentially unsafe. C. Copper intrauterine device (Paragard): The copper IUD is hormone-free, highly effective, and long-acting for up to 10 years. It requires minimal maintenance once inserted, making it an excellent choice for a young woman seeking long-term contraception without daily responsibility. D. Nexplanon (subdermal implant): This implant provides up to 3 years of highly effective contraception and requires no daily action. It is safe for smokers and ideal for clients preferring a low-maintenance option. E. Male condoms: Condoms are accessible, protect against sexually transmitted infections, and can be used in combination with another method for dual protection. They are an appropriate recommendation for any sexually active individual. F. Depo-Provera (DMPA) injection every 3 months: The Depo-Provera injection offers long-acting contraception with infrequent dosing. It is a suitable choice for someone who forgets daily pills and is safe for smokers, though it requires quarterly clinic visits. G. Fertility awareness methods: These methods require consistent tracking of ovulation signs and daily attention. Given the client’s history of irregular menses and difficulty with daily adherence, this method would be unreliable and inappropriate.

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