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?

“You will need to use another form of birth control for 3 months after the procedure.”.

“You will have a higher risk of developing ovarian cancer after the procedure.”.

“You will experience changes in your menstrual cycle and sexual function after the procedure.”.

“You will be able to have the procedure reversed if you change your mind later.”.

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is B

Explanation

The correct answer is choice B. It creates a local inflammatory response that impairs implantation.This means that the IUD makes the lining of the uterus less suitable for a fertilized egg to attach to it.

Choice A is wrong because it describes how hormonal IUDs work, not copper IUDs.Hormonal IUDs release hormones that thicken cervical mucus and prevent ovulation.

Choice C is wrong because it describes how tubal ligation works, not IUDs.Tubal ligation is a surgical procedure that blocks or cuts the fallopian tubes, which prevents sperm from reaching an egg.

Choice D is wrong because it implies that all of the above choices are correct, which they are not.

Only choice B is correct for copper IUDs.

A. Obtain informed consent from the client B. Perform a Pap smear and cervical culture C. Administer an analgesic medication D. All of the above

Correct Answer is D

Explanation

The correct answer is choiceD.

All of the above.

Here is why:

Choice A is correct because obtaining informed consent from the client is a necessary step before any invasive procedure, including IUD insertion.
Choice B is correct because performing a Pap smear and cervical culture can help screen for cervical cancer and sexually transmitted infections, which are contraindications for IUD use.
Choice C is correct because administering an analgesic medication can help reduce the pain and discomfort associated with IUD insertion, especially in nulliparous women who have a smaller cervical diameter.
Choice D is correct because it includes all of the above actions, which are recommended by the American College of Obstetricians and Gynecologists (ACOG) for IUD insertion in nulliparous women.
Choice A is wrong if it is the only action taken, because it does not address the other aspects of IUD insertion such as screening and pain management.
Choice B is wrong if it is the only action taken, because it does not ensure the client’s consent and comfort during the procedure.
Choice C is wrong if it is the only action taken, because it does not verify the client’s eligibility and suitability for IUD use.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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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?