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, NRNP 6552 WEEK 3 CASE STUDY | 2026
UPDATE | WITH COMPLETE SOLUTIONS.
DOMAIN 1: GYNECOLOGIC HEALTH &
CONTRACEPTIVE COUNSELING (Questions 1-12)
1. Elaine Goodwin is a 38-year-old G5 P5 LC 6 presenting to discuss
contraceptive options. She states she is not interested in having
more children, but her new partner has never fathered a child.
Based on this information, what additional information is most
critical to obtain before recommending a contraceptive method?
A) Her favorite color
B) Whether her migraines have auras
C) Her partner's occupation
D) Her shoe size
Correct Answer: B
Rationale: The type of migraines (with or without aura) is critical because
estrogen-containing contraceptives are contraindicated in women with
migraines with aura due to increased risk of stroke .
2. Elaine relates that she has used birth control pills before but
"would keep messing them up." After that, she switched to the
patch, which she found worked well but discontinued use for
reasons she does not remember. This history suggests:
A) She is not motivated to use contraception
B) Her adherence challenges need to be considered when recommending a
method
C) She should not use any hormonal contraception
D) She needs a partner-controlled method
Correct Answer: B
Rationale: Her history of difficulty adhering to daily pills and forgotten
reasons for discontinuing the patch suggests that methods requiring regular
user action may not be optimal. Long-acting reversible contraceptives
(LARCs) such as IUDs or implants may be better options .
, NRNP 6552 WEEK 3 CASE STUDY | 2026
UPDATE | WITH COMPLETE SOLUTIONS.
DOMAIN 1: GYNECOLOGIC HEALTH &
CONTRACEPTIVE COUNSELING (Questions 1-12)
1. Elaine Goodwin is a 38-year-old G5 P5 LC 6 presenting to discuss
contraceptive options. She states she is not interested in having
more children, but her new partner has never fathered a child.
Based on this information, what additional information is most
critical to obtain before recommending a contraceptive method?
A) Her favorite color
B) Whether her migraines have auras
C) Her partner's occupation
D) Her shoe size
Correct Answer: B
Rationale: The type of migraines (with or without aura) is critical because
estrogen-containing contraceptives are contraindicated in women with
migraines with aura due to increased risk of stroke .
2. Elaine relates that she has used birth control pills before but
"would keep messing them up." After that, she switched to the
patch, which she found worked well but discontinued use for
reasons she does not remember. This history suggests:
A) She is not motivated to use contraception
B) Her adherence challenges need to be considered when recommending a
method
C) She should not use any hormonal contraception
D) She needs a partner-controlled method
Correct Answer: B
Rationale: Her history of difficulty adhering to daily pills and forgotten
reasons for discontinuing the patch suggests that methods requiring regular
user action may not be optimal. Long-acting reversible contraceptives
(LARCs) such as IUDs or implants may be better options .
