Tag Archives: unplanned pregnancy

On the case…Having the conversation about alcohol as a teratogen: Three women

By Beth Kelsey, EdD, APRN, WHNP-BC, FAANP and Marilyn Pierce-Bulger, MN, FNP-BC, CNM

How do nurse practitioners skillfully handle three challenging scenarios involving young women who are (1) at repeated risk for an unplanned pregnancy, (2) planning a pregnancy, or (3) currently pregnant—and who also drink alcoholic beverages?

JD, a 20-year-old female college student, presents at a student health center for emergency contraception. She reports that she had unprotected sex two nights previously. JD had discontinued her oral contraceptive (OC) 3 months previously because she believed that it was causing her to gain weight. She occasionally uses condoms. JD does not desire a pregnancy at this time. Upon further review of JD’s health history, the nurse practitioner (NP) learns that the patient drinks one or two beers on most weekends and that she has four or five beers at parties about once a month. Continue reading »