Elaine Goodwin is a 38-year-old G5 P5 LC 6 presenting to your…

Question Answered step-by-step Elaine Goodwin is a 38-year-old G5 P5 LC 6 presenting to your… Elaine Goodwin is a 38-year-old G5 P5 LC 6 presenting to your clinic today to discuss contraceptive options. She states she is not interested in having more children but her new partner has never fathered a child. Medical history is remarkable for exercise-induced asthma, varicose veins, and IBS. Surgical history remarkable for tonsils as a child and bilateral vein stripping. Social history is negative for alcohol and recreational drugs; she reports smoking cigarettes at a rate of one pack per day (PPD) since age 16, with short breaks when she was pregnant. She has no known drug allergies and takes only vitamin C. Hospitalizations were only for childbirth. Family history reveals that her maternal grandmother is alive with dementia, while her maternal grandfather is alive with COPD. Her paternal grandparents are both deceased due to a car accident. Her mother is alive with osteopenia and fibromyalgia, and her dad is alive with a history of skin cancer (basal cell). Elaine has one older sister and one younger brother, neither with any reported medical problems.  Height 5′ 7″ weight 237 lbs. (BMI 37.1) BP 160/90 P 68 HEENT: wnl Neck: supple without adenopathy Lungs/CV: wnl Breast: soft, fibrocystic changes bilaterally, without masses, dimpling or discharge Abd: soft, +BS, no tenderness VVBSU: wnl, except 2nd degree cystocele, small rectocele Cervix: firm, smooth, parous, without CMT Uterus: RV, mobile, non-tender, approximately 10 cm, Adnexa: without masses or tenderness QUESTIONS:What other information do you need? 1.      What has she used in the past? Why did she stop a method? How many partners in past 12 months? 2.      What are her current cycles like? 3.      When was her last gyn exam and what were the results of the tests? 4.      What method has she considered. 5.      What are your next steps/considerations? 6.      What teaching should you do? QUESTIONS:What are your next steps/considerations? What teaching should you do? Update:She is now considering a diaphragm or tubal ligation.   QUESTION:What do you discuss with her about these options?  QUESTIONS: Is a tubal ligation a good choice for her? What counseling will you do?  Health Science Science Nursing NRNP 6552 Share QuestionEmailCopy link Comments (0)