A nurse is reviewing the mechanism of action of IUDs with a group of nursing students.

Which of the following statements by a student indicates an understanding of the teaching?

“IUDs immobilize sperm and interfere with their migration from the vagina to the fallopian tubes.”.

“IUDs speed up the transport of the ovum through the fallopian tube.”.

“IUDs inhibit fertilization and cause lysis of the blastocyst.”.

All of the above

Answer and Explanation

The Correct Answer is D

All of the above.

This is because IUDs have multiple mechanisms of action that prevent fertilization and implantation of the ovum. According to the search results, some of these mechanisms are:

IUDs immobilize sperm and interfere with their migration from the vagina to the fallopian tubes. This is because copper ions released from copper IUDs are toxic for spermatozoa and impair their motility and viability. Hormonal IUDs also thicken the cervical mucus, which blocks sperm from entering the uterus.
IUDs speed up the transport of the ovum through the fallopian tube. This is because IUDs induce a local inflammatory reaction in the endometrium, which affects the signaling between the uterus and the ovary and alters the tubal motility. This reduces the chances of fertilization by shortening the time window for sperm-egg interaction.
IUDs inhibit fertilization and cause lysis of the blastocyst. This is because IUDs affect the function or viability of gametes, decreasing the rate of fertilization and lowering the chances of survival of any embryo that may be formed. IUDs also interfere with implantation of the fertilized ovum by creating a hostile environment in the uterine cavity.

Choice A is wrong because it only describes one mechanism of action of IUDs, not all of them.

Choice B is wrong because it only describes another mechanism of action of IUDs, not all of them.

Choice C is wrong because it only describes yet another mechanism of action of IUDs, not all of them.

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Correct Answer is A

Explanation

The correct answer is choice A.“You will need to use another form of birth control for 3 months after the procedure.” This is because it takes time for the remaining sperm in the reproductive tract to be cleared out after female sterilization.

Therefore, another contraceptive method is needed to prevent pregnancy during this period.

Choice B is wrong because female sterilization does not increase the risk of ovarian cancer.In fact, some studies have suggested that it may lower the risk of ovarian and endometrial cancers.

Choice C is wrong because female sterilization does not affect the menstrual cycle or sexual function.The ovaries still produce hormones and eggs as normal, but the eggs are absorbed by the body instead of travelling to the uterus.

Choice D is wrong because female sterilization is intended to be a permanent method of contraception and reversal is not guaranteed to be successful.Reversal surgery is also more complicated and expensive than the original procedure.Therefore, women who choose female sterilization should be sure that they do not want any more children in the future.

A. "I understand that the copper IUD is hormone-free and can be used by patients who are cautioned against hormonal birth control methods.". B. "I will need to have a pregnancy test before the IUD can be inserted.". C. "I know that the hormonal IUD can decrease menstrual pain and heavy bleeding.". D. "I can expect immediate return to fertility after the IUD is removed.".

Correct Answer is D

Explanation

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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A nurse is reviewing the mechanism of action of IUDs with a group of nursing students. Which of the following statements by a student indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is considering female sterilization as a contraceptive method. Which of the following statements by the nurse is appropriate?

Correct Answer is A

Explanation

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?

Correct Answer is D

Explanation

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A nurse is providing discharge instructions to a client who has just received her first medroxyprogesterone injection for contraception. Which of the following information should the nurse include in the teaching?

A nurse is reviewing the laboratory results of a client who is taking medroxyprogesterone injections for contraception. Which of the following findings should the nurse report to the provider?

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A nurse is reviewing the mechanism of action of IUDs with a group of nursing students.

Which of the following statements by a student indicates an understanding of the teaching?