An adolescent female student, who is sexually active, visits the offic

An adolescent female student, who is sexually active, visits the office of the school nurse. Which of the following statements best reflects her understanding of the effective use of contraception devices?

1. “My boyfriend is able to withdraw before ejaculation, and that prevents me from getting pregnant.”
2. “I take my temperature every morning; when it goes down for at least two days, we have unprotected sex.”
3. “We always use ‘foam’ before each time that we have sex and as you can see I haven’t gotten pregnant yet.”
4. “We have decided that I should have a diaphragm inserted and to use contracep-tive cream with each intercourse.”

ANSWER

ANS: 4
In order to be an effective contraceptive method, the diaphragm should be used with a contra-ceptive cream or jelly. The client is verbalizing understanding. Any act of unprotected intercourse can result in pregnancy. The boyfriend withdrawing prior to ejaculation is not an effective con-traceptive method. Any act of unprotected intercourse can result in pregnancy. This statement is not demonstrating understanding of the basal body temperature method of contraception. Using spermicidal foam alone is not recommended. The client should use a condom and foam to be more effective in preventing pregnancy.