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A 30-Year-Old Woman Visits the Gynecologist's Clinic for Her Annual

Question 19

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A 30-year-old woman visits the gynecologist's clinic for her annual checkup. The patient is in good health and has no complaints. She says she's been researching tubal ligation and would want to have it done since she's weary of using oral contraceptives and doesn't want to have children. She has experienced no negative side effects from oral contraceptives. The patient has been married for ten years and considers his marriage as "extremely secure." Which of the following responses to the patient's desire for tubal ligation is most appropriate?


A) "I appreciate your reasoning for wanting a more permanent solution; have you talked about this decision with your spouse?"
B) "I can see you've thought about this procedure; let's talk about the risks and benefits of tubal ligation."
C) "I'm glad you haven't had adverse effects with oral contraceptives; what do you find to be most bothersome about taking the pill?"
D) "It is difficult to take a pill every day, but there are other long-term birth control options we could discuss."
E) "This procedure is very difficult to reverse; let's discuss why it is not recommended for women your age."

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