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Question ⬇

Health Promotion and Maintenance

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91. A 34-year-old client with type 1 diabetes since age 5 asks a nurse for advice regarding methods of birth control. Which method of birth control is the best choice for a client with type 1 diabetes?

Choices

Choices ⬆ ⬇

1. Intrauterine device.

2. Oral contraceptives.

3. Diaphragm.

4. Contraceptive patch.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

Oral contraceptives and contraceptive patches utilize the same hormones; eliminate both choices because they both are basically the same choice.

Content Area: Adult Health, Family Planning; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Lifestyle Choices

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Rationale ⬆

Health Promotion and Maintenance

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3.  

Answer 1 is incorrect because intrauterine devices have a higher rate of infection. A client with diabetes should be protected from the risk of developing a pelvic infection due to the intrauterine device. Answer 2 is incorrect because oral hormonal contraceptive methods can affect the carbohydrate metabolism and insulin utilization in clients with type 1 diabetes. Answer 3 is correct because barrier methods (e.g., diaphragm) are the best choice for a client with diabetes since they do not have the undesirable side effects that the other methods have. Answer 4 is incorrect because a contraceptive patch is a hormonal contraceptive method that can affect the carbohydrate metabolism and insulin utilization in clients with type 1 diabetes.

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