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[Answered]: Scenario: K.W

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Scenario: K.W. is an 18-year-old woman who comes to Planned Parenthood for a pregnancy test because a condom broke during intercourse the night before. Her last menstrual period (LMP) was 13 days ago and was normal. She always has a monthly menstrual cycle. She is extremely nervous about pregnancy because she is beginning college on a scholarship soon. She states there have been no other acts of unprotected intercourse since her LMP and declines a gynecological examination. 1. As the nurse working in the clinic, should you run a pregnancy test? 2. K.W. asks whether she is at risk for pregnancy. How will you respond? 3. She asks if any options are available to her at this point. How will you answer? 4. K.W. says, “Are you taking about having an abortion?” What is your response? Case Study Progress: There are four emergency contraceptive options: levonorgestrel (Plan B, Next Choice), uliptristal acetate (Ella), contraceptive pills containing estrogen and progesterone, and the copper intrauterine device (IUD). 5. She asks you to explain the differences among the various options. What will you tell her? 6. She asks you about the side effects of each. What will you tell her? 7. What past medical information do you need to obtain from K.W.? 8. You determine that K.W. has no contraindications to the use of hormones. Which of the EC methods do you feel would be the best option for K.W. and why? 9. What teaching will you provide K.W. based on this option?

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