Claudia is a 26-year-old mother of two G2P2. she recently delivered her last child 9 months ago. and has been using condoms for birth control for the last 7 months. Today she is requesting a more reliable birth control. she is not sure of her current pregnancy plans, however. she does not wish to discuss sterilization. No religious contraindications for treatment. Previous methods include condoms, and oral contraceptive pills. PMH: positive for mild hypertension with first pregnancy. seasonal allergies. Surgeries: Right inguinal hemia and tonsillectomy. Family history: Mother HTN and Father colon CA both living Social History: Denies tobacco use. wine one to two gl asses a week, denies recreational drugs, exercises trice a week. Drug allergies-Sulfa causes a rash. Current medications-MVI with Fe, Calcium chews. pm Allegra for allergies. Height 65 inches, weight 137 pounds. BP 110/75. P 70, R 16. PAP collected today. breast exam WNL. urine pregnancy negative.
What are treatment goals for Claudia today?
What are two possible contraceptive methods for Claudia
List patient-centered teaching points for the methods.
What would your contraceptive choice be if Claudia smoked 10-15 cigarettes per day? Explain your answer.
