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Original Question

I need reply for this post : prioritized in this scenario since, according to Scannel & Ruggiero (2022), adolescents are hesitant and lack confidence, which translates into trepidation that medical professionals would judge their behaviors. I would then assess and inquire about additional information regarding her menstrual cycle to determine fertility, determine if she was taking other forms of contraceptives, and define her body mass index since, according to Cleland et al. (2014), a higher body mass index could diminish the efficacy of emergency contraceptive pills. Cleland et al. (2014) also state that diminished effectiveness in emergency contraceptive pills correlates to other drugs such as rifampin, certain anti-convulsive and anti-retroviral drugs, as well as the herbal supplement St. Johns, so a drug assessment would also be applicable in this scenario. As far as education on the side effects of emergency contraceptive treatment, bleeding, nausea and vomiting, abdominal pain, breast tenderness, headache, dizziness, and fatigue can be expected and resolved within 24 hours. Informing her of the 120-hour time restraint on emergency contraceptive pills after unprotected intercourse is also essential teaching. I will also include information on the emergency contraception pill mechanisms as they can, at times, be confused with the medical abortion procedure (Scannel & Ruggiero, 2022). I would also add that the emergency contraceptive pill is not intended for repeated use and will not protect them from multiple episodes of unprotected intercourse (Scannel & Ruggiero, 2022). Discussing other methods of emergency contraception, such as intrauterine devices and others, as well as their side effects if assessed as willing to initiate, should also be included. Reference Scannell, M.J., & Ruggiero, K. (2022). Davis advantage for maternal-child nursing care (3rd ed.). F.A. Davis. Cleland, K., Raymond, E. G., Westley, E., & Trussell, J. (2014). Emergency contraception review: evidence-based recommendations for clinicians. Clinical obstetrics and gynecology, 57(4), 741-750. https://doi.org/10.1097/GRF.0000000000000056

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