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A nurse is providing preoperative teaching to a client who is undergoing a transcervical sterilization procedure.

Which of the following information should the nurse include?

A.

“The procedure involves inserting flexible agents into your fallopian tubes.”.

B.

“The procedure will be done under general anesthesia in an operating room.”.

C.

“The procedure will make you sterile immediately after it is done.”.

D.

“The procedure will affect your hormone levels and menstrual cycle.”.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. The procedure involves inserting flexible agents into your fallopian tubes. These agents cause tissue to grow around them and block the tubes, preventing pregnancy.

Choice B is wrong because the procedure does not require general anesthesia or an operating room. It can be done in an outpatient facility with local anesthesia.

Choice C is wrong because the procedure does not make you sterile immediately after it is done.

It takes about 3 months for the tissue to grow and occlude the tubes. You need to use another form of contraception during this time and have a test to confirm the tubal blockage.

Choice D is wrong because the procedure does not affect your hormone levels or menstrual cycle. It only blocks the fallopian tubes, not the ovaries or uterus.


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Related Questions

Correct Answer is A

Explanation

The correct answer is choice A.COCs prevent pregnancy byinhibiting the production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are responsible for ovulation.

By suppressing ovulation, COCs prevent the release of a mature egg that can be fertilized by sperm.

Choice B is wrong because COCs do not increase the production of prostaglandins that cause uterine contractions.

Prostaglandins are involved in inflammation and pain, and are not directly related to contraception.

Choice C is wrong because COCs do not decrease the permeability of the fallopian tubes to sperm and egg.

The fallopian tubes are the site of fertilization, and COCs do not affect their function.

Choice D is partially correct but not the best answer.COCs do suppress ovulation, but they also have other mechanisms of action, such asthickening cervical mucusandaltering the uterine lining.

These effects make it harder for sperm to reach the egg and for a fertilized egg to implant in the uterus.

Therefore, choice D does not capture the full mechanism of action of COCs.

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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