bs2 - wwjd

[ArchivalUser]

2. The parents of a 17-year-old young woman
with Down syndrome and an intelligence quotient
(IQ) of 70 bring her in for a school physical.
The physical is required for admission to a
highly recommended special education co-ed
boarding school. The parents are worried about
sending her to the school because they are
afraid that she will get pregnant. Although she
has been on oral contraceptives for the past
year, her mother must often remind her to take
them. The parents ask for the physician's advice.
The doctor's most appropriate recommendation
is
(A)
to do a tubal ligation
(B) to do an oophorectomy
©
to enroll her in a local day school so that
she can live at home
(D) to prescribe a long-acting contraceptive
(E) to send her to the boarding school and
take no further action

[ArchivalUser]

D.

[ArchivalUser]

D.

[ArchivalUser]

2-D. The parent's concerns are real. Therefore, to take no further action is not an acceptable choice
for the doctor. The doctor's most appropriate recommendation is to recommend a long-acting contraceptive
for this young woman. Permanent forms of birth control such as tubal ligation or
oophorectomy are not appropriate. Preventing her from going to the school for fear of pregnancy
could limit the social, academic, and employment potential of this young woman.