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A nurse is providing education to a patient about the use of intrauterine devices (IUDs).

Which of the following statements made by the patient indicates a need for further teaching?

"I understand that the copper IUD is hormone-free and can be used by patients who are cautioned against hormonal birth control methods.".

"I will need to have a pregnancy test before the IUD can be inserted.".

"I know that the hormonal IUD can decrease menstrual pain and heavy bleeding.".

"I can expect immediate return to fertility after the IUD is removed.".

Answer and Explanation

The Correct Answer is D

The correct answer is choice D. Choice D is wrong because it implies that the IUD affects fertility, which is not true. According to the NHS website, “Your fertility will return to normal as soon as the IUD is taken out.” The other choices are correct because:

Choice A is correct because the copper IUD does not contain any hormones and can be used by people who cannot or do not want to use hormonal methods of contraception.
Choice B is correct because a pregnancy test is needed before inserting an IUD to make sure that the person is not already pregnant.
Choice C is correct because the hormonal IUD can reduce menstrual pain and heavy bleeding by thinning the lining of the uterus and thickening the cervical mucus.

Therefore, choice D indicates a need for further teaching.

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Correct Answer is D

Explanation

The correct answer is choice D.“You should wait until your baby is 6 weeks old before starting the injections.” This is because medroxyprogesterone may pass into breast milk and cause side effects in a child who is breastfed.The product labeling states that it should be started no sooner than 6 weeks postpartum, based on data submitted for product approval.

The World Health Organization also recommends that injectable depot medroxyprogesterone acetate should not be used before 6 weeks postpartum.

Choice A is wrong because starting the injections immediately after delivery could interfere with the exclusivity or duration of lactation, and could affect the newborn infant adversely because of slower metabolism of the drug than older infants.

Choice B is wrong because waiting until the baby is 6 months old is unnecessary and could expose the mother to a higher risk of unintended pregnancy.

Choice C is wrong because medroxyprogesterone has not been known to cause any decrease in milk supply while using the injections

A. The typical failure rate for IUDs is 1% to 3% per year B. The risk of pelvic inflammatory disease (PID) is highest in the first 6 weeks after insertion C. The IUD can be inserted at any time during the menstrual cycle D. All of the above

Correct Answer is D

Explanation

The nurse should include all of the following information in the teaching:

The typical failure rate for IUDs is 1% to 3% per year.
This means that out of 100 women who use an IUD for a year, one to three may get pregnant.
The risk of pelvic inflammatory disease (PID) is highest in the first 6 weeks after insertion.
PID is an infection of the reproductive organs that can cause infertility, chronic pain, or ectopic pregnancy.
The risk of PID is higher if the woman or her partner has multiple sexual partners or a sexually transmitted infection (STI).
The IUD can be inserted at any time during the menstrual cycle.
However, some doctors may prefer to insert it during or right after the period, when the cervix is more open and the chance of pregnancy is lower.

Choice A is wrong because it only states one piece of information that the nurse should include in the teaching.

Choice B is wrong because it only states one piece of information that the nurse should include in the teaching.

Choice C is wrong because it only statesone piece of information that the nurse should include in the teaching

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A nurse is providing education to a patient about the use of intrauterine devices (IUDs). Which of the following statements made by the patient indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is counseling a client who is breastfeeding and wants to use medroxyprogesterone injections for contraception. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who wants to use an intrauterine device (IUD) for contraception but has concerns about its safety and effectiveness. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

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A nurse is providing education to a patient about the use of intrauterine devices (IUDs).

Which of the following statements made by the patient indicates a need for further teaching?