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.”.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C. Reminding her that she should be happy that one child survived and is healthy is the least helpful nursing action in supporting the woman as she copes with her loss.
This statement minimizes her grief and implies that she should not feel sad about the deceased twin.
It also disregards her attachment to both babies and her need to mourn the loss of one of them.
Choice A is wrong because offering her the opportunity for counseling to help her grieve is a helpful nursing action that recognizes her emotional distress and provides her with professional support.
Choice B is wrong because encouraging the woman to hold the deceased twin as well as the living twin is a helpful nursing action that allows her to acknowledge and bond with both babies and to create memories that may facilitate healing.
Choice D is wrong because assisting the woman to take pictures of both babies is a helpful nursing action that provides her with tangible mementos of her twins and honors their
Correct Answer is C
Explanation
This is because pregnancy-induced hypertension (PIH) can cause eclampsia, a condition characterized by seizures and coma.Eclampsia can occur during pregnancy, labor, or postpartum.
A nurse should monitor the client for signs of increased blood pressure, headache, blurred vision, epigastric pain, and hyperreflexia, which may indicate an impending convulsion.
Choice A is wrong because hemorrhage is not a common complication of PIH.
Hemorrhage may occur due to other causes such as uterine atony, lacerations, or retained placenta.
Choice B is wrong because urinary retention is not a common complication of PIH.
Urinary retention may occur due to other causes such as anesthesia, trauma, or infection.
Choice D is wrong because thrombophlebitis is not a common complication of PIH.
Thrombophlebitis is a condition where a blood clot forms in a vein and causes inflammation.
It may occur due to other risk factors such as immobility, dehydration, or injury.
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