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

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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Correct Answer is D

No explanation

A. "I will need to get an injection every 12 weeks.". B. "I will have to take calcium supplements to prevent bone loss.". C. "I can start the injections right after I give birth if I am not breastfeeding.". D. "I will have less menstrual bleeding or no periods at all.".

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who uses a contraceptive vaginal ring. Which of the following symptoms should the nurse instruct the patient to report immediately?

Correct Answer is D

A nurse is teaching a client who is starting medroxyprogesterone injections for contraception. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is C

Explanation

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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?