A nurse is caring for a patient who is using an intrauterine device (IUD) for contraception.
Which of the following symptoms is a potential adverse effect of the copper IUD?
Decreased bone density
Spotting and irregular bleeding
Mood changes
Headaches
The Correct Answer is B
The correct answer is choice B. Spotting and irregular bleeding are potential adverse effects of the copper IUD. The copper IUD works by creating a toxic environment for sperm and eggs in the uterus and cervix, but it does not affect the hormones that regulate the menstrual cycle. Therefore, it can cause changes in bleeding patterns, such as heavier, longer or more painful periods.
Choice A is wrong because decreased bone density is not a side effect of the copper IUD. It is a possible side effect of hormonal IUDs that contain progestin, which can lower estrogen levels and affect bone health.
Choice C is wrong because mood changes are not a side effect of the copper IUD. They are more likely to occur with hormonal methods of birth control that affect the levels of estrogen and progesterone in the body.
Choice D is wrong because headaches are not a side effect of the copper IUD. They are also more common with hormonal methods of birth control, especially those that contain estrogen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C.“I can start the injections right after I give birth if I am not breastfeeding.” This statement indicates a need for further teaching because medroxyprogesterone injections should not be started until at leastsix weeksafter giving birth if the woman is not breastfeeding.Starting the injections earlier may increase the risk ofbleeding,blood clotsanddecreased milk production.
Choice A is correct because medroxyprogesterone injections are given every12 to 13 weeksfor contraception.
Choice B is correct because medroxyprogesterone injections may causebone lossover time, and calcium supplements may help prevent this.
Choice D is correct because medroxyprogesterone injections often reduce or stop menstrual bleeding by suppressing ovulation and thinning the lining of the uterus.
Correct Answer is C
Explanation
The correct answer is choice C. The patient needs further teaching if they think that the implant can be inserted immediately after childbirth.According to Mayo Clinic, the implant should not be inserted until at least 21 days after giving birth, or until the milk supply is well established if breastfeeding.
Inserting the implant too soon may increase the risk of blood clots or decrease milk production.
Choice A is correct because condoms are still needed to protect against STIs, even if using the implant as a birth control method.Choice B is correct because irregular and unpredictable menstruation is a common side effect of the implant.Choice D is correct because the implant can prevent pregnancy for up to three years.
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