For this assignmen, you will review the latest evidence based guidelines as they pertain to the case below. Discussion of the case is based on the cours objectives and weekly content, which emphasize the core learning objectives for an evidence-based primary care curriculIm. Throughout your nurse practitioner programe, case studI discussions are used to promote the development of clinical reasoning through the use of ongoing assessmen and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

Karen, is a 33 year-old G2P2, with a medical history of migraines, for which she takes Imitrex when needed. She has a history of heavy and painful menses each month, lasting approximately 7-8 days. Karen smokes pack of cigarettes per day. Her father has a history of DVT and cardiac disease. Her mother has a history of cervical cancer. Her blood pressure today is 138/76 and her pelvic examee  is normal. She is divorced and is sexually active with her new boyfriend. She is currently using condoms for birth control and wants something more reliable. Karen does not desire pregnancy in the near future.

• Discuss the contraceptive methods using the latest evidence-based guidelines that Karen would be medically eligible for. 
• Identify one method that you feel would be most beneficial to Karen and discuss why you selected it.
• Are there any methods that you would not recommend for Karen? Why?