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A nurse is caring for a client who desires an intrauterine device (IUD) for contraception.

Which of the following findings is a contraindication for the use of this device?

A.

Mennorhagia

B.

Ovarian cysts

C.

Fibrocystic breast disease

D.

Endometriosis

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. Mennorhagia is a contraindication for the use of an intrauterine device (IUD) for contraception because it can cause heavy or prolonged menstrual bleeding. This can lead to anemia, infection, or expulsion of the device.

Choice B is wrong because ovarian cysts are not a contraindication for IUD use. They are usually benign and do not interfere with the placement or function of the device.

Choice C is wrong because fibrocystic breast disease is not a contraindication for IUD use. It is a common condition that causes benign lumps in the breast tissue and does not affect the hormonal balance or the risk of infection.

Choice D is wrong because endometriosis is not a contraindication for IUD use. In fact, some types of IUDs that release progestin can help reduce the symptoms of endometriosis by thinning the endometrial lining and suppressing ovulation.


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Related Questions

Correct Answer is C

Explanation

The correct answer is choice C.“I can start the injections right after I give birth if I am not breastfeeding.” This statement indicates a need for further teaching because medroxyprogesterone injections should not be started until at leastsix weeksafter giving birth if the woman is not breastfeeding.Starting the injections earlier may increase the risk ofbleeding,blood clotsanddecreased milk production.

Choice A is correct because medroxyprogesterone injections are given every12 to 13 weeksfor contraception.

Choice B is correct because medroxyprogesterone injections may causebone lossover time, and calcium supplements may help prevent this.

Choice D is correct because medroxyprogesterone injections often reduce or stop menstrual bleeding by suppressing ovulation and thinning the lining of the uterus.

Correct Answer is A

Explanation

The correct answer is choice A."You may experience weight gain as a side effect of the injection."

Choice B is wrong because you do not need to use a barrier method of contraception for the first week after the injection.Medroxyprogesterone injection provides contraception for three months and works mainly by stopping the release of an egg from the ovary (ovulation).

Choice C is wrong because you should not massage the injection site to promote absorption of the medication.

Massaging the injection site may cause irritation or pain.You should also avoid rubbing or scratching the injection site for a few days after receiving the injection.

Choice D is wrong because you may not resume fertility as soon as you stop the injections.

There may be a delay in your return to normal fertility after you finish using medroxyprogesterone injection.It might take 10 months or more before you begin ovulating again.

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