CNM Certified Nurse Midwife

Category - Gynecology

A 15-year-old comes to the facility and asks the nurse midwife about her contraceptive options. Which of the following is the least appropriate method of contraception for this client?
  1. Periodic abstinence
  2. Subcutaneous implants
  3. Oral contraceptives
  4. Diaphragms
Explanation
Answer: A - Periodic abstinence is the least recommended method of contraception for adolescents. Natural family planning involves fertility awareness methods that greatly rely on the menstrual cycles. It may take a few more years before the client can fully establish a regular menstrual cycle. Natural family methods also require the adolescent to avoid sex during certain times. This may be a difficult task for an adolescent who is exposed to peer pressure or who lacks confidence or assertiveness.
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