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?
It can prevent Asherman’s syndrome
It can decrease menstrual loss and dysmenorrhea
It can remain in the uterus for up to 10 years
It can protect against sexually transmitted infections
The Correct Answer is B
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A."You may experience weight gain as a side effect of the injection."
Choice B is wrong because you do not need to use a barrier method of contraception for the first week after the injection.Medroxyprogesterone injection provides contraception for three months and works mainly by stopping the release of an egg from the ovary (ovulation).
Choice C is wrong because you should not massage the injection site to promote absorption of the medication.
Massaging the injection site may cause irritation or pain.You should also avoid rubbing or scratching the injection site for a few days after receiving the injection.
Choice D is wrong because you may not resume fertility as soon as you stop the injections.
There may be a delay in your return to normal fertility after you finish using medroxyprogesterone injection.It might take 10 months or more before you begin ovulating again.
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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