A nurse is reinforcing teaching with a client who is considering a progestin-releasing IUD for contraception.

Which of the following benefits should the nurse include in the teaching?

The correct answer is choice B. It can decrease menstrual loss and dysmenorrhea.According to, progestin IUDs can make your periods lighter and less painful.

This is a benefit for women who have heavy or painful periods.

Choice A is wrong because it can prevent Asherman’s syndrome.

Asherman’s syndrome is a condition where scar tissue forms in the uterus, which can cause infertility or miscarriage.

Progestin IUDs do not prevent this condition.

Choice C is wrong because it can remain in the uterus for up to 10 years.

Progestin IUDs have different durations of effectiveness depending on the type and brand.For example, Liletta can last up to 8 years, Mirena up to 7 years, and Skyla/Kyleena up to 5 years.

Choice D is wrong because it can protect against sexually transmitted infections.

Progestin IUDs do not protect against STIs.

You should use condoms with new partners to prevent STIs

The correct answer is choice B. The client has a positive pregnancy test result.

This is a contraindication for bilateral tubal ligation because the procedure is a permanent form of contraception and should not be performed on a pregnant woman.

The client should be counseled about other options for birth control or termination of pregnancy.

Choice A is wrong because a history of pelvic inflammatory disease is not a contraindication for bilateral tubal ligation.It may increase the risk of complications from the surgery, such as infection or adhesions, but it does not prevent the procedure from being performed.

Choice C is wrong because a family history of breast cancer is not a contraindication for bilateral tubal ligation.It may affect the client’s decision to undergo the procedure, as some studies have suggested that tubal ligation may reduce the risk of ovarian cancer, which is associated with breast cancer.

However, this is not a medical reason to avoid the surgery.

Choice D is wrong because a history of endometriosis is not a contraindication for bilateral tubal ligation.

It may cause pelvic pain or infertility, but it does not affect the effectiveness or safety of the procedure.In fact, some studies have shown that tubal ligation may improve the symptoms of endometriosis by reducing retrograde menstruation.