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?
Mennorhagia
Ovarian cysts
Fibrocystic breast disease
Endometriosis
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C. The patient needs further teaching if they think that the implant can be inserted immediately after childbirth.According to Mayo Clinic, the implant should not be inserted until at least 21 days after giving birth, or until the milk supply is well established if breastfeeding.
Inserting the implant too soon may increase the risk of blood clots or decrease milk production.
Choice A is correct because condoms are still needed to protect against STIs, even if using the implant as a birth control method.Choice B is correct because irregular and unpredictable menstruation is a common side effect of the implant.Choice D is correct because the implant can prevent pregnancy for up to three years.
Correct Answer is B
Explanation
The correct answer is choice B. It creates a local inflammatory response that impairs implantation.This means that the IUD makes the lining of the uterus less suitable for a fertilized egg to attach to it.
Choice A is wrong because it describes how hormonal IUDs work, not copper IUDs.Hormonal IUDs release hormones that thicken cervical mucus and prevent ovulation.
Choice C is wrong because it describes how tubal ligation works, not IUDs.Tubal ligation is a surgical procedure that blocks or cuts the fallopian tubes, which prevents sperm from reaching an egg.
Choice D is wrong because it implies that all of the above choices are correct, which they are not.
Only choice B is correct for copper IUDs.
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