A nurse is caring for a patient who is using an intrauterine device (IUD) for contraception.
Which of the following symptoms is a potential adverse effect of the copper IUD?
Decreased bone density
Spotting and irregular bleeding
Mood changes
Headaches
The Correct Answer is B
The correct answer is choice B. Spotting and irregular bleeding are potential adverse effects of the copper IUD. The copper IUD works by creating a toxic environment for sperm and eggs in the uterus and cervix, but it does not affect the hormones that regulate the menstrual cycle. Therefore, it can cause changes in bleeding patterns, such as heavier, longer or more painful periods.
Choice A is wrong because decreased bone density is not a side effect of the copper IUD. It is a possible side effect of hormonal IUDs that contain progestin, which can lower estrogen levels and affect bone health.
Choice C is wrong because mood changes are not a side effect of the copper IUD. They are more likely to occur with hormonal methods of birth control that affect the levels of estrogen and progesterone in the body.
Choice D is wrong because headaches are not a side effect of the copper IUD. They are also more common with hormonal methods of birth control, especially those that contain estrogen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A.COCs can reduce the risk of endometrial, ovarian and colon cancer.This is because COCs suppress ovulation and reduce inflammation in the genital tract, which may lower the exposure to carcinogens and mutagens.
Choice B is wrong because COCs do not increase bone density or prevent osteoporosis.In fact, some studies have suggested that COCs may have a negative effect on bone mineral density.
Choice C is wrong because COCs do not enhance fertility or improve menstrual regularity.
COCs prevent pregnancy by inhibiting ovulation, which means that they temporarily suppress fertility.COCs may also cause irregular bleeding or amenorrhea in some women.
Choice D is wrong because COCs do not lower blood pressure or cholesterol levels.On the contrary, COCs may increase the risk of hypertension and dyslipidemia in some women, especially those who smoke, are obese, or have a family history of cardiovascular disease.
Correct Answer is ["B","E"]
Explanation
The correct answer is choice B and E.Bilateral tubal ligation (BTL) is a permanent form of contraception that involves cutting, tying or blocking the fallopian tubes to prevent pregnancy.It can be performed within 24 hours following childbirthand it is immediately effective.
Choice A is wrong because BTL does not provide protection against sexually transmitted infections (STIs).
People who have BTL should still use condoms to prevent STIs.
Choice C is wrong because BTL does not increase the risk for an ectopic pregnancy.
An ectopic pregnancy is when a fertilized egg implants outside the uterus, usually in the fallopian tube.
BTL prevents fertilization by blocking the passage of eggs and sperm.
Choice D is wrong because BTL does not require abdominal surgery with general anesthesia.
BTL can be done using different methods, such as laparoscopy, minilaparotomy, or hysteroscopy.
These methods use small incisions or no incisions at all and can be done with local or regional anesthesia.
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