A nurse is providing information to a patient regarding contraception methods.
Which statement by the patient indicates a need for further teaching regarding use of copper intrauterine device (IUD)?

“I’m planning to have an IUD inserted when I go for my six-week checkup.”.

“Having an IUD in place may cause my periods to be heavier.”.

“I will not be able to use an IUD as a birth control method if I have more than three full-term pregnancies.”.

“The IUD works by causing an inflammatory response in my uterus, and that discourages a fertilized egg from becoming implanted.”.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. Choice C is wrong because having more than three full-term pregnancies does not affect the suitability of using a copper IUD as a birth control method. Copper IUDs are long-term, reversible contraceptives that can be used by premenopausal women of all ages, including those who have never been pregnant or who have had multiple pregnancies.

Choice A is correct because a copper IUD can be inserted anytime during a normal menstrual cycle, or up to eight weeks after childbirth.

Choice B is correct because a copper IUD may cause heavier and longer periods, as well as more cramping.

Choice D is correct because a copper IUD works by creating an inflammatory response in the uterus that prevents sperm from reaching the egg and fertilizing it, and also prevents a fertilized egg from implanting in the uterine wall.

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Correct Answer is C

Explanation

A nonstress test (NST) is a test in pregnancy that measures fetal heart rate and reaction to movement.Your pregnancy care provider performs a nonstress test to make sure the fetus is healthy and getting enough oxygen.It’s safe and painless, and gets its name because it puts no stress (nonstress) on you or the fetus.

Choice A is wrong because a nonstress test does not measure the mother’s ability to tolerate the discomfort of labor.A stress test is a different procedure that involves stimulating contractions and monitoring how the fetus responds.

Choice B is wrong because a nonstress test does not measure fetal lie, which is the position of the fetus in the uterus.

Fetal lie is usually determined by ultrasound or physical examination.

Choice D is wrong because a nonstress test does not measure maternal readiness for labor.A nonstress test typically happens after 28 weeks of pregnancy, when fetal heart rate starts reacting to movements.

Maternal readiness for labor is assessed by other factors, such as cervical dilation and effacement.

A. Assess the patient’s urine for acetone. B. Monitor the patient’s deep tendon reflexes. C. Assess the patient’s pupillary accommodation. D. Monitor the patient’s blood pressure.

Correct Answer is D

Explanation

This is because epidural anesthesia can cause hypotension (low blood pressure) which can affect the placental blood flow and fetal oxygenation.

The nurse should monitor the patient’s blood pressure frequently and intervene if it drops below the baseline.

Choice A is wrong because assessing the patient’s urine for acetone is not relevant to the side effects of epidural anesthesia.Acetone in urine can indicate diabetic ketoacidosis, a complication of diabetes that occurs when the body breaks down fat for energy due to lack of insulin.

However, this is not related to epidural anesthesia.

Choice B is wrong because monitoring the patient’s deep tendon reflexes is not relevant to the side effects of epidural anesthesia.Deep tendon reflexes can be affected by magnesium sulfate, a medication used to prevent seizures in patients with preeclampsia (a condition characterized by high blood pressure and proteinuria in pregnancy).

However, this is not related to epidural anesthesia.

Choice C is wrong because assessing the patient’s pupillary accommodation is not relevant to the side effects of epidural anesthesia.

Pupillary accommodation is the ability of the eye to adjust its focus from distant to near objects.It can be impaired by drugs that affect the nervous system, such as opioids or anticholinergics.

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A nurse is providing information to a patient regarding contraception methods. Which statement by the patient indicates a need for further teaching regarding use of copper intrauterine device (IUD)?

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Naxlex Comprehensive Predictor Exams

A client with a history of diabetes mellitus (T1 D) is 32 weeks pregnant.The client returns to the clinic for a scheduled ultrasound and non-stress test. What should the nurse expect the non-stress test to determine?

Correct Answer is C

Explanation

A patient who is 37 weeks pregnant and has gestational diabetes is admitted to the labor and delivery unit for induction. The patient is placed on an external fetal monitor and receives an epidural anesthesia.Which action should the nurse take to identify a potential side effect of the epidural?

Correct Answer is D

Explanation

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During a class for women in the second trimester of pregnancy, the nurse discusses methods to alleviate back pain. Which statement by a class member would indicate the need for additional instruction?

A patient is receiving magnesium sulfate.Which side effect should the nurse monitor for with this patient?

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A nurse is providing information to a patient regarding contraception methods.
Which statement by the patient indicates a need for further teaching regarding use of copper intrauterine device (IUD)?